The eyes are “windows” to the soul. They are the most distinguishing feature of anyone’s face and are the first feature that attracts someone else’s attention. Hence, any irregularity will get noticed by others. It is crucial for any cosmetic eyelid surgery to be natural and not result in an “operated” appearance. It is equally important for any cosmetic eyelid surgery to not damage the function of the eyelids. Too many times, cosmetic eyelid surgery performed by non-expert surgeons results in unnatural appearance of the eyelids and/or damage to the eyelids with significant visual problems (unable to close eyes, dry eyes, blurry vision, etc).
What Is Revisional Eyelid Surgery?
Revisional surgery addresses cosmetic or functional concerns of patients who have had unsatisfactory or problematic results from previous eyelid and facial surgery, including blepharoplasty, canthoplasty, browlift, ptosis surgery, etc. It is important for revisional surgery to be performed by surgeons with training and experience with original and revisional eyelid and facial surgery.
A major component of Dr Taban’s practice is performing revisional surgery and canthoplasty as he has had extensive training (three years of fellowship) in the field of oculofacial surgery, which deals structures around they eyes and face. He is member of the American Society of OculoFacial Plastic Reconstructive Surgery, American Academy of Cosmetic Surgery, and American Board of Ophthalmology.
Below, a patient (left) with the inability to close her eye as a result of a bad eyelid surgery. Pictured right is the same patient following revisional ptosis surgery.
One of most common eyelid issues that patients visit Dr. Taban regarding is lower eyelid retraction and rounding of eye, related to previous lower blepharoplasty and canthoplasty. The formation of scar tissue in different layers of the lower eyelid can cause tethering or contraction of the lower eyelid, developing retraction (pulling down) of the lower eyelid. There might have been too much skin removed from the lower eyelid. In additional to rounding and surgical appearance of the eye, it can cause significant ocular/visual discomfort with tearing, redness, dry eyes, and blurry vision. In these cases, the lower eyelid needs to be raised and the canthus revised. Some surgeons use skin grafts to raise the eyelid; however, this is aesthetically not pleasing since they are almost never matched to surrounding skin.
Other surgeons tighten the outer corner of the eyelid; however, this is rarely successful since there too much scarring in the lower eyelid and tightening the outer corner alone won’t accomplish anything. To restore the natural almond shape of the eye, Dr Taban performs a technique called Madame Butterfly Procedure. Through hidden incision inside the eyelid, the scar tissue is released, the midface is lifted (which provides support for the lower eyelid and recruits necessary skin), and lateral canthus revised. Dr. Taban has penned several articles on eyelid restoration surgery, including lower eyelid reconstruction and the use of fat grafts in reconstructive surgeries.
What Is Revisional Ptosis Surgery?
Revisional ptosis surgery is an eyelid procedure performed to correct problems with droopy eyelids that still occur, or occur due to, a previous procedure. Upper eyelid ptosis (droopy eyelid) surgery is one of the most common operations performed by oculoplastic surgeons. The upper eyelid is lifted by tightening or advancing the muscle (levator muscle) responsible for lifting the upper eyelid. There are various techniques available that are used, depending on the severity of the ptosis, among other factors. Repeat or revisional ptosis surgery, however, is much more difficult to address due to the presence of extensive scar tissue, which can make the operation less predictable. It’s always important to have a board certified oculoplastic surgeon perform your revisional ptosis surgery to ensure that they have the proper training and background necessary.
Revisional ptosis surgery is performed following a patient's initial ptosis surgery for a variety of reasons. During your initial consult with Dr. Mehryar (Ray) Taban, he will discuss the best courses of action for your unique situation that will allow you to achieve the eyelid appearance that you’ve been longing for.
Who Should Perform Revisional Eyelid and Facial Surgery?
Look for a cosmetic and reconstructive eyelid and facial surgery specialist accredited by the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) and American Academy of Cosmetic Surgery (AACS), which indicate he or she is not only a board certified ophthalmologist who knows the anatomy and structure of the eyelids and orbit, but also has had extensive training in ophthalmic and facial plastic reconstructive and cosmetic surgery. A reconstructive and cosmetic specialist will take extra time to address the minute aesthetic details for a natural, non-surgical result, and uses ultra-smooth wound closures for scar minimization.
Before and After Revisional Eyelid Surgery Pictures
View additional photos of Revisional Eyelid Surgery before & after patients.
Contact Dr. Taban
Dr. Mehryar (Ray) Taban is a board certified ocular plastic surgeon and has extensive knowledge in the field of Ophthalmology, Revisional eyelid surgery, and reconstructive facial plastic surgery. With offices in Santa Barbara and Beverly Hills, Dr. Taban is readily available to meet with patients for their initial consult.
Next, learn more about Canthoplasty.