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Lower eyelid retraction repair. Will I need an implant, fat transfer, filler? (Photo)

gunner1066Nov 21, 2023
I’ve never had any surgery. Still my lower lids are retracted. Is this fact caused by a potential negative vector? Will I always need an implant,fat transfer, filler? What if I only got canthoplasty/pexy with a spacer graft for lifting the lid? Would the result last long? Would my eye have a sharp lateral canthus instead of round? Would my lid be lifted? Or would I still need to augment the infraorbital area?

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Randal Haworth, MD, FACS profile photo
Dr. Randal Haworth, MD, FACS
Board Certified Plastic Surgeon
4.7 | 83 Reviews
Answered on Nov 23, 2023
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Randal Haworth, MD, FACS

Scleral show, where the white of the eye is more visible, can be influenced by various factors, including eye anatomy and facial structure. Near-sightedness (myopia) and astigmatism typically don’t directly cause scleral show. However, if you have concerns about the appearance of your eyes or n...

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Yao Wang, MD

Typically we want to wait at least 6-9 months following your blepharoplasty to consider revision. There are various techniques we can use but a thorough in person evaluation is needed to determine what is best for you, as there are many different causes for lower eyelid retraction.

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Kenneth D. Steinsapir, MD

Generally they need to be removed. They cause chronic inflammation which unacceptably thickens the eye lid. It is my opinion that surgeons who use this material do not really know what they are doing. Depending on the degree of the inflammation, the graft may need to be removed and the eyelid...

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