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: 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: Composite fat grafting to plump the hollow eye and fractional laser resurfacing to remove wrinkles

By Brooke R. Seckel, MD - Boston Plastic Surgeon

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

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: Customized Approach

By Anil R. Shah, MD - Chicago Facial Plastic Surgeon

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

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: 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: 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: A light skin peel combined with filler will do

By Arthur Foley, MD - Olympia Plastic Surgeon

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

A: We have become much better at doing lower eyelid surgery

By George J. Beraka, MD - Manhattan Plastic Surgeon

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

A: Adding volume is an option

By Min S. Ahn, MD - Westborough Facial Plastic Surgeon

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

More answers to Crepey skin and hollow eyes after Blepharoplasty
Atlanta - Time for another repair or maintenance procedure
Charlotte - Several options to address crepey skin and hollow eyes
Jacksonville - Crepy eyelid skin after lower blepharoplasty
New York City - Laser is a temporary fix for crepey skin and hollowness
Orange County - Lower Blepharoplasty volume loss
Santa Monica - Hollow Eyes After Blepharoplasty

Comments

aliu
109 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!

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