I was promised that I would be happy ! My surgeon was a ocuplastic (!!!) . I regret this decision. I initially went for lower and he suggested upper too, upper looks ok except I ended up with a light ptosis on the right eye , easy to notice when I look up . but how about lower?? I don't have a nice smile anymore and it really upsets me . Honestly now, How much change is going to be after these 3 months? I'm very disappointed . I'm sorry I posted my concern all the time ..
Answer: 3 months post lower blepharoplasty. I look creepy and I don't even like to smile anymore. Is it likely to improve? Without a smiling preop view, it's more difficult to determine what portion might be different. There certainly can still be changes going on in the tissues; wound healing can take a year to show the final results. One consideration might be Botox for the lower eyelid/cheek junction to relax the orbicularis oculi (around the eye) muscle, but this should be determined by your doctor. Also, in your before picture it appears you may have had some asymmetry in your upper lid height preoperatively.Hang in there!--Please note that this does not constitute initiation of a doctor-patient relationship in any way and is not a substitute for a medical evaluation.
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Answer: 3 months post lower blepharoplasty. I look creepy and I don't even like to smile anymore. Is it likely to improve? Without a smiling preop view, it's more difficult to determine what portion might be different. There certainly can still be changes going on in the tissues; wound healing can take a year to show the final results. One consideration might be Botox for the lower eyelid/cheek junction to relax the orbicularis oculi (around the eye) muscle, but this should be determined by your doctor. Also, in your before picture it appears you may have had some asymmetry in your upper lid height preoperatively.Hang in there!--Please note that this does not constitute initiation of a doctor-patient relationship in any way and is not a substitute for a medical evaluation.
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Answer: Your lower eyelid appearance may improve with time, only three months post blepharoplasty. You do not appear to have an "operated" under eye appearance. Your lower eyelids appear a bit swollen still, and your lower eyelid appearance will improve. Best to discuss your concerns with your surgeon or visit another reputable oculoplastic or facial plastic surgeon for an evaluation.Wishing you well.Dr. Joseph
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Answer: Your lower eyelid appearance may improve with time, only three months post blepharoplasty. You do not appear to have an "operated" under eye appearance. Your lower eyelids appear a bit swollen still, and your lower eyelid appearance will improve. Best to discuss your concerns with your surgeon or visit another reputable oculoplastic or facial plastic surgeon for an evaluation.Wishing you well.Dr. Joseph
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April 27, 2015
Answer: 3 months post-op I think your uppers look fine. Your lowers may still be a little swollen. You do have some creases in the lowers which are probably what is bothering you. This could be swelling between the muscle layers. I would do some massage over this to see if you can help to flatten it out. At 6 months if this isn't better you could think about a revision.
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April 27, 2015
Answer: 3 months post-op I think your uppers look fine. Your lowers may still be a little swollen. You do have some creases in the lowers which are probably what is bothering you. This could be swelling between the muscle layers. I would do some massage over this to see if you can help to flatten it out. At 6 months if this isn't better you could think about a revision.
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April 26, 2015
Answer: Unhappy 3 months after eyelid surgery From your photographs, it is difficult to decipher what the final goal of your surgery was. Because a little swelling will remain even after three months, it is it is wise to wait for a couple more months before judging the final result (although I would not expect dramatic changes).
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April 26, 2015
Answer: Unhappy 3 months after eyelid surgery From your photographs, it is difficult to decipher what the final goal of your surgery was. Because a little swelling will remain even after three months, it is it is wise to wait for a couple more months before judging the final result (although I would not expect dramatic changes).
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May 1, 2015
Answer: Complicated situation. This type of lower eyelid post-surgical smile line problem is common after lower eyelid surgery and laser resurfacing. These procedures cause scaring in the glide planes associated with the lower eyelid and mid face. Instead of the smile lines we normally expect to see, one can see ridging and bunching that is not consistent with what we expect to see with a smile. The problem has no technical name and is never discussed in the literature. There is no magical fix. It does tend to get a bit better over long periods of time like a year or more of healing due to softening of scar tissue. The right lower eyelid seems to have a slightly different problem. There is skin just below the lower eyelid lashes that slumps down overhanging the lower eyelid crease. This also corresponds to a weakening of the right lower eyelid contour. This is consistent with post surgical paralysis or motor nerve injury to the lower eyelid orbicularis oculi muscle that is responsible for holding the lower eyelid margin in place on the eye surface. Some of these things are more fixable than others. The most important thing is to not make more mistakes in correcting this. The more fixes, the further from normal this lower eyelid will be. Less is more. The very best thing you can do for this situation is to give it tincture of time. Do not make the mistake of rushing into a fix. No tuck or pinch or other simplistic repair will unstir the cream from the coffee. I recommend letting thing heal for 3 to 9 months more before trying to decide with a surgeon who is in the business of fixing other eyelid surgeon's work what needs to be done and what can be done.
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May 1, 2015
Answer: Complicated situation. This type of lower eyelid post-surgical smile line problem is common after lower eyelid surgery and laser resurfacing. These procedures cause scaring in the glide planes associated with the lower eyelid and mid face. Instead of the smile lines we normally expect to see, one can see ridging and bunching that is not consistent with what we expect to see with a smile. The problem has no technical name and is never discussed in the literature. There is no magical fix. It does tend to get a bit better over long periods of time like a year or more of healing due to softening of scar tissue. The right lower eyelid seems to have a slightly different problem. There is skin just below the lower eyelid lashes that slumps down overhanging the lower eyelid crease. This also corresponds to a weakening of the right lower eyelid contour. This is consistent with post surgical paralysis or motor nerve injury to the lower eyelid orbicularis oculi muscle that is responsible for holding the lower eyelid margin in place on the eye surface. Some of these things are more fixable than others. The most important thing is to not make more mistakes in correcting this. The more fixes, the further from normal this lower eyelid will be. Less is more. The very best thing you can do for this situation is to give it tincture of time. Do not make the mistake of rushing into a fix. No tuck or pinch or other simplistic repair will unstir the cream from the coffee. I recommend letting thing heal for 3 to 9 months more before trying to decide with a surgeon who is in the business of fixing other eyelid surgeon's work what needs to be done and what can be done.
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