I had this procedure performed about 10 years ago and was told by the plastic surgeon at that time that it could not be done again and in time would need a full face lift. The eyes have dropped and am now being told by a different surgeon that there is no problem performing this again. I am 58 years old. Please advise. Thanks.
Can Blepharoplasty Be Performed More Than Once?
Doctor Answers (11)
A second procedure may be possible
Cosmetic surgery does not stop the natural ageing processes of the body. As it has been many years since your original surgery, it is very possible that the results have diminished. Your original surgeon may have been suggesting that down the road a second blephaplasty might not be appropriate for you to achieve the results you desire and that a facelift could be a better route. As a blephaplasty and facelift target different areas of the face, I recommend speaking to an experienced surgeon about your expectations for results and use his or her advice to help guide your decision.
Blepharoplasty can be performed more than once, especially so after many years. However, this may not always be possible depending on the type and extent of the prior blepharoplasty, and your current eye health. As well, other adjunctive procedures may be of greater benefit, such as fillers, grafting procedures, browlifting or something else. You would need a complete assessment by your plastic surgeon to determine an appropriate and safe treatment plan to meet your goals.
Can blepharoplasty be performed more then once
If there truly is eye skin that has dropped blepharoplasty may be done. There might be
extra brow skin that has dropped so you might need a browlift instead.
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Yes it is possible
You would need a thorough examination of your eyelids and their ability to fully close. Furthermore if you have dry eye problems, this needs to be evaluated as well.
But the general answer to your question is: yes, it is possible.
It is possible to re do a blepharoplasty, especially after 10 years, if your skin has continued to droop over time. Your previous plastic surgeon may have been talking about doing a brow lift. The browlift will often help the appearance of the upper lids. Best to go to a few Board Certified Plastic Surgeons. Tell them your concerns and together you will come up with an appropriate plan for you.
Yes, 10 years is a significant amount of time to consider a revision blepharoplasty, same as many need a revision facelift in 10 years. However, blepharoplasty alone may not necessarily be always the best answer to eyelid skin excess problem; brow lift or adding volume to the periorbital area should also be considered. I would also be cautious with repeating lower eyelid blepharoplasty, as it has an increase incidence of lower lid problem postoperatively.
Blepharoplasty is often benefited by revisional work.
Yes, generally if you have had a nice result from a prior eyelid surgery and time has taken the polish off of this work, it is reasonable to consider revisional eyelid surgery. Be certain to consult and eyelid specialist. The American Society for Ophthalmic Plastic and Reconstructive Surgery maintains a geographic directory on their website that can help you find a highly qualified eyelid specialist.
Can blepharoplasty be performed more than once?
Time marches forward after aesthetic surgery, and the same forces that produced the initial aging changes eventually will manifest themselves again. Especially if eyelid surgery is done at a relatively early age, you can expect to eventually need some additional surgery if you want to maintain your best appearance.
Two particular words of caution.
If the changes are largely in the upper eyelid, it may be necessary to stabilize the brow with some type of brow lift. Repeat upper blepharoplasties without attention to the brows can lead to undesirable outcomes.
If the changes are in the lower eyelids, make sure your surgeon check to see that the support of the lower eyelid is good. Otherwise, repeat surgery may cause an undesirable pulling down of the lid.
Eyelid surgery is common but tricky. Make sure you go to a highly experienced surgeon.l
Soemtimes a blepharoplasty needs to be redone in patients with further redundancy. You just want to make sure that if is not from brow descent requiring a browlift procedure.
Yes Blepharoplasty Can Be Performed More Than Once- If There is Extra Upper Lid Skin
Blepharoplasty can be performed again, as long as there is some excess upper eyelid skin to be removed. Sometimes I will see people who have developed some more extra upper eyelid skin even though they had a blepharoplasty done many years before. More often however, the reason that they feel they need another upper blepharoplasty is not because they have accumulated enough extra upper eyelid skin that needs to be removed, but actually because they have had a slight drop in their brows. It may not be extra upper eyelid skin that is causing the heaviness to the upper lids, but eyebrow skin that has dropped and is crowding the upper eyelids. If this is the case, a brow lift is the right procedure to perform as it lifts the eyebrow skin back up onto the brow and relieves the heaviness to the upper lids without any upper lid skin being removed. If upper lid skin is removed when it is actually a brow problem, it tends to pull the brows down even more, causing a more angry (not a more youthful) appearance. A careful evaluation by a well respected board certified surgeon will determine which procedure is the right one for you. Good luck.
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