Visible asymmetry 6 months post upper eyelid surgery - can I just have a minor correction? (photos)

Question

The left eye shows a lot more skin on the eyelid than the right and the left eye itself won’t open as much as the right. I was told by the surgeon that it would be too risky to try to fix it. Is there anything that can be done? Do I have to undergo the full procedure again or can i just had a minor correction? What would that involve and what are chances of being able to correct it?

Kenneth D. Steinsapir, MD · Answer

This is Post Upper Blepharoplasty Syndrome. It is characterized by upper eyelid malposition (usually ptosis), crepey upper eyelid platform skin, high upper eyelid sulcus, and compensatory eyebrow elevation. Some of these eyelids also have lateral canthal disinsertion with rounding of the eye shape. It is caused by an overaggressive upper eyelid surgery with the removal of too much upper eyelid skin, muscle and fat. Internal scaring contributes to the deficit. Your problem is not a little more skin on one side. Your problem is that your entire upper eyelid fold was removed which has lead you to this issue. In many of these eyelids there is enough resources left to reposition the upper eyelids, fix the lateral canthus, lower the upper eyelid crease, fluff up the upper eyelid fold fat and reconstruct the upper eyelid fold. That is not a "minor" correction. That entails a very complicated eyelid reconstruction to a achieve. I am attaching a copy of my paper and a graphic video that shows how these are repaired. There is no substitute for a detailed in person assessment.

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.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.The right eye still have saggy skin above the eye. Also the eye area is downward with only blepharoplasty would not be enough to reach your goal. I suggest you revision upper eyelid blepharoplasty and endoscopic brow lift. After these procedures you will have much elegant, fresh and upside looking in your eye area. If you can provide better photos with better lighting, from side of your face and 1 meter away, I would be able to make a proper evaluation.Best Regards!

J. Jason Wendel, MD, FACS · Answer

Thank you for your question in for including a photo. It is extremely helpful!

First of all, I do recommend contacting your surgeon to voice your concerns and schedule an in person appointment to discuss options. If you do not feel like you’re concerns are being heard, it is well within your rights to seek opinions from another surgeon.

It is possible to only have a revision to the left eye that still leaves you with concerns.

Camille Cash, MD · Answer

The asymmetry that concerns you is not a simple correction.  You can consider filler or fat grafting to try to give more symmetry.  This will not impact that one eye opens more than the other.  If interested you should seek an experienced board certified plastic surgeon.

Alan Gonzalez, MD, FACS · Answer

Hello @minnie2023, thank you for your question. Only after the period of time indicated by the surgeon who performed the surgery to reduce inflammation has passed will it be possible to determine whether a subsequent intervention is necessary to improve the results. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS),International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP).

Visible asymmetry 6 months post upper eyelid surgery - can I just have a minor correction? (photos)

Answers (9)

Answer: Upper eyelid surgery postop concern

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Answer: Visible asymmetry 6 months post upper eyelid surgery - can I just have a minor correction?

Answer: Visible asymmetry 6 months post upper eyelid surgery - can I just have a minor correction?

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Visible asymmetry 6 months post upper eyelid surgery - can I just have a minor correction? (photos)

Answers (9)

Answer: Upper eyelid surgery postop concern

Answer: Upper eyelid surgery postop concern

Answer: Asymmetry

Answer: Asymmetry

Answer: Visible asymmetry 6 months post upper eyelid surgery - can I just have a minor correction?

Answer: Visible asymmetry 6 months post upper eyelid surgery - can I just have a minor correction?

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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.