When the lower eyelids sit too low on the eye, or have a rounded appearance, that is called lower eyelid retraction. This condition may be caused by previous lower eyelid surgery such as blepharoplasty, scarring due to long-term sun exposure or trauma, or thyroid eye disease. Upper eyelid retraction is when the upper eyelid sits too high on the eye and is usually caused by thyroid eye disease or scarring.
There are various ways to surgically correct the retracted eyelid, moving it to a more natural position. Often, a canthoplasty, which is a procedure that secures the outer corner of the eyelid, is performed. A spacer graft such as Alloderm may be placed inside the eyelid to replace lost volume. Sometimes a skin graft or midface lift is necessary to achieve desired results.
RECOVERY AFTER SURGERY
You can expect to go home on the day of surgery after eyelid retraction repair. There is usually minimal to no pain and most patients can resume normal daily activities within a week of surgery. A patch will be placed over the eye and usually is kept in place for one to two days. Tylenol is recommended to ease the discomfort, which should subside within a few days.
Arnica and Bromelain are recommended to take prior as well as after surgery to minimize the bruising and swelling of the face. Minor swelling and bruising generally resolve within one to two weeks of surgery, however healing time can vary between individuals.
Cold compresses can help you through the healing period, and we may prescribe antibiotic ointment and/or eye drops.
Dr. Kashyap will see you for follow-up visits and will remove your sutures seven to 10 days after your procedure. Please avoid heavy lifting and strenuous exercise for two weeks.
Dr. Kashyap will let you know when it is safe to resume wearing eye makeup and contact lenses, usually within one to two weeks.
If you experience dry eye after surgery, we will recommend artificial tears to keep your eyes lubricated.