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I like to first examine the tone of the lower eyelid before surgery. If the tone is poor the patient is at increases risk for developing ectropion. (I.e. the lower eye lid pulls down, pulling the lower eyelid away from the eyeball. If the patient has good lower eyelid tone this can also happen if too much skin is removed from the lower eyelid. If one wants to change the can’t or angle of the lower eyelid either a canthopexy or canthoplasty need to be performed. these are two different techniques for changing the angle of the lower eyelid tendon. These two above procedures can be performed to correct ectropion. For more information please see the enclosed video.
Many lower blepharoplasties also include either a canthopexy or canthoplasty. These fix the lateral cants to the orbital rim. If this fixation is misplaced, the cants will be either too high or too low. This can be corrected, but you need an expert in eyelid surgery to do this. Avoidance is also by choosing a surgeon who is an expert in eyelid surgery.
Because eyelid structure is dynamic, it is difficult to tell what is "weird" in your photos other than the asymmetry of lid margin position. If this is apparent only in the mornings, we would ask you photograph both eyelids at various times of the day to determine how they are changing during ...
Hello and thank you for your question. In general the lower eyelid sits 1-2 mm above the white part of the eye (corneal scleral junction). From the pictures it seems that your lower eyelid sits below that line. There is nothing wrong with that. It is more of a problem if it forms after an eyelid...
Thank you for your question, A combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to ...