Correction of previous surgery may be desired to improve unsatisfactory conditions such as unnatural, rounded or tight eyelids.
Prior eyelid surgery may result in eyes that have difficulty closing, or excess sclera show where the white inside the lower eyelid is revealed. Complications may include ectropion or entropion where an abnormal lower lid position may cause eye discomfort.
Dr. Codner uses very detailed, specialized techniques to restore a naturally shaped eyelid with improved position, shape, and function. An internal lower lid spacer and lateral canthoplasty may be required to elevate the lower lid back to a more natural position.
Generally outpatient, eyelid repairs are most commonly performed under general or local anesthesia with sedation.
Correction of your eyelids may be covered by your insurance; please discuss your potential benefits and precertification for surgery with our staff.
You may engage in light activity the day after your surgery. Depending on any accompanying procedures, a return to more normal activity may take 1-2 weeks. Gradual improvement of your eyelid shape will occur over the following 4-6 weeks.
Proper skincare and sun protection including sunglasses, are essential during healing.
Results can be long-term, however, eyelid revision surgery may require a staged approach or additional surgery depending on the extent of the correction required.
“I want you to know how much you have helped me through some very difficult times. Your care about your patients and their feelings are not something I have experienced with any other physician. The last surgery has made my eye look more “normal.” Several people have commented on it. I feel better about myself now, not so self-conscious.”
Articles and Lectures
Chairman, Oculoplastic Symposium, Eyelid Anatomy, Lower Blepharoplasty, Atlanta, GA, 2008-2010.
ASAPS, Moderator, Aesthetic Refinements in Upper Lid Blepharoplasty, Teaching Course: Oculoplastic Surgery for the Plastic Surgeon, San Diego, CA, 2008.
Royal Australasian College of Surgeons, Eyelid Reconstruction, Christchurch, New Zealand, 2007.
AAFPRS, Rejuvenation of the Aging Face, Panel: Panel: Correction of Complications, Presenter; Boca Raton, FL, 2006.
Chairman, Perspectives and Advances in Plastic Surgery, New Ideas and Innovations, Moderator: Correction of Lower Lid Ectropion, Vail, CO, 2006.
Panel: Achieving Aesthetic Results in Lower Eyelid Reconstruction and Secondary Deformities Following Blepharoplasty, American Society of Plastic Surgeons, Philadelphia, PA, 2000.
Minimizing Complications in Upper and Lower Lid Blepharoplasty, Correction of Ectropion with Lid Spacer Graft, Correction of Breast Augmentation Complications, Columbia Panama Symposium, Panama, 2004.
Upper and Lower Blepharoplasty, Lateral Canthoplasty, Eyelid Anatomy and Reconstruction, Columbia / Panama Symposium, Panama, 2003.
Canthopexy vs. Canthoplasty, Modifications of Lower Blepharoplasty, Perspectives and Advances in Plastic Surgery, Vail, CO, 2001.
Blepharoplasty Panel – Making an Unattractive Eyelid Beautiful, American Society for Aesthetic Plastic Surgery, Orlando, FL, 2000.
Complications of Blepharoplasty: Avoidance and Management, Controlling Lower Lid Position in Aesthetic & Reconstructive Surgery, Perspectives and Advances in Plastic Surgery, Vail, CO, 1999.
Codner, MA, Ed., McCord, CD, Codner, MA. Eyelid & Periorbital Surgery., Vol 1 & 2, St. Louis: Quality Medical Publishing. 2008.
Codner, MA. Ed. Techniques in Aesthetic Plastic Surgery Series. Elsevier, 2008, In press. Midface Lift. Boehm, K., Cardoso de Castro, C. C..
Codner, MA, JN Wolfli, and A Anzarut. Primary Transcutaneous Lower Blepharoplasty with Routine Lateral Canthal Support: A Comprehensive 10-Year Review. Plastic & Reconstructive Surgery. 121: 241-250, January 2008.
Codner, MA, CR Day, TR Hester, F Nahai, and CD McCord. The Management of Mundane to Complex Blepharoplasty Problems. Perspectives in Plastic Surgery, (1): 15-32, 2001.
Codner, MA. Reconstruction of the Eyelids and Orbit. In Plastic Surgery: Indications, Operations, and Outcomes, Eds. Achauer, Eriksson, Guyuron, Mosby. Philadelphia 2000.
McCord, CD and MA Codner. Eyelid Surgery, Lippincott – Raven, Philadelphia, 1995.
Codner, MA and MK Hanna. “Applied Anatomy of the Eyelids and Orbit.” The Art of Aesthetic Surgery. Ed. Foad Nahai. St Louis: Quality Medical Publishing, 2007.
Codner, MA and MK Hanna. “Upper and Lower Blepharoplasty.” The Art of Aesthetic Surgery. Ed. Foad Nahai. St.Louis: Quality Medical Publishing, 2007.
Codner, MA and MK Hanna. “Reoperative Lower Lid Blepharoplasty.” Reoperative Aesthetic and Reconstructive Surgery. St. Louis: Quality Medical Publishing, 2007.
Codner, MA and DT Ford. “Blepharoplasty.” Grabb and Smith’s Plastic Surgery. Ed. Charles Thorne. Philadelphia: Lippincott, Williams and Wilkins, 2007.
Codner, MA. “Reconstruction of the Eyelids and Orbit.” Plastic Surgery: Indications, Operations, and Outcomes. Eds. Achauer, Eriksson, Guyuron. Philadelphia: Mosby, 2000.