Unanticipated outcomes after eyelid and laser surgery may include unexpected scarring, dissatisfaction with the overall aesthetic result, malposition of the eyelids, especially the lower lids, change in the shape of the eyes, unwanted alteration in skin color and other problems, Fortunately, in many situations these problems can be corrected by cosmetic corrective surgery, laser therapy, medical treatment or a combination of these approaches.
Surgery for Eyelid Malposition
Malposition of the eyelids usually refers to “drooping” of the upper and/or lower eyelid after previous surgery. There are many reasons why this may occur. In some situations medical treatment and time are sufficient to produce satisfactory improvement. At other times, additional surgery may be required.
The Role of Laser Treatments
Elevation of scars, unacceptable appearance of scars and changes in skin color are often treated with one or more laser treatments. Lasers may be used to reduce scar thickness, decrease the redness or itching sensation associated with some scars and to improve skin texture if scarring has occurred.
Lasers, surgery, and medical treatment are often used in combination to provide the greatest improvement when surgical outcomes leave both the patient and surgeon disappointed.
- Outcomes after surgical or laser treatment do not always meet the expectations of the patient or even the surgeon
- Commonly encountered problems include thickness and/or elevation of scars, discoloration of scars, “drooping” of upper or lower eyelids, textural change of the skin, a noticeable demarcation between treated and untreated areas and others
- Time and medical treatment alone may be sufficient to produce satisfactory improvement in some situations
- When more conservative measures fail to produce satisfactory improvement, additional surgery and/or laser treatments are often helpful in restoring a more normal appearance
- Correction of eyelid problems caused by previous cosmetic surgery is not covered by insurance.