Had double ptosis and (mini)blepharoplasty surgery on March 22. Eyelids are asymmetrical and different sizes.Unsure which was done wrong and if I should get another doctor to correct it.
Answer: Correcting eyelid ptosis The most likely reason for the asymmetry you are seeing is called Herrings Law. Basically, when the ptosis on the right was corrected compensatory overactivity on the left decreased causing the left lid to droop. This can be corrected with revision of the eyelid surgery on the left to correct the unmasked ptosis.
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Answer: Correcting eyelid ptosis The most likely reason for the asymmetry you are seeing is called Herrings Law. Basically, when the ptosis on the right was corrected compensatory overactivity on the left decreased causing the left lid to droop. This can be corrected with revision of the eyelid surgery on the left to correct the unmasked ptosis.
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Answer: Asymmetry From your photos you clearly have a drooping of your left upper eyelid. Without doing an exam to check the levator muscle function, I am unable to give you an opinion on correction. I believe that you have a levator problem that will need to be corrected.
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Answer: Asymmetry From your photos you clearly have a drooping of your left upper eyelid. Without doing an exam to check the levator muscle function, I am unable to give you an opinion on correction. I believe that you have a levator problem that will need to be corrected.
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January 28, 2020
Answer: Asymmetry after upper eyelid surgery From the picture, there is residual ptosis of the left upper eyelid. This can be corrected by shortening the muscle that is responsible for raising the eyelid (levator aponeurosis) The scar can be revised at the same time. Should wait for at least 6 months after the initial surgery
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January 28, 2020
Answer: Asymmetry after upper eyelid surgery From the picture, there is residual ptosis of the left upper eyelid. This can be corrected by shortening the muscle that is responsible for raising the eyelid (levator aponeurosis) The scar can be revised at the same time. Should wait for at least 6 months after the initial surgery
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December 16, 2019
Answer: Masked Ptosis Hello and thank you for your excellent question. Based on your photos it appears that initially the right side had more ptosis, this causes the muscles on both sides to contract and lift the lids. After the right lid was fixed the muscles stopped contracting and this caused the left lid to become more ptotic (Herring's Law). You would likely require more correction of the left side. I recommend you seek consultation with a board certified plastic surgeon who can help guide you in your decision making.
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December 16, 2019
Answer: Masked Ptosis Hello and thank you for your excellent question. Based on your photos it appears that initially the right side had more ptosis, this causes the muscles on both sides to contract and lift the lids. After the right lid was fixed the muscles stopped contracting and this caused the left lid to become more ptotic (Herring's Law). You would likely require more correction of the left side. I recommend you seek consultation with a board certified plastic surgeon who can help guide you in your decision making.
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November 9, 2019
Answer: Left upper lid revision Hi there, There are two issues with the asymmetry. One issue is that the left brow is elevated, versus the right side. This may be your brain's effort to compensate for the second issue: left upper eyelid droop (ptosis). The net effect of these two problems is that each of them makes MORE of your left upper lid visible. This increases the asymmetric appearance. Revision ptosis surgery on the left upper lid is the first step: this will raise your lid, and decrease the "tarsal platform", or amount of eyelid that is visible. This will improve symmetry. HOPEFULLY, the left brow will relax down a little bit -- this may provide you with near perfect symmetry if that happens. If not, that might need to be addressed sometime later with a minor procedure. Revision surgery would have perhaps an 80-90% chance of correction with a single procedure. It would be done awake, and would take about 20 minutes. Hope that helps JDW
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November 9, 2019
Answer: Left upper lid revision Hi there, There are two issues with the asymmetry. One issue is that the left brow is elevated, versus the right side. This may be your brain's effort to compensate for the second issue: left upper eyelid droop (ptosis). The net effect of these two problems is that each of them makes MORE of your left upper lid visible. This increases the asymmetric appearance. Revision ptosis surgery on the left upper lid is the first step: this will raise your lid, and decrease the "tarsal platform", or amount of eyelid that is visible. This will improve symmetry. HOPEFULLY, the left brow will relax down a little bit -- this may provide you with near perfect symmetry if that happens. If not, that might need to be addressed sometime later with a minor procedure. Revision surgery would have perhaps an 80-90% chance of correction with a single procedure. It would be done awake, and would take about 20 minutes. Hope that helps JDW
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September 27, 2019
Answer: Asymmetric eyelids I agree you have some asymmetry after your surgery. You may want to first discuss your concerns with your surgeon to see if he or she has any suggestions on how to address the issues. However, if you feel more comfortable with a different surgeon, be sure they are experienced with eyelid and ptosis surgery. Best of luck.
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September 27, 2019
Answer: Asymmetric eyelids I agree you have some asymmetry after your surgery. You may want to first discuss your concerns with your surgeon to see if he or she has any suggestions on how to address the issues. However, if you feel more comfortable with a different surgeon, be sure they are experienced with eyelid and ptosis surgery. Best of luck.
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