Can I have posterior ptosis repair and later on have anterior levator ptosis repair?

If I had an anterior levator repair after posterior ptosis repair is it a different procedure, or an actual revision? Do these procedures impact one another aside from recovery time? It's easy for me to find a good doctor to do posterior ptosis repair where I live and its free. Maybe I'll be happy with it. But pretty sure I need anterior levator ptosis repair to have the most symmetrical results. I was told this "might not work" and I can't find a doctor locally yet.

Doctor Answers 5

Anterior after posterior approach ptosis repair

Yes, you can have an anterior approach ptosis repair after a posterior approach ptosis repair. There will be scarring in the plane of the levator muscle but an experienced oculoplastic surgeon should be able to manage this. It you have any excess skin and/or fat in the upper eyelid, or need to have a lid crease formed, a primary anterior approach may be a better option. Revision surgery is always more difficult than primary surgery and there is usually a long period of time with swelling post-operatively. Good luck!

Danbury Oculoplastic Surgeon

Repeat eyelid ptosis surgery possible

Repeat eyelid ptosis surgery, whether after posterior or anterior approach, is more difficult than original surgery so best to get it right the first time. Having said that, revision ptosis surgery is possible. See following link.

Mehryar (Ray) Taban, MD, FACS
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 58 reviews

External ptosis repair after mullerectomy

External ptosis repair after prior Muellerectomy is in fact possible, though slightly more challenging . The real question is weather Muellerectomy is the right choice for you as the primary technique. If you have mild or moderate ptosis, then it may be a good option for you.  An experienced surgeon may be able to may be able to improve a mild asymmetry. And despite some assertions, upper sulcus deformity and platform asymmetry improvement is also possible. You should choose a surgeon that is experienced in both techniques and have him perform a detailed examination so that he can choose the right option for you.On my website you will find examples of both external and internal ptosis repair in the gallery section.

A.J. Amadi, MD
Seattle Oculoplastic Surgeon
5.0 out of 5 stars 30 reviews

Anterior vs. Posterior Ptosis Repair

Anterior ptosis repair, meaning a skin incision is made and the levator muscle is adjusted, is probably the most common way we correct ptosis. It is arguably more anatomically correct, because you are repositioning the tissues in a way that they function better. You can also remove excess skin when necessary, form a proper lid crease, and rotate the lashes upward.  Posterior ptosis repair is good in certain circumstances, such as when you have a mild amount of ptosis (2mm or less), you have no excess skin, and you have a symmetric lid crease.  This is mostly done in children and younger adults.  See an oculoplastic surgeon who can go through all your options and can perform the best procedure for you.

Matheson A. Harris, MD
Salt Lake City Oculoplastic Surgeon
5.0 out of 5 stars 6 reviews

You may have some ptosis correction but the result will be disappointing.

Revising the eyelid after the mullerectomy is highly challenging.  Not impossible but this is the best opportunity to get things done correctly.  Posterior mullectomy will not correct your hollow sulcus, the eyelid platform skin, or the eye lash ptosis.  This is your face.  You will have to decide for yourself if getting the service for free is more important than getting the service right.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
4.9 out of 5 stars 23 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.