Revision Eyelid Surgery

Revision Eyelid Surgery

“As an oculoplastic surgeon, many of my referrals are patients who have had previous complications with facial plastic surgery and now require cosmetic and functional correction around the eyes.”

Revision Eyelid/Blepharoplasty Surgery

Some of the most dreaded complications of facial plastic surgery are those associated with the eyelids. The eyes and eyelids are very sensitive structures and are not as forgiving. As an oculoplastic surgeon with expertise in plastic surgery around the eye, many of my referrals are patients who have had previous complications with facial plastic surgery and now require cosmetic and functional correction around the eyelids. Depending on the specific problem, the necessary correction may involve a simple procedure or a complex eyelid reconstruction. Our goal is to regain normal function while maintaining aesthetic outcome.

Some of the most common problems I have encountered in my previous patents are as follows:

On the lower eyelid, internal tissue disruption, muscle injury, scarring, and/or shortage of skin may contribute to produce an eyelid that is turned out, pulled down, or rounded at the corners. Substantial preexisting mid-face descent may leave a hollow beneath the operated lid.

On the upper eyelid, excessive skin excision may limit the ability of the eyes to close fully, while stress on the elevating muscle or tendon may produce a droopy lid.

On the eyebrow and forehead, an aggressive forehead lift may leave a patient with a look of surprise, hair loss, or a “movie-star” face from the 1950s.

Other well-recognized risks from eye plastic surgery include infection, bleeding, and injury to the eye or eye muscles, all of which may decrease vision and/or require additional medical or surgical treatment.

Depending on the problem you are having revision blepharoplasty surgery will depend on the treatment required.  In some instances cortisone injections, dermal fillers and botox can provide reasonable results.  In some cases further revision blepharoplasty may be required.

Not only is revisional blepharoplasty more difficult to perform, but the outcome is less predictable, healing may be prolonged, improvement is usually only partial, and multiple operations are not uncommon.

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