Since my lower eyelid surgery my lower eyelids look pulled down. What's up with this?
The gentle almond shaped curve of the lower eyelid is created by a delicate balance of forces including the ligaments of the lower eyelid, the force generated by the orbicularis oculi muscle, the prominence of the eye itself, the projection of the cheek, and the weight of the cheek. Essentially, the lower eyelid position defies gravity. It is little wonder that lower eyelid surgery can permanently alter this balance and cause the lower eyelid to become pulled down after surgery. Surgery also causes scar tissue to form in the lower eyelid, weakens the ligaments of the lower eyelid, and damages the muscle that helps hold the lower eyelid against the eye. Fixing these issues is challenging because of the careful analysis needed to determine the best options for a given individual. Restoring the lower eyelid contour requires that all of the contributing factors be taken under consideration. It is not unusual to address only one side at a time surgically because the correction often requires that placement of graft material to support the lower eyelid. To obtain the best possible result, the eyelids are sewn closed for about a week. When necessary, this type of reconstruction can be combined with orbital rim augmentation and vertical elevation of the cheek to further support the lower eyelid. This approach has the power to address lower eyelid contour problems that have not responded to multiple prior approaches.
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- Too much of my upper eyelid folds were removed at the time of upper eyelid surgery leaving my upper eyelid sulcus hollow and the eye skeletonized. What can be done?
- I think my upper eyelid creases was made too high. Is there anything that can be done to help this?
- The skin on my upper eyelid platform is wrinkled and loose. I can’t seem to keep makeup on without it smudging. Is there anything that can be done to help this?
- My upper eyelashes point down. It bothers my vision and makes my eyes look dull. Is there any thing that can be done about this.
- Since my upper eyelid surgery, the inner corners of my eyes look heavy. What causes this and what can be done?
- My eyelids seem very heavy since my blepharoplasty. What causes this and what can be done?
- Since my eyelid surgery my eyes seem very dry and at night I don’t think I close my eyes. What can be done about this?
- Since my lower eyelid surgery the area under my eyes seems hollow What causes this and what can be done about it?
- Since my lower eyelid surgery my lower eyelids look pulled down. What up with this?
- I had lower eyelid surgery and there seems to be residual fullness in the outer third of my lower eyelids. Is it possible that my doctor missed some eyelid fat?
- I had a fat transfer to my lower eyelid to fix my under eye circles and how I have lumps and my circles are still there. What is going on and what options do I have?
- Since my midface surgery, the skin in my lower eyelid bunches up when I smile. What is going one and what can I do about this?