Hello, I had a lower internal blepharoplasty 5 years ago. Immediately after surgery my right eye appeared sunken in, drooping, and my bottom eyelid was turned inward to the point my eyelashes were touching my eye. Although it has improved a lot, I still feel and notice the asymmetry of my eyes. Is there anything that can be done for this?
Answer: Lower eyelid problems after the fact It may be possible to improve your lower eyelids with a canthoplasty or canthopexy. Any attempt at revision surgery also has the risk of making things worse. How much does your condition really bother you and what are you hoping to achieve? I suggest having a few in person consultations with oculoplastic surgeons or plastic surgeons who have a lot of eyelid surgery experience in your area. I do not recommend relying on virtual consultations. For a second opinion consultation come prepared to bring with you a complete set of proper before and after pictures and a copy of your previous operative report. These should still be available from your previous provider if you request them. To make a quality assessment, we need quality information and that generally means having a really good understanding of what you look like before your procedure, what you look like immediately after and exactly what was done during surgery. Gather those documents, then schedule a few in person consultations. I don’t see a really strong indication for doing surgery. There appears to be mild ectropions. We really need to see before and after pictures to make a good assessment. Unless surgery has a fairly good chance of making improvements The default should be to not have surgery. This is especially true when the situation is complex, and the chance of high-quality outcomes is uncertain.This is usually always the case when it comes to revision procedures. Revision surgery is almost always more difficult than primary procedures. In other words, if you feel like you ended up with problems from your first procedure, then you should anticipate that a second procedure could do the same. This is not to say surgery may not be beneficial. I would just be cautious and focus your efforts and finding the most talented experience providers in your community. Provider selection is the most important variable. For that reason, I usually recommend patients have three or four consultations before selecting a provider for complex situations. During each consultation, ask each provider to open up their portfolio and show you as many before and after pictures of the previous patients who had a similar situation or facial appearance. Most plastic surgeons do far more primary procedures than they do revision surgery. Still, a highly experienced oculoplastic surgeon would most likely have taken care of of previous patients with very similar conditions and should be able to show you documentation with pictures ofResults.Best, Mats Hagstrom MD
Helpful
Answer: Lower eyelid problems after the fact It may be possible to improve your lower eyelids with a canthoplasty or canthopexy. Any attempt at revision surgery also has the risk of making things worse. How much does your condition really bother you and what are you hoping to achieve? I suggest having a few in person consultations with oculoplastic surgeons or plastic surgeons who have a lot of eyelid surgery experience in your area. I do not recommend relying on virtual consultations. For a second opinion consultation come prepared to bring with you a complete set of proper before and after pictures and a copy of your previous operative report. These should still be available from your previous provider if you request them. To make a quality assessment, we need quality information and that generally means having a really good understanding of what you look like before your procedure, what you look like immediately after and exactly what was done during surgery. Gather those documents, then schedule a few in person consultations. I don’t see a really strong indication for doing surgery. There appears to be mild ectropions. We really need to see before and after pictures to make a good assessment. Unless surgery has a fairly good chance of making improvements The default should be to not have surgery. This is especially true when the situation is complex, and the chance of high-quality outcomes is uncertain.This is usually always the case when it comes to revision procedures. Revision surgery is almost always more difficult than primary procedures. In other words, if you feel like you ended up with problems from your first procedure, then you should anticipate that a second procedure could do the same. This is not to say surgery may not be beneficial. I would just be cautious and focus your efforts and finding the most talented experience providers in your community. Provider selection is the most important variable. For that reason, I usually recommend patients have three or four consultations before selecting a provider for complex situations. During each consultation, ask each provider to open up their portfolio and show you as many before and after pictures of the previous patients who had a similar situation or facial appearance. Most plastic surgeons do far more primary procedures than they do revision surgery. Still, a highly experienced oculoplastic surgeon would most likely have taken care of of previous patients with very similar conditions and should be able to show you documentation with pictures ofResults.Best, Mats Hagstrom MD
Helpful