Revisional Eyelid Surgery
Before and After Photo Gallery

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.

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.

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.