Extra Baggy Skin After Blepharoplasty

InTears, This is a great forum for seeking answers and advice. However, without pictures (preferably before and after) it is very difficult for us to give you any advice or comments. Eyelid surgery, especially lower lid surgery, is very difficult and should not be rushed into lightly. If you have concerns, you should return to your original surgeon or seek a second opinion. Good luck.

I am not sure exactly what you had done, but I have an idea about the problems you are experiencing. Photos would help. Since you are about a year out from your initial procedue, you should either see the surgeon who performed the procedure and express your concerns, or seek a second opinion. You will be evaluated for the need for additional procedures including fillers, perhaps a chemical peel, laser resurfacing, or a secondary blepharoplasty. Perhaps no further surgery is indicated. Stop... more

To really make any reasonable suggestions, we would need to see some pictures of what you look like. There are many options for you including Restylane to the lower lids if too much fat was revmoved leaving you sunken and with loose wrinkled skin. There are many outstanding doctors in Toronto and you should go to the very best Plastic Surgeon there and ask their opinion. Good luck!

I am very sorry to see and hear of your frustration. You can be helped and have improved appearance of your lower eyelids. Your first step is to seek consultation with two board certified plastic surgeons who specialize in eyelid surgery. Visit http://www.surgery.org to find doctors in your area. Call the offices and ask: Does the doctor specialize or have a lot of experience in correcting bad blepharoplasty results pick two doctors ask the doctor to show photos of results of eyelid... more

Extra baggy skin on the upper lids can be addressed with removal through the old incision. The lower eyelid baggy skin can be removed through a subciliary incision located right at the lash line, which conservatively removes any skin without changing the shape of the eyelid. Sunken eyes are very difficult to deal with post blepharoplasty surgery, but fat injections can be attempted deep into the orbital area to try to augment that area

The reasons for your wrinkles can be many; genetics, smoking, pollution, sun, overresection of fat leading to a hollow look. In any case, you have excess skin (lasers do a lousy job of removing skin) that should be removed surgically. As for the future, you need to address the things that make you age prematurely and treat them on a daily basis. Stop smoking, retin-a, sunblock, anti-oxidants, chemical peels.

Lower blepharoplasty continues to be one the challenges to get consistently excellent results due to several factors. We have developed an approach to blepharoplasty that considers all the factors that affect the aging lower eyes. In short, the main options include skin excision (also called pinch excsion) ,skin tightening via laser or peeling, and volume replacement via microstructural fat grafting or dermal fillers.

I don't have photographs of your eyes, so it is difficult to give you specific advice. That being said, I am assuming from your comments that you had lower eyelid surgery (Blepharoplasty). This surgery is one of the more difficult operations. The general trend in lower blepharoplasty is toward conservation of the lower eyelid skin, preservation of lower orbital fat, avoiding tension on the lower lid, performing a canthopexy or canthoplasty if needed, and filling the tear-trough depression. ... more

Dear Intears: With all due respect to my general plastic surgery colleagues on this forum, there is only one cosmetic surgery specialty with the largest body of experiencing fixing unsatisfactory eyelid surgery, and that is a fellowship-trained oculoplastic surgeon. This is an individual who is a board certified ophthalmologist, who has completed a fellowship approved by the American Society of Ophthalmic Plastic and Reconstructive Surgery, and has been elected as a fellow to this... more

Of course I don't really know what you look like. But you are miserable and it has been almost a year. So there is no reason to wait. See both a board certified plastic surgeon and an oculoplastic surgeon (eye surgeon who specializes in eyelids). Ask to see lots of before and after pictures. How many revisions do they do? What is their exact plan? I am quite sure you can be made better.

If you are close to one year after surgery and you have lower lid bags and extra skin you will need a revision sometime in the future. It is very hard to be accurate for the procedure you need without a picture but from your description you will require some orbicularis musle redraping in addition to fat manipulation. Hope that helps!