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More on thyroid eye disease: http://prasadcosmeticsurgery.com/thyr... For more on eyelid retraction, please go to: http://prasadcosmeticsurgery.com/face... For more about Dr. Prasad’s background training, please visit: http://prasadcosmeticsurgery.com/dr-a... An 18-year-old lady has been concerned about her uneven upper and lower eyelids since she was a child. She concludes that it is a genetic issue since her father has the same issue, and not due to disease or other health issue. She wants to correct them, but she prefers an alternative to surgery. New York Oculofacial plastic surgeon Amiya Prasad, MD reviews her photos and condition in this video, explaining how her case is rare, but there are established ways to treat the eyelid retraction she is experiencing 1:24 - Dr. Prasad’s background training and experience in complex procedures of the eyelids, which is the defining specialty of oculofacial/ oculoplastic surgeons 1:49 - How Dr. Prasad sees in her photos that she has upper and lower eyelid retraction 2:18 - How Dr. Prasad can’t tell from a two-dimensional, frontal photo is if the left eye is projecting more prominently than the right, which measured closely in a physical exam 2:39 - How genetic or congenital cases like hers, there is no non-surgical alternative 2:56 - How her congenital eyelid retraction does share some similarities with thyroid eye disease where the eyelids retract, but without the autoimmune disorder, but it is unclear from photos alone if she has the bulging effect of the eye 3:29 - How the upper eyelid can be brought downward by addressing certain anatomic factors, which may involve a plan A, B, and C 3:51 - How plan A would involve reduction, separation, and removal of an eyelid muscle called Mueller’s muscle, which can bring down the upper eyelid by about 2mm 4:06 - How the levator muscle, the muscle that lifts the eyelid, can also be addressed 4:15 - How surgery is really the only option available to help correct her upper eyelids 4:22 - How the same principles of surgical correction also apply to her lower eyelid which is also retracted, and may involve grafts for her lower eyelid 4:38 - How Dr. Prasad would address her upper eyelid first, allow it to heal, and see how she likes it 4:53 - How Dr. Prasad sits patients up during surgery so the result of surgery on the eyelids can be seen with the effect of gravity 5:06 - How eyelid surgery is an art, with many ways to approach it, but the problem is with anatomy, so if she is not ready for surgery, she should wait to have surgery 5:30 - How she should meet with eyelid experts who have experience with congenital issues and also upper and lower eyelid retraction, which are always factors of anatomy CONNECT WITH US! Facebook ▸▸▸ www.facebook.com/DrAmiyaPrasad Twitter ▸▸▸ twitter.com/@AmiyaPrasadMD Tumblr ▸▸▸ dramiyaprasad.tumblr.com Pinterest ▸▸▸ www.pinterest.com/amiyaprasadmd Prasad Cosmetic Surgery ▸▸▸ www.prasadcosmeticsurgery.com Eye Lifts ▸▸▸ www.eyelifts.com