Crepy eyelid skin after lower blepharoplasty can occur many years after a primary blepharoplasty procedure. This is often the result in the loss of elasticity in the lower eyelid skin with the aging process exacerbated by a previous surgery. Often a chemical peel or CO2 laser can improve that appearance. I would not recommend any additional lower eyelid skin removal since it can result in a pulled down eyelid appearance or create rounding to the lower eyelid area. As far as the hollowed appearance, too much fat removal could be the culprit or loss of inframalar fat can exacerbate the problem. One possible remedy is hyaluronic acid augmentation to the tear trough regions. Another is fat transposition especially if you have any left in the lower eyelids in another area of the lower eyelid region.


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