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Disclaimer:

All before and after pictures displayed are real patients who have consented to having their pictures published on our site. Individual results will vary with each patient and Dr. Christopher Zoumalan does not guarantee any outcomes of procedures shown. All pictures are meant for reference and illustrative purposes only.

Before and After Photos

  • Before Photo-Revisional Eyelid Surgery Patient 7
    After Photo-Revisional Eyelid Surgery Patient 7

    Preoperative Diagnosis: Bilateral lower lid retractions and ectropions (outward everted lids) from prior surgery and chronic sun damage.

    Procedure performed: Bilateral lower lid retraction repair using an Alloderm spacer graft with a canthoplasty (lid resuspension and tightening).

  • Before Photo-Revisional Eyelid Surgery Patient 6
    After Photo-Revisional Eyelid Surgery Patient 6

    This patient had trauma to the right lower lid and it was unsuccessfully repaired in the past. She underwent eyelid reconstructive surgery in order to free up and excise the scar tissue and to repair the lower lid position by using a tissue graft along with lid resuspension.

    Preoperative Diagnosis: Right lower lid retraction

    Procedure performed: Right lower lid retraction using a tissue graft and canthoplasty

  • Before Photo-Revisional Eyelid Surgery Patient 5
    After Photo-Revisional Eyelid Surgery Patient 5

    This patient had prior surgery to both lowerlids which as resulted in lower lid retraction and difficulty closing her lids. She underwent eyelid reconstructive surgery in order elevate her lower lids to a more anatomically normal position. A canthoplasty (lid resuspension) with a hard palate graft (taken from the roof her mouth) was used to help keep the lower lid in a new position. A midface lift was also performed to elevate her midface and to allower her lower lids to be resuspended and supported at a more anatomically appropriate position.

    Preoperative Diagnosis: Lower lid retraction

    Procedure performed: Lower lid retraction using a hard palate graft, canthoplasty, and midface lift

  • Before Photo-Revisional Eyelid Surgery Patient 4
    After Photo-Revisional Eyelid Surgery Patient 4

    She had undergone a prior blepharoplasty in the past and now had some retraction of her lower lids. Note the rounding of the corner of her left lid and the “whites” of the eyes that are showing above her lower lid. She complains of chronic dry eyes and irritation to both eyes. The lower lids where resuspended and a palate graft (tissue from the roof her mouth) was used to resupport the lower lids.

    Preoperative Diagnosis: Bilateral lower lid retraction

    Procedure performed: Bilateral lower lid retraction repair using a hard palate graft and canthoplasty.

  • Before Photo-Revisional Eyelid Surgery Patient 3
    After Photo-Revisional Eyelid Surgery Patient 3

    This patient had undergone prior upper and lower blepharoplasty in the past. He complained of a droopy appearance to his upper lids and irritation in both eyes due to the retraction in his lower lids. Retraction of the lower lids is a result of a downward displacement of the lower lids either from prior surgery (cosmetic or trauma), thyroid related problem, or just as a result of aging changes. He had ptosis in his upper lids which may have worsened with time. He wished to have his eyelids appear more natural appearing, see better, and improve his irritation.

    The goal of my surgery was to help him see better by lifting his eyelids and also to correct the laxity and retraction he had in his lower lids. The retraction in his lower lids prevents him from closing his eyes at well so he has problems with excessive exposure to the eyes. This results in his irritation and redness to the eyes. As a result, he underwent bilateral upper lid ptosis surgery with no additional removal of eyelid skin though. He also underwent retraction repair to help lift up his lower lids to a more normal position by a canthoplasty. A canthoplasty is a type of a lower lid resuspension technique.

    Preoperative Diagnosis: Bilateral upper lid ptosis and lower lid retraction

    Procedure performed: Bilateral upper lid ptosis surgery and lower lid retraction repair through a canthoplasty lid resuspension technique.

  • Before Photo-Revisional Eyelid Surgery Patient 2
    After Photo-Revisional Eyelid Surgery Patient 2

    This 65 year-old female had undergone prior upper and lower lid blepharoplasty years prior and has been unhappy about her droopy upper and lower lids. She has upper lid ptosis and lower lid retraction where the lower lids rest lower than they should. She has difficulty closing her eyes and complains of ocular discomfort and red eyes. She also has bags under lower lids and wishes to have them removed as well. She underwent upper lid ptosis surgery, revisional lower lid surgery, and lower lid blepharoplasty. This photograph is six months after her surgery and she has healed well with no evidence of her incisions and now looks more awake, refreshed, while having a natural looking result. Most of her ocular symptoms have also improved and she is able to close her eyes better.

    Preoperative diagnosis: Bilateral upper lid ptosis, lower lid retraction, lower lid excess fat pockets.

    Procedure performed: Bilateral upper lid ptosis repair,revisional lower lid retraction repair using Alloderm graft and canthoplasty, and lower lid blepharoplasty.

  • Before Photo-Revisional Eyelid Surgery Patient 1
    After Photo-Revisional Eyelid Surgery Patient 1

    This 29 year old female had thyroid eye disease and underwent prior eyelid surgery to improve her eyelid positions since they were affected from thyroid disease. She still had lower lid retraction where the whites of her eyes were showing near her lower lid. This was still resulting in difficulty closing her lids and ocular irritation. Dr. Zoumalan performed a revisional lower lid repair to help lift her lower lids to a more natural position. Alloderm graft was used as a spacer graft to help lift her lids. This graft was placed on the back surface of her eyelids using minimally invasive techniques so that the scars were not visible. She healed well and was able to close her eyes fully.

    Preoperative diagnosis: Bilateral lower lid retraction.

    Procedure performed: Bilateral revisional lower lid retraction repair using allodermposterior spacer graft.



Disclaimer:

*Individual results may vary

All before and after pictures displayed are real patients who have consented to having their pictures published on our site. Individual results will vary with each patient and Dr. Christopher Zoumalan does not guarantee any outcomes of procedures shown. All pictures are meant for reference and illustrative purposes only.

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