Crepey skin and hollow eyes after Blepharoplasty

What you describe is a combination of skin excess and fat atrophy. The simple answer to this could be a revision of the lower lid surgery with a conservative excision of the lower lid skin in additio to redraping of the fat pockets or microfat grafting. A non surgical option will be laser for skin and filler... more

Crepey skin from lower lid blepharoplasty is not uncommon. Your surgeon has to distinguish crepy skin from excessive skin. Excessive lower eyelid skin can be contoured with a subciliary approach. It is critical with any subciliary approach that your surgeon understand lower eyelid anatomy and the... more

Lower lid skin laxity after a preivous blepharoplasty can be treated by skin exicision.  If you feel that you are hollow, this can sometimes be treated with facial fillers as well.

The crepey appearance of the skin can be improved with a light skin peel, Obagi Blue Peel, or laser treatment. This will tighten the skin and improve its texture.   The volume issue must be addressed with some type of filler. Fat grafting using your own fat would probably be the best answer since it would... more

To Va9503, Hi! The result that you describe is quite common after old fashioned lower blepharoplasty.  You will benefit  by the PROPER revisional surgery. The results are very dependent on precise individual technique.  Here are some suggestions. 1)  You had too much fat removed... more

What most likely has happened is that during the first procedure, too much of the fat was removed, leaving a hollow, sunken look over time. Loose skin has also developed. A non-surgical option would be to treat the crepey skin with a laser, such as the Fraxel repair, and add volume to the hollow rim with... more

Ten years ago, the standard blepharoplasty involved elevating the skin and muscle layer of the lower eyelids and removing the excess fat. At that point it was considered the correct operation. With the passage of time and improved understanding of the aging process we have come to believe that the fat of... more

Va, Your story is consistent with the history of blepharoplasty.  In years past, the surgical dogma for eyelid surgery was to remove as much fat as possible.  Over the last 10-15 years we, as a surgical community of plastic surgeons, have revolutionized our thinking processes, primarily as a result... more

Dear Va9503, The hollowness or sunken area occurs because fat was removed during your blepharoplasty and during the past 10 years, the cheek fat pad has descended lower in the face. As our faces age, depressions and a hollow look below the eyes is very common. The crepiness of the skin is caused by skin aging,... more

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.