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Dr. Dan B.
Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 3343
Experience:  Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
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I have a prolapse of my right upper eyelid that started

Customer Question

I have a prolapse of my right upper eyelid that started three years ago and was just a slight dip. Have gone to eye dr. (and neurologist) and both say it's not nerve issue. Neurologist suggested I see a mallofaxial dr. b/c I might not be "draining behind the eye". Not sure what that means. I just want to run to the plastic surgeon and get an eyelift. Other eye is just fine (I'm 41 years old). I do note, however, that when I eat salty food or drink alcohol, it looks even worse. Any suggestions/advice would be helpful. Thanks.
Submitted: 6 years ago.
Category: Eye
Expert:  Dr. Dan B. replied 6 years ago.
Hello and thanks for your question. It is not uncommon for one eyelid to be asymmetric from the other and therefore see one prolapse more than the other one. Your observation that it is more pronounced after ingesting salt and/or alcohol makes sense as you tend to retain more water with these and extra fluid will collect in places that are already stretched. I agree in that this does not sound like it is related to any nerve issue, though.
If the prolapse has been stable for a while (ie, not completely disappearing and then coming back strong, different from the vacillations seen with salt/alcohol ingestion) then I think seeing am Oculoplastics specialist would be the best thing to get a surgical evaluation to see if that is the best course of action.
Does that make sense? Do you have any other questions I did not address?
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Customer: replied 6 years ago.
Thank you for your answer, very informative. Is an Oculoplastics specialist the same as mallofaxial dr.? Sounds like I should just get a lift and go straight to plastic surgeon. Also, is it possible that I have to much "collagen" behind that eyelid for whatever reason and it can be drained and not necessarily lifted?
Expert:  Dr. Dan B. replied 6 years ago.
Actually an Oculoplastics is an ophthalmologist specially trained in plastics and so this precisely the specialist to see. They could evaluate for anything else going on and also do that lift probably better than a general plastic surgeon.
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Expert:  Dr. Dan B. replied 6 years ago.
Usually having too much collagen is not an issue. It may be that there is some extra orbital fat that is garnishing through which can and often is removed during this lift procedure.
Expert:  Dr. Dan B. replied 6 years ago.
Sorry. My auto-correct feature got the best of me. That should say herniating, not garnishing. Sorry.