How can I improve the droopiness of my eyelids after two eyelid surgeries failed? (Photos)

Question

I had tow surgeries to remove extra skin from my eyelid, while this improved my vision but the droopiness still remains. I have attached photos and I wonder if there any other procedures like a brow lift to improve droopiness. I am 40 yo. Thanks,

Frank Agullo, MD · Answer

From your three close-ups, your eyebrows are low on the orbital rim and the loose skin hangs over your eyelashes, causing that heavy appearance. Your two blepharoplasty procedures removed skin from the lids but did not fix the underlying problem, which is your eyebrow position. The drooping is back because the eyebrows were never raised in the first place. Blepharoplasty surgery feels incomplete because when your eyebrows are low, taking just loose skin off the eyelids creates heavy lashes and a shortened lid appearance without lifting the eyebrows.

By lifting the eyebrows using an endoscopic technique or a pretrichial one depending on your hairline, you bring the eyebrows back into their proper position, making your eyes appear more open again. In men, your hairline guides which incision the surgeon utilizes for lifting the eyebrows.

Before considering further procedures, you must assess your levator function. If your MRD1 is reduced, this indicates eyelid ptosis under the excess skin, which necessitates a small ptosis repair instead of another blepharoplasty. A full upper face exam resolves this issue in about five minutes.

#StayBeautiful,

@RealDrWorldWide

Kadir Berat Oyur, MD · Answer

I completely understand why you are feeling self-conscious about this, but please let me reassure you that having a small pocket of fluid accumulate after your drain was removed is a incredibly common part of the healing process. When a surgical drain is taken out, your body naturally continues to produce fluid in that space, and it can sometimes collect under the skin&mdash;a very typical occurrence known as a seroma. At just three weeks post-op, your body is actively working to reabsorb this extra fluid, and it often just takes a bit more time for the tissues to fully settle and flatten out on their own. I highly recommend having an in-person evaluation with your surgeon so they can physically check the area and determine if a quick, painless fluid aspiration in the clinic or adjusting your compression garment protocol is all you need to help that spot smooth down beautifully.

How can I improve the droopiness of my eyelids after two eyelid surgeries failed? (Photos)

Answers (2)

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