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Eyelid Surgery Repairs
Although many surgeries are technically simple, the
results at times can be unpredictable. Dr.
Jonathan Hoenig, founder of the California Institute of Cosmetic
Surgery, is an expert in repairing facial plastic
surgery mistakes and complications. (Many so-called “mistakes”
are actually due to the body’s healing process or unrecognized
pre-existing conditions that lead to the complication). The most
frequent “bad plastic surgery” outcomes on the face arise
from either eyelid surgery
(blepharoplasty) or face lift
surgery (rhytidectomy).
Hollowness under the eyes
Traditional eyelid surgery involves the removal of skin, fat and
muscle from the upper and lower eyelids. Sometimes what appears
to be lower eyelid “bags” or bulging fat is in fact an
illusion caused by a loss of fat beneath the eyelids that occurs
with aging and hormone changes. Removing eyelid fat can create a
hollow or sunken area around the eye, leaving a sad, tired, dark
or skeletonized appearance. Restoring fullness with a “filler”
such as Restylane or the
patient’s own fat levels out the depression, correcting the
hollowness under the eyes. Dr. Hoenig has pioneered new techniques
of fat transfer to help
the restored fat to last longer under the eyes.
Eyelids that are pulled down
Under-eye incisions used during eyelid surgery can cause scar contraction
that pulls the lower eyelid down (eyelid retraction). This results
in the whites of the eyes (sclera) being more visible, known as
scleral show. Poor support of the lower eyelids before surgery can
make one more prone to this complication. In addition to an undesirable
appearance, this can create irritation from eye exposure (exposure
keratitis), redness, increased risk of infection, and dry eye syndrome.
Insertion into the lower eyelid of Alloderm grafts (processed human
tissue) or a graft from the patient’s own hard palate (roof
of the mouth) can raise the lid to a more normal position. Sometimes
a midface lift will
also help if the cheeks have descended and are pulling further on
the lower eyelid.
Eyelids that don’t close
completely
During eyelid surgery, too much skin and/or muscle may be erroneously
removed from the upper eyelids. This causes incomplete eyelid closure,
known as lagopthalmos. Many people are not aware that this has occurred,
but they have typical symptoms of dry eye syndrome: redness, reflexive
tearing, burning, dependence on artificial tears (especially in
the morning), and a sensation of sand in the eye. Insertion of a
gold eyelid weight in the upper eyelid will sometimes be enough
to help the eyelid to close sufficiently. If this is unsuccessful
then surgical repair is necessary to place a skin graft into the
upper lid.
Dr Jonathan Hoenig practices in Santa Monica and Encino,
California, suburbs of Los Angeles, where he provides the most advanced
and innovative techniques in facial
plastic surgery and facial rejuvenation today. To learn more
about plastic surgery mistakes and bad plastic surgery, please link
to the pages of this website titled “surgery
repairs” or “facial
repairs”, or contact
us to schedule a consultation today.
dr. hoenig
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