Revision surgery after a blepharoplasty
The eyes are the window to the soul. They are the most distinguishing feature of anyone’s face, and they are the first feature that attracts someone else’s attention. Therefore, any abnormality will be noticed by others. It is crucial for any type of eyelid surgery to be natural and to avoid an “operated” look, but it is equally important not to damage the function of the eyelids. All too often, eyelid surgeries performed by surgeons who are not experts in the field alter the natural appearance of and/or damage the eyelids, resulting in major consequences for vision (inability to close the eyes, dry eyes, blurry vision, etc.). One of patients’ most common complaints following lower lid blepharoplasty is the retraction of the lower eyelid. This condition is produced by scarring in the internal tissues of the eyelid, thus reducing its mobility and pulling the eyelid downward. This commonly causes a “rounding” of the eye and causes eye discomfort like chronic irritation, dry eyes and cornea problems. Lower eyelid retraction can be caused by an overly aggressive surgery, which causes substantial scarring, or else by eliminating too much skin from the lower eyelid. To restore the eye’s natural almond shape, Dr. Nieto performs a transconjunctival midface lifting technique that leaves no scarring and lifts the eyelid without having to use unsightly skin grafts. In cases of slight retraction, performing a canthoplasty may be sufficient. Other causes of unsatisfactory results after a blepharoplasty are the retraction of the lower eyelid due to excessive removal of skin and muscle; excessive or insufficient removal of fat; asymmetry; or the non-treatment of eyelid ptosis (drooping eyelid) when performing an upper blepharoplasty.