In some cases, facial and eyelid surgeries like blepharoplasty, a brow lift, canthoplasty and ptosis surgery result in functional or cosmetic problems. Revisional eyelid surgery addresses these issues. The best doctor for revision eyelid surgery and blepharoplasty is experienced and trained in facial, revisional and original eyelid surgery.
Dr. Robert Schwarcz is a member of the American Board of Ophthalmology as well as the American Board of Cosmetic Surgery. Utilizing the knowledge gained from his specialized oculofacial plastic surgery fellowship with the Jules Stein Eye Institute, Dr. Schwarcz focuses on revisional, reconstructive and cosmetic surgery in his New York practices, using a minimally invasive approach for revision canthoplasty. As an oculoplastic surgeon expert of NYC, Dr. Schwarcz has written multiple articles about revisional eyelid surgery, such as fat graft usage in reconstructive surgery and lower eyelid reconstruction.
Revisional Eyelid Retraction Surgery
Eye rounding and lower eyelid retraction with scleral can result from a poorly performed lower blepharoplasty or canthoplasty procedure. This is a common problem among the patients who seek Dr. Schwarcz’s help- specifically revision and correction of eyelid surgery. As a reconstructive surgeon, he is the person to see for these types of corrective procedures. When scar tissue forms on layers of the lower eyelid, the lower eyelid can retract. Eye closure muscle damage and an excessive removal of lower eyelid skin may also contribute to this problem.
The eye’s appearance is not the only issue for a patient’s face. Some people may have serious ocular discomfort along with blurry vision, dry eyes, redness and tearing, resulting from the inability to blink or close the eyes in a normal manner. To correct this significant issue, an oculoplastic surgeon needs to raise the lower eyelid and repair the canthus via the outer eye corner tightening, hidden lower eyelid incisions and a lower eyelid lift.
Sometimes, the surgeon grafts the patient’s skin to replace the fast-healing skin that is missing from the lower eyelid. However, outer eye corner tightening, or canthoplasty, is usually not an adequate approach by itself because of lower eyelid scarring. Therefore, the Madame Butterfly procedure is used to restore the eye’s natural almond shape. During this procedure, the surgeon releases scar tissue, lifts the midface and revises the lateral canthus through a non-visible incision.