Dear Dr. Seckel, I had lower blepharoplasty in February 2006. There was asymmetry from the beginning-the left eye was rounded at the corner and the right eye more extended than the left. I wanted the left lid to extend outwards not upwards. The plastic surgeon performed a revision at 3 1/2 months post-op but there was no change in my lid position, only more scarring and a smaller eyehole. What procedure can be done to lower the lid position and prevent the corner from slanting upwards? Thank you, Susan, Seattle, WA
Dear Susan,
I am sorry to hear of your unhappy experience following eyelid rejuvenation surgery. Eyelid malposition, the sweeping up of the eyelid you have experienced is usually temporary unless a canthoplasty was performed.
This should be relatively easy to correct but will depend on the exact procedure your surgeon used. If a canthoplasty was performed, the suture that holds the canthal tendon can be released allowing the eyelid to drop to a more neutral position.
If a canthoplasty was not done then the surgeon may have done an orbiculopexy–which is a procedure that places a suture in the orbicularis occuli muscle to tighten and pull the lower eyelid up. This can also be released.
It would help me to see a front close up view of your eyes. If you can email me a picture then I can give you a better opinion. Please note, I will not publish or show your photo to anyone and will delete it after viewing.
If the canthoplasty was performed to correct laxity of the eyelid, releasing the canthoplasty would create the riskmof the eyelid pulling down at the corner, a condition called an ectropion.
For further information on eyelid surgery, blepharoplasty and facial rejuvenation read Save Your Face or contact me.
Thank you,
Dr Seckel
Boston, Massachusetts