Patients may experience overly enlarged eyes where their upper sclera shows (i.e., white aspect of eye is visible on top of the iris). This can occur when a surgery overcorrects a patient with ptosis resulting in the patient looking surprised or startled. Correction of this can be accomplished by massage or revision surgery. If caught early (within few weeks of surgery), this can be corrected by strengthening the eyelid muscle by means of a massage technique. If not caught in the early stages, retraction correction must be done surgically by reversing the ptosis correction and then creating a buffer with the patient’s own inherent scar tissue.
This procedure is advanced, as ptosis revision was traditionally done by grafting the patient’s ear cartilages or mucosa inside the mouth to create a buffer.