Loose skin under eyes after Blepharoplasty

I had Blepharoplasty done over a year ago but still have loose skin under my eyes. I have had CO2 laser done to correct this, but it did nothing. A doctor recommended Fraxel, but I've read it does nothing for skin tightening. I want to spend my money doing what's going to work. Could you suggest what I can do to get this fixed? I was considering lower eyelid surgery again. Is this necessary?

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13 answers to “Loose skin under eyes after...”

A: Loose skin after Blepharoplasty

Otto Joseph Placik, MD

There are numerous modalities for skin tightening but most of these provide insufficient correction. Without photos and the ability to assess lower eyelid skin/muscle/ligament tone, vectors, and other anatomic/physiologic facotrs, it is difficult to make a recommendation via this format. Perhaps you would want... more

A: Be cautious! Re-doing lower eyelid blepharoplasty

Edward D. Buckingham, MD

Be very cautious pursuing further treatment for your loose lower eyelid skin.  The fact that you have already had a blepharoplasty performed and CO2 laser puts you at risk to develop complications such as pulling down of the eyelid (retraction) or pulling out of the eyelid (ectropion).  You may... more

A: Loose skin under the eyes

Andres Gantous, MD

 It is difficult to know exactly why you have loose skin under your eyes after lower blepharoplasties and CO2 resurfacing, but the problem should not be difficult to fix. As long as the overall result is satisfactory i.e. the fat protrusion is gone, you probably just need a very conservative skin pinch.... more

A: CO2 laser

Scott E. Kasden, MD

The most effective skin tightening laser I have used is the good old CO2 laser.  It is a bit rough on the recovery in terms of oozing, swelling, and redness. The other thing to conside is a re-do bleph.  You may simply have so much excess skin that you need to have it removed. Be advised however... more

A: Surgery may very well be the best choice

Christopher L. Hess, MD

Lower lid blepharoplasty can definitely be tricky.  One of the best decisions that a surgeon can make when faced with skin to be removed is when in doubt take less rather than more.  Removal of too much skin is a disaster.  The problem of course is that now your still left with too much skin... more

A: The question is why.

Robert T. Buchanan, MD

You have already had the most effective methods of tightening the lower eyelid skin. There can be many reasons for continued laxity of the skin. Only examination by a skilled Plastic Surgeon who does a lot of work around the eye can determine what the problem is in your case. Sometimes a re-do blepharoplasty... more

A: Loose skin is in the eye of the beholder.

Kenneth D. Steinsapir, MD

 Dear Hawaiian Girl It is very difficult to provide a meaningful answer to your question without knowing more about your situation.  What you perceive as loose skin maybe viewed as an acceptable post-operative result to your surgeon.  We don't know how deeply pigmented you eyelid skin is.... more

A: Careful diagnosis needed

Robin T.W. Yuan, MD

Loose skin is a descriptive term, not an anatomic one. A careful examination and a meticulous analysis will point you in the right direction. Loose skin could refer to a textural/qualitative condition due to loss of elasticity and surface etching or fine wrinkles. It could refer to contour changes from... more

A: Fraxel will not tighten lower eyelid skin after Blepharoplasty-please see an expert

Brooke R. Seckel, MD

Fraxel will not tigten the skin, save your money. If an adequate depth CO2 resurfacing had been done you should have seen a difference. I would not repeat the CO2-the problem with flat beam CO2 is that adequate depths of peel to tighten the skin and remove wrinkles could leave your skin white and pull the lid... more

A: Three options but you should first get a good medical advice

Hisham Seify, MD, PhD

Only a clinical exam or at least a picture will allow a plastic surgeon to give you the best advice. The options you have: 1. Do nothing for now. 2. CO2 ( which you already did) 3. Revision. In any case, get a good advice from a board certified plastic surgeon in your area.

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