What should I do next if I still have droopy eyelids after an upper eyelid blepharoplasty? (photo)

Doctor's Answer

Photo of Dr Samuel Ho
Dr Samuel Ho

Plastic Surgeon

I am sorry to hear about your unhappy surgical experience.

Eyelid surgery is a complex subject and requires a meticulous assessment as droopy eyelids has a variety of causes, needing different treatment options. In your case, based on your before photograph, it would appear that you have excess outer eyelid skin (lateral hooding), which is very common.

Your eye opening size appears unaffected, which indicates you do not have true blepharoptosis (true drooping of the upper eyelid). The treatment for this is ideally an infrabrow lift, which I do for many of my patients with very satisfying results.

What you have gone through is a conventional upper blepharoplasty (cutting eyelid), which solves part of the problem but often leaves the skin beyond the outer corner of the eye still droopy. To address this through the same surgery (cutting eyelid) often requires a very long scar leading out beyond the outer corner of the eye, which is cosmetically displeasing. For this reason, I often prefer an infrabrow lift.

I would need a closer assessment to comment further. It is also quite soon after your eyelid surgery and I usually reserve any revision surgery for about 1 month after the original surgery.

Best Regards,

Dr Samuel Ho

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