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Are corrections for lower blepharoplasty complications possible?

Q:

In Nov 2012 I had a lower blepharoplasty performed. I'm left with a swollen bump, of skin, at the corner of the eyelid, near the nose. It's over the tear duct. Is there a correction procedure for this and is there a good chance of correction? I don't want to chance ruining my tear duct. It's about 1/4" in diameter. Thank you.

A:

 

Diane,

 What you are describing does not sound like a normal post operative course following a lower lid bletharoplasty. May I suggest you request a copy of your operative report from your surgeon and seek out a second option regarding your condition. An examination will be required to answer your questions. 

Best,

 

Gary R Culbertson, MD, FACS

A:

A "swollen bump" near the tear duct after a lower eyelid lift is quite worrisome. It is possible that this is due to an injury to the duct. It could also be some extra muscle that was left or a number of other things. What needs to be done to correct this will depend on what it is. See a plastic surgeon with significant experience with eyelid surgery or an occuloplastic surgeon who does significant external eyelid surgery.

A:

I think that you must search for a second opinion with an Oculoplastic Plastic Surgeon.

A:

Diane,

The swollen lump is abnormal.  The medial area of the eyelid is very complicated and critical anatomy.  You need to see a ocular-plastic surgeon to sort this out and make sure that the function is maintained.  good luck

A:

T he swelling in the medial aspect of the lower lid, after lower lid blepheroplasty, could be many things. Your plastic surgeon can make a diagnosis and recommend treatment. If it is only a skin problem this can be corrected under local anesthesia. The tear duct is well protected and can be further protected during surgery if the surgeon feels he/she is close.

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