Restore eyelid symmetry, improve vision, and correct unsatisfactory results from prior eyelid surgery with revision ptosis surgery by David Isaacs, MD, our expert dual-fellowship trained oculofacial plastic surgeon. This advanced procedure treats issues such as eyelids that remain too low or high, asymmetry, scarring, and functional problems like incomplete eyelid closure, helping you achieve a more natural and balanced appearance.
Correct Droopy or Uneven
Upper Eyelids
Revision ptosis surgery is often necessary when a previous eyelid surgery fails to achieve a balanced and harmonious result. Patients may be left with an eyelid that is too high, too low, or asymmetrical compared to the opposite side. These issues can affect appearance and function, sometimes leading to incomplete eyelid closure, visual disturbances, or persistent drooping. Before pursuing revision, it’s essential to rule out underlying medical causes that might be contributing to the abnormal eyelid position.
Ptosis surgery is one of the most common operations performed by oculofacial surgeons. It involves tightening or advancing the levator muscle, which lifts the upper eyelid. During revision surgery, Dr. Isaacs may use an anterior (external) or posterior (hidden) approach, depending on your anatomy and prior surgery. The posterior incision leaves no visible scar. These cases are complex due to the presence of scar tissue and require precision and expertise.
Revision Ptosis Surgery Treats:
- Upper eyelids that remain too low after surgery
- Eyelids that were raised too high in a previous procedure
- Asymmetry between the two upper eyelids
- Scarring or tissue distortion from prior eyelid surgery
- Functional issues like impaired eyelid closure or blinking
- Cosmetic dissatisfaction from unnatural or uneven eyelid appearance
Your Private Consultation
With Dr. Isaacs
During your 90-minute consultation with Dr. Isaacs, you’ll receive his undivided attention as he carefully listens to your concerns and reviews your surgical history. He will perform a detailed examination of your eyelids, assess muscle function, symmetry, and scarring, and rule out any medical causes for abnormal positioning. Using his extensive expertise, Dr. Isaacs will explain your treatment options and develop a personalized plan to achieve natural, balanced results.
Advantages of Revision Ptosis Surgery:
- Corrects residual drooping or overcorrection from prior surgery
- Restores symmetry between the upper eyelids
- Improves visual field and reduces eyelid fatigue
- Enhances eye aesthetics for a more natural look
- Addresses functional issues such as incomplete closure or blinking
Dr. Isaacs’ Approach to Revision
Ptosis Surgery
First, Dr. David Isaacs evaluates your eyelid position, function, and the underlying cause of the asymmetry, whether it’s related to previous surgery, scarring, or a medical condition. Once those factors are addressed, he selects the most appropriate surgical technique. In most cases, revision ptosis surgery involves tightening or repositioning the levator muscle, which lifts the upper eyelid.
This can be done using an anterior (external incision) or posterior (hidden incision) approach. The anterior approach allows direct access to the levator muscle and is ideal for patients who require structural adjustments. The posterior approach avoids external scarring by accessing the muscle from the underside of the eyelid. Dr. Isaacs will carefully select the method that is safest and most effective for your anatomy.
Revision Ptosis Surgery FAQs
How Soon After My Initial Ptosis Surgery Can I Have a Revision?
Dr. Isaacs typically recommends waiting at least 3 to 6 months before considering revision ptosis surgery. This allows the eyelid tissues to fully heal and stabilize so he can better assess your final surgical outcome. However, in certain cases, an earlier or later revision may be appropriate depending on the severity of your symptoms and healing response.
Will Revision Ptosis Surgery Leave a Scar?
Not necessarily. Dr. Isaacs may use a posterior approach, which involves an incision on the inside of the eyelid, leaving no visible external scar. If your case requires an anterior approach, the incision is made in the natural eyelid crease and typically heals with minimal visible scarring. He chooses the technique based on your anatomy, scarring, and previous surgical details.
Is Recovery More Difficult Than My First Surgery?
Recovery is similar to your initial surgery, though revision cases can involve more delicate work due to scarring. Most patients experience mild discomfort, swelling, and bruising for about a week. Sutures are usually removed after 7 days, and full healing takes 1 to 2 months.
Schedule Your Consultation
David Isaacs, MD, is a dual-fellowship trained oculofacial plastic surgeon with extensive expertise in complex revision eyelid procedures. During your comprehensive consultation, he takes the time to fully understand your concerns and create a personalized surgical plan. Dr. Isaacs has performed hundreds of revision surgeries and is trusted for his honest approach. If you’re unhappy with the results of a previous ptosis surgery, schedule your private consultation for revision ptosis surgery in Beverly Hills today.
