Crepey skin and volume loss after Blepharoplasty

There are so many factors that contribute to the appearance you describe but generally they are associated with loss of facial fat and skin elasticity with time and environmental damage.

HOLLOW  EYES:

You may want to contemplate using injectable fillers to "try out" the appearance of a fuller lower eyelid. If you like them, you could consider a long term solution such as fat injection, open fat repositioning/grafting, or cheek lift with SOOF or malar fat pad suspension.

CREPEY SKIN:

The aging of skin is difficult to reverse but can be the result of many factors. Retinoids may be useful in thickening the skin. Discoloration or superficial wrinkles may benefit from peels or laser fractional resurfacing. We are somewhat reluctant to remove more skin unless the lower eyelid is supported; this can result in a surgical appearing lower eyelid.

2 of 2 found this helpful

Helpful?

Contact the doctor

Crepey skin from lower lid blepharoplasty is not uncommon. Your surgeon has to distinguish crepy skin from excessive skin. Excessive lower eyelid skin can be contoured with a subciliary approach. It is critical with any subciliary approach that your surgeon understand lower eyelid anatomy and the structures which maintain the position of your lower eyelid. Crepey skin itself can be improved with resurfacing procedure such as a TCA peel or LASER. Hollowing of eyes requires either structural fat grafting or microfat graft treatment.