Eyelid Surgery: Q&A

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Still Have Folds of Skin Under Eyes 30 Days After Eyelid Surgery (photo)

When my eyes are at rest, they look OK, though not much improved from before. When I smile, I still get folds of skin under my eyes, not just wrinkle lines. I had both trans-conjunct and outer lid incision sx. Did my Doc not tighten me enough? He says he couldn't tighten me further without eye problems, and that laser would be the next step. I'm pretty disappointed I spent 2k to look pretty much the same, if not worse, since with fat removed, the wrinkles and folds show more. Will this improve

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1 Doctor Answer | Asked by jillbean in Phoenix

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Skin folds after lower blepharoplasty

The surgery you had done aims to make the lower eyelids look smooth "at rest". When you smile, you rely on the elasticity of your skin, the hydration of your skin, and the underlying fullness of the fat and other tissues to prevent the wrinkling you are now noticing. Some of us feel that fat should not be removed from the lower lids for precisely the reason you are pointing out to all of us. A full eyelid is a youthful eyelid. The attachment of the... more

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