Our Services

Revision Blepharoplasty

What is Revision Blepharoplasty?


All surgery has risks of suboptimal results or complications including eyelid surgery. As a patient, you try to minimize the risks of the initial surgery by seeking out surgeons who have specialized expertise in the eyelid area such as an oculofacial plastic surgeon. In spite of your best efforts in seeking out a specialist, suboptimal results or complications occur to all surgeons. In spite of this, there can be options to improve the results of your blepharoplasty depending on the underlying issues. It is important to see an oculofacial plastic surgeon that has experience performing revisions. 


The exact procedure performed will depend on the examination findings. If the upper eyelid still droops after an upper blepharoplasty, there may have been a ptosis present that was not treated or a brow lift procedure is needed. Lower eyelid retraction may occur after a lower eyelid blepharoplasty where the lower eyelid droops. This can cause pain and discomfort of the eye due to drying out. You could benefit from a midface lift with a spacer graft to line the inside of the eyelid. In severe cases of lower eyelid retraction, a skin graft may be necessary. If there is hollowing of the eyelids, fillers may be advised.


Recovery after revision blepharoplasty is similar to the initial surgery recovery or slightly longer. It will ultimately depend on your health status and the type of revision performed. Most likely, you will need up to 2 weeks off from work as you recover but this will depend on the procedure performed.

Why choose Dr. Patel?

Revisions are not easy. Many surgeons choose not to do them due to the challenge. There is scar tissue, distorted anatomy, and decreased blood supply that makes revisions more difficult and less predictable than the initial surgery. Dr. Patel has performed thousands of eyelid surgeries having seen nearly all variations of eyelid anatomy and feels comfortable performing any procedure of the eyelid. He has also performed several revisional surgeries of the eyelid for previous suboptimal outcomes. Nevertheless, Dr. Patel will perform the surgery only if he believes there is a high likelihood of success. Ultimately, the goal with revisional surgery is to achieve substantial improvement from where you are starting.


Dr. Patel recommends waiting 6 months to 1 year prior to having revisional surgery. This ensures the wound healing process is essentially completed, the scars have matured, and tissues are maximally re-vascularized. This allows for the best outcome possible with revision surgery.

Revisional surgery is not to achieve perfection. The goal is to achieve a much improved state compared to where you are now. Some patients need function restored such as their eye not closing completely causing dry eye and/or tearing. Some patients need revision for aesthetic reasons such as improving symmetry. Schedule a consultation and Dr. Patel can review what can be realistically achieved.