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Blepharoplasty: Scleral Show after Eyelid Surgery?

Scleral show, otherwise known as excess exposure of the lower whites of the eye, is a somewhat common condition. The lower eyelid may be pulled down, weak, or rotated. There are many causes of the increased exposure of the white eye. The eyelid has several layers and components, any one of which may result in eyelid malposition. Patients may also develop dry eyes from poor tear flow.

Age increases the laxity of the skin and structures of the eyelid, resulting in droopy and weaken eyelids. Some elderly patients need to squeeze their eyes a few times, before they close completely. Facial paralysis is causes scleral show from weakness of the eye muscles. Eyelid surgery is a very common cause of this condition. Surgery on the skin, muscle, fat, and connective tissues may all result in scleral show.

Fortunately, many options exist to help for cosmetic eyelid surgery in DC, northern Virginia, and Maryland. Suturing and pulling up the eyelid is the simplest method. Sometimes it’s necessary to tighten the lower lid by shortening it, like tightening a belt buckle. Scleral show from scarring may be managed by cutting the scar and placing soft tissue from the mouth to make the eyelid more mobile. Lastly, lifting the cheek and midface may be necessary to help lift the eyelid and prevent relapse of scleral show. These various surgical methods have advantages and disadvantages.

One eyelid plastic surgery procedure cannot treat all patients. Speak with a plastic surgeon to perform a comprehensive examination and determine which exact procedure may be most appropriate for you.

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    Houtan Chaboki, M.D.