Persistent puffy eyes after blepharoplasty, TCA peel and tightening

It is important to return to the original physician as long as the patient has confidence the surgeon can correct any complications. If the lower lids are very puffy again after the blepharoplasty, there may not have been enough fat removed from the lower lids. Extra skin can be conservatively removed if... more

We prefer to combine a minmimally invasive "orbicularis lift" with superiosteal fat or filler injection. This will benefit the 'tired look' that volume depletion gives the lower lids and also avoids complications of open mid face lifts.

I find it interesting how many are willing to not answer this question. Okay, first your brows are fine, no brow lift is needed. Yes, your upper lids still have a little extra skin that could be removed. The real problem is at the lid cheek junction. Another physician addressed this but not, in my opinion,... more

At this point, you may want to check into a second opinion. You may also want to be better informed about what "treatments" you are receiving. You want to be very careful around the eye. Also, a little patience may help. It takes a long time for swelling around the eye to resolve and for the tissues to... more

I cannot begin to give advice from one photo, physical exam, and no preoperative ones as well. if you have been undergoing several "tightening" procedures without effect, I think it is wise for you too see another surgeon with a great amount of experience with eyelid surgery. An occuloplastic surgeon... more

Many things to do or no things to do? What is right? I have read the suggestions below and would be a little confused if I were you. But to sort out the problems here is the way I see it. 1. You have had many different things done within the last year -- a brief period of time after surgery. 2. You are... more

From a less than ideal photo, and not enough views or perspectives, I will hazard an analysis of what I see. The upper lid position appears good. You have redundancy and heaviness of the upper lids. I also see ptosis (drooping)of the brow with transverse forehead and "11" wrinkles between the eyes (frontalis... more

It is difficult to give you specific advice without more close-up photographs of your eyes. That being said, I believe you have a common problem after lower blepharoplasty. I see that you have asymmetric mid-face cheek fat descent - which is not uncommon. I believe that even though your plastic surgeon... more

Sometimes the answer to your problems is in analyzing your eyelids from a lateral photo. This is because you cannot tell what sort of support you have from the frontal view. The presence of "bags" after a lower blepharoplasty and the rounding of the lower lid suggests that you might have a situation of... more

Repeat surgery on the lower lids could be dangerous. Sometimes, it could be easier to get a filler injected carefully along the eye lid cheek junction. If one day you would attempt a revision, inform your surgeon of all the previous treatment and the difficulty with getting a result that you like.