Eye retracted again after revision surgery, can this be improved using spacer graft or anything else? (Photos)

Question

2 years ago I wanted to remove a bag under one of my eye. The surger caused my eyes to retract. One year after the original surgery I went to a very reputable occuloplastic surgeon to repair my eyes. I had a cantholasty to both eyes. I asked about using spacer graft but the surgeon told me he does not use spacer grafts and it is not required in my case. Originally I loved the results. However, one year later the one eye has retracted again. The surgeon dismissed my claim.

A.J. Amadi, MD · Answer

Retraction repair after previous surgery or trauma is one of the most challenging and unpredictable surgeries we encounter in both cosmetic and reconstructive surgery due to the previous scarring in the area.  Some cases of retraction can be addressed by releasing the lower lid retractors and putting the lid on upward traction with temporary sutures to keep the eyelids up.

However, some types of retraction may be more aggressive and require spacers to get the best possible results. There are many types of spacers available as well, and some work better than others. It should be noted that even with spacer grafts, some cases regress and require further surgical solutions. 
Seek an Oculoplastic surgeon that has extensive experience with both trauma reconstructions and cosmetic surgery as he/she will have a significant experience with different spacer types and more challenging cases.

Randal Haworth, MD, FACS · Answer

I'm sorry to hear about your experience with your eyelid surgery. It's understandable that you are concerned about the results and that you feel like your surgeon dismissed your claim.

It's important to note that eyelid surgery can be a complex and delicate procedure, and even experienced surgeons may encounter complications. Eyelid retraction, which is a condition where the eyelid pulls away from the eyeball, is a known potential complication of canthoplasty surgery.

In your case, it may be helpful to seek a second opinion from another reputable plastic surgeon well versed in that area or an ophthalmologist who has experience with eyelid surgery. They may be able to evaluate your eyelids and determine if further treatment, such as a spacer graft, may be necessary to address the retraction.

It's important to have open and honest communication with your surgeon and to express your concerns. If you feel like your concerns are not being addressed, seeking a second opinion may be the best course of action.

I hope this helps,
best of luck !

Eye retracted again after revision surgery, can this be improved using spacer graft or anything else? (Photos)

Answers (2)

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Everything you need to know about Eyelid Retraction Repair

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Eye retracted again after revision surgery, can this be improved using spacer graft or anything else? (Photos)

Answers (2)

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Recommended reading

Everything you need to know about Eyelid Retraction Repair

Our mission is to create a world where every investment in modern beauty is Worth It.