Cosmetic Eyelid Surgery in Beverly Hills – Dr. Guy Massry
28May/110

Revisional Blepharoplasty – Lower Eyelid Retraction

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A common problem after lower blepharoplasty is for the lower lids to pull down or become retracted.  Correcting this problem is a specialized form of blepharoplasty surgery called “Revisional Blepharoplasty.”  Revisional blepharoplasty involves all procedures needed to redo initial blepharoplasty surgery which did not turn out well or led to ocular complications or poor appearance.  This is a highly specialized form of surgery which requires specialized training (Ophthalmic Plastic Surgeon) and years of experience.

A retracted lower lid is not only unsightly but also can lead to ocular irritation, pain and in severe cases even loss of vision.  It is not a problem which should be taken lightly. Often times it is best not to address the problem (more mild cases) as results can be unpredictable.  However, when the condition is more advanced revisional surgery is warranted.

For lower lid retraction the procedures needed to correct the problem include a canthoplasty (lid suspension), lid recession (lid lift), a spacer graft (usually placed inside the lid) to support the lid at its higher position, and a midface or cheek lift – again to support the lid at a higher position.  The multiple procedures needed to fix a retracted lid all need to flow together smoothly to attain a good result.  To do this requires a well-trained ophthalmic plastic surgeon who has performed this kind of revisional blepharoplasty (eyelid surgery) before.  I cannot overemphasize this point.  Revisional Blepharoplasty (upper or lower lids) requires an eyelid expert.

Below is an example of a woman who had lower blepharoplasty by another surgeon and was left with retracted lower lids (left greater than right).  She underwent revisional blepharoplasty by me with a much improved result (lids in much better position).

Before Revision               After Revision      

It is important to note that the expectations from revisional surgery need to be tempered with reality.  What I mean is that because tissue planes are scared and distorted the situation can be much improved but never made perfect.  This must be understood before proceeding with surgery.

View the following link to see other revisional surgeries  http://drmassry.com/#/1-6

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