Revisional Eyelid Surgery

This patient came in because she had underwent fat grafting to lower eyelids and leaving her with an unsatisfactory result. Revisional surgery was performed in the right lower eyelid with removal of the fat granulomas, with a blepharoplasty. Her own lower lid fat was repositioned along with CO2 laser to the lower lids to tighten the skin. Notice the natural looking results and refreshed appearance to her eyelids and face.

This patient had undergone previous eyelid surgery years prior and was left with retraction in her lower eyelids, right more so than left. She was unable to properly close her lids and was left with tearing and dry eyes. A revisional/reconstructive eyelid surgery with volume augmentation fat grafting was performed to help improve the function and appearance of her eyelids. A canthoplasty (lid suspension), retraction repair using hard palate grafts, and fat grafting to the midface/cheek area was performed. Notice the improvement, the patient’s symptoms and eyelid function dramatically improved.

This patient had an overcorrected left upper eyelid position from prior surgery and underwent a left upper eyelid retraction repair. The left eyelid position was brought down through an eyelid surgery. Notice the symmetric results post repair.

This patient underwent prior skin cancer removal on his eyelid years ago and healed with a scar that left his eyelid retracted and positioned low. He underwent right lower lid revisional surgery using a spacer allograft (Alloderm), lid and midface suspension. Post operative photos were taken 9 months after surgery. His lid has healed well and much more symmetric in comparison to the other lid.

This patient had prior lid surgery to repair her facial trauma but still had lower lid retraction where the lid is positioned lower than it should normally. She also had an ectropion in her left lower lid (the lid was turned outward). These were resulting in significant discomfort, ocular irritation, and a cosmetic deformity. She underwent revisional eyelid surgery to help repair the lid to a more appropriate position. An ectropion repair and retraction repair using an alloderm spacer graft was performed. A midface lift was also performed at the same time to keep the eyelid in better position as the patient continued to heal.

This patient underwent Asian eyelid surgery (double lid surgery) in the past and now has residual ptosis, left worse than right. She also has an epicanthal web in her left upper lid which requires scar revision as well. A minimally invasive ptosis repair was performed to lift her lids with no open incision (posterior incisions). Epicanthal scar was also revised in the left upper lid.