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>> YOUR LINK HERE: ___ http://youtube.com/watch?v=JQIF83BebeU
A woman had ptosis surgery 3 weeks ago and her ptosis now is worse than before. She wants to know the reason for this. • Dr. Amiya Prasad, a cosmetic oculofacial plastic surgeon, explains that ptosis surgery has its own unique challenges that involve a muscle called levator muscle. In a posterior approach or behind the eyelid, there are a couple of different procedures that are applied including Mueller's resection or posterior levator resection as well as Fasanella-Servat. These are names that are technical but if somebody is first concerned about their eyelid height, it's usually associated with some degree of swelling. The physical weight of the eyelid can push the eyelid down. In addition, the healing processes of the muscle and all the other related issues that occur especially in the first one to two weeks after surgery also affect the eyelid height. • From her photo, Dr. Prasad assesses that it doesn't look like she has so much swelling, so with that factor eliminated, there may be an issue with the connection or the way the tissue is supposed to heal. It might also be because of some stitches that have been broken or some separation. • Dr. Prasad thinks that her surgeon must be at least informed of her issue. The timing of any revision surgery may be dependent on when her surgeon was informed. In Dr. Prasad's own practice, if such a thing would have happened, he would prefer to find out sooner rather than later. It's a balance of when the patient wants to be operated depending on the degree of swelling, healing and what kind of impact there is on the eyelid height. When there is a real separation before the tissue has the chance to develop scar tissue, there is actually a window of opportunity to do a revision without complications. It's not necessarily within a few days or week. There is actually enough time, but it's a matter of what the surgeon's preference is. • Dr. Prasad insists that she let her surgeon see her sooner. If there are any questions or concerns, Dr. Prasad would always tell his patients that he'd rather see them than guess what they look like. Even if they show photos or pictures from their phone, or have someone to take a picture with a camera, it's always better to see that patient. Considering that this woman had her surgery recently, Dr. Prasad thinks that meeting with her doctor would be the best thing for her to do. Also, she should get an understanding of what's going on and what would be the appropriate step to do next. • For more information, visit our website: • http://prasadcosmeticsurgery.com/pras...
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