How do I know if there is enough skin to revise an upper eyelid surgery? (Photo)

Question

Hello I need an expert surgeon on upper eyelid scar revision. I had an upper eyelid surgery 2 years ago and complications occurred. Severe scarring in right eye and unsightly. When I use a pair of tweezers and I can grab eyelid skin and still close my eye. How do I know if there is enough skin to revise. I just visited a surgeon who said I don't have enough skin but with eyes closed I can use tweezers and grab skin and my eye stays closed no problem. How do I know if I have enough skin?

Kenneth D. Steinsapir, MD · Answer

However, what else is going on with the eyelid. This crease is high. Does the eyelid look skeletonized? Don't let your surgeon simply remove the scar. The scar is not likely to be a big issue. It is not visible when the eyes are open. This skin is needed to lower the upper eyelid crease. So the real question is what else bothers you about the surgical result. This is best explored in a personal consultation. Don't assume your surgeon even understands your concerns.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Sean T. Lille, MD · Answer

Oculoplastic surgeons specialize in these issues. If your specialist says there is not enough skin yet, please listen. There is nothing worse or more uncomfortable than not being able to fully close your eye and having dry eyes.

David M. Kowalczyk, MD, MBA, FACS · Answer

Good Morning! Thanks for the question. The determination for removal of more skin isn't entirely based off of when your eye is closed. When you close your eye, you're actively resisting the forces needed to open it more than you realize. Surgeons are looking at the eyelash position, lid crease, and lid position to determine if more can safely be removed. If an excessive amount is taken, this can lead to very significant eye problems. You can visit with an oculoplastic surgeon if you haven't already to see what he or she says. Hope this helps!

Soon-Dong Kim, MD · Answer

Regarding to the skin sagginess, only we can know during the face-to-face consultation. It seems that we can do the revision surgery (scar revision). If you have further questions then please leave a message:)

How do I know if there is enough skin to revise an upper eyelid surgery? (Photo)

Answers (5)

Answer: Revise Eyelid Surgery

Answer: Revise Eyelid Surgery

Answer: Recommendation

Answer: Recommendation

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

How do I know if there is enough skin to revise an upper eyelid surgery? (Photo)

Answers (5)

Answer: Revise Eyelid Surgery

Answer: Revise Eyelid Surgery

Answer: Recommendation

Answer: Recommendation

Browse related questions

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.