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What to Do About Hollow Eyes After Blepharoplasty?

I had blepharoplasty on both upper and lower eyelids. The right eye had a slight ectropion which is a lot better than it was (almost 100%). My eyes are very dry since this surgery last Feb.10. which has been very aggravating to live with. My eyes are also hollow looking especially the one that had the ectropion. What is your suggestion since the surgeon I chose doesn't seem to want to admit that he probably removed too much fat. I definitely am scared of more surgery.

Asked 20 months ago by 3728anon

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+2

It is probably time to find a surgeon who specialized in fixing eyelid surgery.

It is my personal belief that many of the paradigms upon which lower eyelid surgery is performed are probably incorrect.  This means that a surgeon can perform a perfect lower eyelid surgery and still get an unfavorable results.  This scenario lends itself to surgeons that don't believe that there is anything wrong with a results like you are describing because they have trained themselves to believe that this is the expected outcome.   Without a personal... more
Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon
+1

Hollow eyes after blepharoplasty.

It seems that your lower lids are tight in addition to being hollow. The dryness can be improved by supporting your lower lids with a bilateral canthopexy. This reduces the evaporation of tear from your eye and improve your dryness. At the same time fat grafting can be done to improve the hollowness.
Farhad Rafizadeh, MD
Morristown Plastic Surgeon
+1

Hollowness in lower lids

Sometimes it is difficult to gauge how much fat to remove from the lower lids. Sometimes fillers or fat can be used to augment the hollowness.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Fat transfer is great for volume replacement

Although, you may not be happy with the volume loss, it is often difficult for doctors to judge the adequate amount to remove when getting rid of lower lid bags. Correction of this problem can only be performed with micro-droplets of fat. The viafill system is designed to accoplish this correction.
Robert M. Freund, MD
New York Plastic Surgeon
+1

Hollowness after blepharoplasty

The current trent to not remove as much fat as was done in the past.  However, depending on your anatomy, a significant about of fat may need to be removed.  Without pre and post op pictures, it is impossible to comment specifically on your surgery.  However, after surgery if there is too much fat missing, then you may need some fat grafting to fill the areas.  Alternatively, you may try a temporary dermal filler  to see if you like the difference.  A word... more
David Shafer, MD
New York Plastic Surgeon
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