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Would Blepharoplasty Result in Scar Tissue Due to a Young Age?

asked 2 years ago by Etherealism in North Potomac, MD
Latest answer by William Portuese, MD
Question viewed 826 times
Tags: tear trough, female, injector, scar tissue

Hello everyone. A recent visit to a plastic surgeon resulted in him telling me that if I had Blepharoplasty, the risk of excess scar tissue is a definite possibility.

I would like to get as many opinions as possible, but am very apprehensive about dermal fillers due to the horror stories I have heard about them (though I do know it's not the product, rather the injector!)

Please let me know what my best option(s) is/are for my tear troughs. Thank you, and take care!

14 answers to Would Blepharoplasty Result in Scar Tissue Due to a Young Age?

+2

Age and surgery

I hate to differ with the two prior physicians, but I hate using fillers for the tear troughs in the lower lids. First of all, your photos are poor for evaluating your problem, there are many young people who have prominent fat pockets in their lower lids and they can be easily and permanently taken care of with a small surgery where there is no external incision. Fillers need to be constantly re-injected into the lower lid area and can give terrible results. Seek a consultation IN... more
William B. Rosenblatt, MD

New York Plastic Surgeon
+1

Options for tear troughs

We do not recommend injections into the tear troughs. There have been multiple complications with this procedure whereby patients look pretty puffy for years on end because the dermal filler has been injected into the orbital fat. It is important to identify what is causing the tear trough. If there is a double bubble effect created from the fat in the lower lids a simple conservative fat removal can be done through a transconjunctival approach to give a nice new natural contour. This... more
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Lower eyelid surgery can be tricky

Dear Etherealism, As you can see your question created a lot of answers because lower lid surgery can be tricky! I would not recommend it for you for all the reasons mentioned above. Fat injection to fill the tear troughs can be "uneven" as the fat "heals in spotty". A "trial run" with a colorless filler (Juvederm, Prevelle) by an experienced Surgeon maybe your best bet. On the other hand youth is your best friend at this time and enjoy it as long as you can.... more
Guido P. Gutter MD

Evansville Plastic Surgeon
+1

Fat injection is a wonderful way to address tear troughs and grooves in cheeks

You don't need blepharoplasty. You need something to replace the volume loss. My suggestion would be to have the area injected with fat. In the right hands, this can have a beautiful result and brighten your whole face! My second choice would be to use fillers. In either case, make sure you go to someone who has a lot of experience with this. Good luck!
Parham Ganchi, MD

Wayne Plastic Surgeon
+1

Blepharoplasty options

You have options Fillers are an option.  Fat transfers may work.  I don't feel that youth causes excess scar tissue.  I think he was just going over risks of complications.
Scott E. Kasden, MD

Dallas Plastic Surgeon
+1

Would Blepharoplasty result in scar tissue due to a young age?

Hi Eth, Again, first I would recommend leaving well enough alone, enjoy your youthful uncommon beauty. Scarring and scar tissue are not the problems with blepharoplasty for you, you just do not need surgery. If you do anything, find the best, most experienced injector of the lower eyelid area, and have conservative treatment with Restylane. My best advice is leave those beautiful eyes of yours alone! Dr. P
Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon
+1

Blepharoplasty scar tissue result

I would also refuse to do any eyelid surgery on you from your appearance in the posted photo. As for the tear troughs use Restylane or some other temporary fillers. Regards.
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Fillers as a trial to assess the appearance of surgical eyelid interventions

Conservative and possibly staged injection of Restylane to the lower eyelid and cheek junction is a reasonable option albeit temporary. This would allow you to determine if you like the result. You could then proceed with learning about surgical options for achieving a longer term solution.
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

Filler is clearly your best option

Dear Ether What you are hearing is the voice of caution. Yes you have an issue: fullness in the lower eyelid and a hollow under the eyes. Your eyes are big. The risk of lower eyelid surgery damaging the muscle the holds the lower eyelids up is huge if an cut is made under your eyelashes to reposition your lower eyelid fat. You could have surgery from behind the lower eyelid to reposition this fat. However, one must always weight relative risks: The punishment must fit the crime. Until about... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+1

Fillers can stave off a blepharoplasty

A tear trough deformity is a hollowing under the eye, near the nose. There are many theories why these occur. They become obvious when fat above herniates out creating a shadow where the tear trough is. Surgically this is treated by taking some of the fat from the eyelid and moving it to the tear trough. For many patients, this hollow area can be filled with a filler such as Restylane and yield excellent results. The good thing about dermal fillers, especially hyaluronic acid fillers is... more
Steven J. Pearlman, MD

New York Facial Plastic Surgeon
+1

Restylane is great for tear troughs

I do not feel that surgery would help your tear trough unless you had some sort of an implant, which I do not suggest. On the other hand, properly injected Restylane, would help. The advantage of Restylane is that if, for some reason, you are unhappy with the result it can be completely dissolved. Hope this is helpful.
Marc Cohen, MD

Philadelphia Oculoplastic Surgeon
+1

Tear trough treatments

There is absolutely no way you should or could have a safe lower lid blepharoplasty. You already have some scleral show and your risk of worsening it is huge. Your tear troughs need Restylane and it should be done by an experienced physician injector. Please don't let anyone talk you into a bleph.
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+1

Dermal Fillers should help your lower lid and cheek contour

I assumed from your question that you were referring to your lower lid-cheek contour. I also assumed you were not referring to your upper lids. That being stated, yours is a situation where the eyelid to cheek contour gives the appearance that the lower lids are too full but in reality it appears that the cheek area and the tear trough are too hollow. Expertly placed dermal fillers should be ideal for you. Good luck.
J. Timothy Heffernan, MD

Seattle Oculoplastic Surgeon

drtimheffernan.com

+1

Blepharoplasty VS. Fillers to Tear Troughs

Personally, I would decline to perform a Blepharoplasty on you. You have pretty eyes, ethereal you may say, which would NOT be improved by the operation but COULD be made worse. I suspect that in frightening you with scar tissue etc, the surgeon was also trying to save you from making such a decision. (If you carefully examine your photograph you would notice mild "SCLERAL SHOW" (white conjunctiva being seen under the pigmented portion in the center of the globe) - this IMPLIES you... more
Peter A. Aldea, MD

Memphis Plastic Surgeon

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