Under eye loose skin and wrinkles normal after Blepharoplasty?

I had upper and lower Blepharoplasty two weeks ago. The main reason was for bags, loose skin and wrinkles under my eyes. I was told that these could be corrected by removing some fat and tightening up the loose skin.

While it looks like some of the puffiness is gone, I am very concerned about remaining loose skin and wrinkles under my eyes. I am feeling very upset and disappointed at my result. I don't feel like the skin under my eyes was tightened up and deep wrinkles are still present. Is this a normal outcome and is it acceptable? It does not seem acceptable to me. Thanks.

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10 answers to “Under eye loose skin and wrinkles...”

A: Undereye loose skin and wrinles after blepharoplasty normal?

Harrison C. Putman III, MD

After only 2 weeks you should not be so concerned. Nontheless, if these persist after 6 months or so an appropriate additional treatment for exfoliating the skin can be performed. It will be important to assess your eyelid tone first. The surgeon will perform a "snap" and a "distraction"... more

A: Surgery is for sags and bags only

Phillip Langsdon, MD

There are some great things about blepharoplasty. It can improve sags and bags and reduce the excess skin, but it cannot remove wrinkles or re-inflate the groove between the edge of the (very thin) lower eyelid skin as it transitions into thicker upper cheek skin. It is way too early to be concerned. Most of... more

A: Give it Time

Christopher L. Hess, MD

Two weeks is definitely too soon to be talking about revision but I understand your frustration.  Removal of skin from the lower lids a tricky and requires other procedures to be done at the same time such as a canthoplasty and cheek support. You mention deep wrinkles.  If the wrinkles are low on the... more

A: Your concerns should be tempered with patience

Robert M. Freund, MD

There are many ways to improve the lower eyelids. Above all else, doing no harm is essential. Perhaps more than any other cosmetic procedure, lower lid blepharoplasty can create horrific and severe problem if not done well. Some doctors will shy away from doing too much to avoid these problems. This may be the... more

A: Removing too much skin under eyes could even be worse

Philip Young, MD

The loose skin under your eyes can be improved by doing a pinch blepharoplasty technique without increasing your risk of your lower eyelids getting pulled down like a hound dog. This pinch blepharoplasty technique is very simple and can be done in under an hour and usually takes 30 minutes. I wouldn't be too... more

A: Loose skin two weeks after blepharoplasty can be normal

Lisa B. Cassileth, MD

First, wait until the surgery has fully healed. Especially with fat repositioning surgery of the lower lids, skin can look excessive because it has not retracted yet. When you fully heal - I"m talking 6 months here - you could always consider some form of skin tightening, like fractionated CO2 laser, to... more

A: Laser resurfacing necessary to remove wrinkles after Blepharoplasty

Brooke R. Seckel, MD

Blepharoplasty of the lower eyelid can remove puffiness and eyelid bags and tighten the lower eyelid skin. The tightening of the lower eyelid skin does pull some wrinkles and loose skin tighter, which improves skin appearance. You are very early in your recovery, and it takes 6 weeks to 3 months to see a more... more

A: Be careful about tightening lower eyelids to get rid of wrinkles.

Francisco Canales, MD

Jill It sounds like you are very disappointed because you still have wrinkles and loose skin. Beware!  The procedure , if properly done, allows for you to open your mouth fully without having your eyelids start to pull down. A great majority of the lower eyelid problems we see after surgery have to do... more

A: Give it a couple months

Robert M. Jensen, MD

Although you should see an immediate improv ement, some deep wrinkles may not go away with blepharoplasty..  If too much skin is removed you could have complications with ectropion, (pulling down on the lower lids).  The good knews is that, after things have healed, the deeper wrinkles and loose skin... more

A: First give this some time to settle down.

Kenneth D. Steinsapir, MD

 Jill Your dissatisfaction is not uncommon.  Much depends on exactly what you had done, what your issues were to begin with, and what is going on once you are 4 to 6 months out from your surgery.  Nothing replaces a personal consultation. At two weeks out, you are extremely early from surgery.... more

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