Crepey skin and hollow eyes after Blepharoplasty

I am 62, and have had lower Blepharoplasty 10 years ago. Now, my under eyes are sunken and the skin has a crepey appearance? What can be done for these?

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19 answers to “Crepey skin and hollow eyes after...”

A: Crepy eyelid skin after lower blepharoplasty

By Scott Trimas, MD - Jacksonville Facial Plastic Surgeon

Crepy eyelid skin after lower blepharoplasty can occur many years after a primary blepharoplasty procedure. This is often the result in the loss of elasticity in the lower eyelid skin with the aging process exacerbated by a previous surgery. Often a chemical peel or CO2 laser can improve that appearance. I... more

A: Lower blepharoplasty usually causes sunken appearance

By Philip Young, MD - Seattle Facial Plastic Surgeon

Lower eyelid blepharoplasty entails fat removal and skin removal from the lower eyelids. This is part of the reductive philosophy that has dominated surgeons, and plastic surgeons. An analogy is that of a grape when it loses its volume and turns into a raisin. Based on traditional approaches, a plastic... more

A: Removing a small amount of skin and fat injections

By William Portuese, MD - Seattle Facial Plastic Surgeon

The crepey skin on the lower lids can be excised through a subciliary incision and a small amount of skin can be pinched and removed so as to conservatively help with the wrinkles. This is usually glued with Histocryl tissue adhesive. Any hollowing under the eyes can be addressed with fat injections into the... more

A: Hollow Eyes After Blepharoplasty

By Raffy Karamanoukian, MD - Los Angeles Plastic Surgeon

Blepharoplasty of the lower eyelids entails surgical removal of fat. In more recent years, the surgical resection of fat is more conservative, to preserve the volume of the lower eyelid. The problem of hollow eyelids and crepey skin is common after blepharoplasty. It reflects the quality of your... more

A: Difficult problems to correct after Blepharoplasty

By Wilfred Brown, MD - Connecticut Plastic Surgeon

Treatment of the lower eyelid has, in recent years, become much more conservative. Overzealous excision of fat and/or skin often results in a hollowed-out appearance that accetuates the aged look. Excision of too much skin may deform the lower lid, and will give you a 'sad' appearance. I feel that the best... more

A: Crepey skin and volume loss after Blepharoplasty

By Otto Joseph Placik, MD - Chicago Plastic Surgeon

There are so many factors that contribute to the appearance you describe but generally they are associated with loss of facial fat and skin elasticity with time and environmental damage. HOLLOW EYES: You may want to contemplate using injectable fillers to "try out" the appearance of a fuller... more

A: Lower Blepharoplasty volume loss

By Daniel Reichner, MD - Orange County Plastic Surgeon

There have been changes in the way surgeons perform lower blepharoplasty. 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, and filling the tear-trough... more

A: Correcting Hollow eyes post over aggressive blepharoplaty

By Michael Law, MD - Raleigh-Durham Plastic Surgeon

My approach to upper eyelid surgery is to be conservative with skin excision, and to reserve excision of fat for patients with significant fat excess. In my opinion, aggressive removal of upper eyelid skin and fat is a 'skeletonizing' procedure which risks making eyes appear more deep-set and aged, rather than... more

A: Laser is a temporary fix for crepey skin and hollowness

By Robert M. Freund, MD - New York City Plastic Surgeon

Fat grafting is a must to correct the hollowed look. The best way to treat the crepey skin is with surgery. The treatment can remove the eye skin alone or in combination with tightening of the muscle and ligament to maintain a beautiful eyelid shape.

A: Several options to address crepey skin and hollow eyes

By Andrew J.L. Gear, MD - Charlotte Plastic Surgeon

You can take several approaches: 1. Repeat lower lid blepharoplasty with conservative skin excision 2. Fractionated CO2 resurfacing of the lower eyelid skin 3. Fat grafting If you are thinking non-invasive, combining #2 and #3 would be optimal.

More answers to Crepey skin and hollow eyes after Blepharoplasty
Atlanta - Time for another repair or maintenance procedure
Boston - Composite fat grafting to plump the hollow eye and fractional...
Chicago - Crepey Skin: Customized Approach
New York City - We have become much better at doing lower eyelid surgery
Olympia - A light skin peel combined with filler will do
Orange County - Secondary lower lid surgery or non surgical
Westborough - Adding volume is an option

Comments (1)

aliu
105 posts
24 Jan 2009

Hi Va9503, As we age we lose volume in our faces and bodies. This leads to a hollowed appearance and the overlying skin (since it no longer has the fat necessary to give support) begins to sag and become wrinkled in appearance. From your description it sounds like you could benefit from a fat graft from another site into your lower eyelids. If you had previous blepharoplasty there might not be enough fat in your lower orbital area to manipulate to correct your hollowness. Some of my favorite sites to harvest are upper eyelids and above the pubic area. I find for the lower eyelids that pearl fat grafting onto the arcus marginalis where the hollowness usually begins serves a good starting point. The added volume sometimes is enough to take care of the overlying skin appearance. I usually wait until the swelling goes down to see how much excess skin there is before seeing if it is necessary to remove. Taking care of the skin can be performed in many ways: chemical peels, laser, excision depending on how much skin there is. I hope this helps!