Upper bleph left me not feeling like myself - What can be done to bring my eyes close to presurgery 3.5 years post op? (Photos)

Question

I had an insurance covered medical upper blepharoplasty in December of 2022. While the hooding has been removed and upper vision is better, I am left feeling like I have someone else's eyes. This is affecting my confidence and causing me to shy away from social events and photos. What can be done permanently to get me closer to my pre-surgery eyes?

Kadir Berat Oyur, MD · Answer

Based on the photos, there appears to be upper eyelid hollowing and changes in eyelid contour that may contribute to the feeling that your eyes no longer resemble your preoperative appearance. While it is usually not possible to restore the eyelids exactly as they were before surgery, revision procedures such as fat grafting, scar release, crease adjustment, or reconstructive eyelid surgery may help restore a softer, more natural appearance. A consultation with an experienced oculoplastic surgeon specializing in revision eyelid surgery is recommended to determine the most appropriate approach.

Kenneth D. Steinsapir, MD · Answer

The syndrome is a spectrum but it includes a high or hollow upper eyelid sulcus, a high or absent upper eyelid crease, upper eyelid ptosis, compensatory eyebrow elevation, and creepy eyelid platform skin. To this many also have partial lateral canthal disinsertion with a rounding of the eye shape that is also perceived as a loss of the almond shape of the eye. I pioneered the permanent repair of theses eyes. I am attaching a video of how the surgery is performed ( it is graphic so don’t watch it if you don’t like that sort of thing. I am also providing a link to my paper about PUBS. I have much more information about the surgery on my website on a page about fixing botched upper eyelid surgery.

Upper bleph left me not feeling like myself - What can be done to bring my eyes close to presurgery 3.5 years post op? (Photos)

Answers (2)

More Eyelid Surgery Questions

22M, what procedure would help my prominent eyes/eyelid exposure? (Photos)

Eyes are looking tired, upper bleph and under eye fat transfer? (Photos)

The eye (right side of photo) looks tired. What procedure should I get to reduce this? (Photo)

Is lower bleph the best option for under eye bags, based on surgeons recommendation? (Photos)

Lower bleph + SOOF lift + external excision - would you recommend this approach? (Photos)

Bottom eyelid unevenness - can the higher eyelid be lowered? (Photos)

WE SEND PRETTY
EMAILS