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This woman has been bothered by pain and irritation, as well as her drooping eyelid following lower eyelid surgery (blepharoplasty) done two years ago. Adding to her pain is the constant irritation and swelling of her lower eyelid (blepharitis). She has seen several different doctors since to alleviate her pain and correct what she sees as bad blepharoplasty procedure. The fact is that complications arising from blepharoplasty are more common than care cosmetic surgeons admit. Cosmetic eyelid surgery is in the top three or four cosmetic procedures done in the United States, so many problems do arise from surgery performance and technique. As a specialist in eye and facial cosmetic surgery, Dr. Prasad has had numerous patients approach him from all over the US and the world to correct blepharoplasties performed by other cosmetic surgeons. Often times he is even approached by patients that have had two or three revision surgeries by other doctors. From the photo the lady submitted, Dr. Prasad identifies that this lady has lower eyelid retraction, or the pulling down of the lower eyelid as a side effect of improper surgery. Dr. Prasad teaches surgeons in training that eyelid surgery is not only cosmetic surgery, because eyelids that look good also function well. If a lower eyelid is positioned too low, irritation can occur from tear film and dryness, as well as affecting appearance. In such cases, focusing on three factors can restore natural appearance and proper eyelid function: anchoring the outer corner of your eye which is made up of the lateral canthal tendon, building vertical support through the eyelid muscles and tissues, and having enough skin for the eyelid to be restored to its proper position. Skin is often lost in an attempt to reduce wrinkles and improve skin tone, but losing too much can affect the function and appearance of the eyelid. Skin grafting should be looked upon as an option in such cases. A personal, physical examination of this woman was not performed by Dr. Prasad, but he would move the eyelid up to feel how much scar tissue is present, and determine how limited or restricted the skin is before recommending a personal, customized procedure. http://www.prasadcosmeticsurgery.com More about Blepharoplasty here: http://prasadcosmeticsurgery.com/pras...