Eyelid Surgery: Q&A
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How Long Can I Wait Between Surgerys when Not Enough Skin Was Taken Fom the Lower Lids and
My lower lids are still baggy and puffy after 5.5 months how long do I have to wait to get this corrected...not enough skin was taken out.
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12 Doctor Answers |
Asked by
Daniel Saad
in Toledo, OH
+2
Skin removal from the lower eyelids- be careful what you wish for
You should sit down and write a note to your plastic surgeon and thank him for not butchering your lower eyelids by removing too much skin.
Patients who are fixated on achieving tight lower eyelids will eventually get their wish, along with the round eye deformity or ectropion.
Often a little skin pinch leads to a little alteration in eye shape.
The lower eyelid is a weak structure and generally will not tolerate resection of skin unless a cheek lift or lower eyelid support are...
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+1
Lower Eyelid Revision after Blepharoplasty is very risky
As the other doctors have mentioned, secondary revision of lower eyelid Blepharoplasty is very risky. If too much skin is removed or scarring occurs you could be left with an ectropion a very serious complication.
See an expert who does a lot of eyelid surgery and respect his/her opion. An experienced doctor can tell you if further surgey is indicated.
If you have excess fat left after a lower Blepharoplasty, the fat can be removed from an inside incision called a Transconjunctival...
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Still skin and fat after eyelid surgery
Five and a half months should be long enough to see the final result and have a revision eyelid surgery to remove the residual fat and loose skin. Be careful not to have a revision lower eyelid surgery through the lower eyelid skin as this has a high rate of lower lid malposition that makes the eye shape appear changed and smaller in size.
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Caution is needed for lower lid revision
The best advice for lower eyelid revision is to wait at least a year to see if the lid will smooth out. Skin removal in the lower lid must always be approached with caution as it is quite easy to produce a pull on the lower lid line with show of the white of the eye, dry eye, or an ectropian where the lid is poorly supported and pulled away from the eye. Be patient, and be careful with your expectations.
Best of luck,
peterejohnsonmd
+1
Skin Removal in Lower Lid Blepharoplasty
One of the worst things a Surgeon can do to a patient is over aggressive lower eyelid skin removal during Blepharoplasty. The lower eyelid is only responsible for 5-10% of eyelid closure and is an inherently weak structure. Incisional surgery obviously leads to wound contraction during the healing process. Wound contracture on a relatively weak structure which is further weakened by skin removal can lead to lid retraction, and sometimes ectropion. The end result is a poor...
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+1
Swelling after blepharoplasty.
It takes 1 year for the last of the swelling to be gone. If there is no excess skin when you are NOT SMILING then no more can be taken, otherwise you will end up with the lid pulled down!
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Revision Eyelid Surgery
I would recommend waiting at least 6 months after your last blepharoplasty before considering revision surgery. It is possible that other problems such as laxity of the brow could be the cause of the problem. I would recommend a careful discussion with your surgeon regarding the goals that were not met with the surgery to determine what further treatment is needed.
Burley Facial Plastic Surgeon
+1
Extra skin on lower lids
Your surgery was still fairly recent. At this stage it would be too soon to consider doing anything further, but I would echo what some of the other surgeons have said: it is far better to have taken too little than too much.
+1
This may have absolutely nothing to do with the skin.
It is great when we are all on the same page. I read your question and answered to myself that with "too much skin left," you could wait forever before having it revised. If you have had lower eyelid surgery and have had no benefit, then perhaps your surgeons diagnosis of what your issues were was incorrect. Perhaps your surgeon just did very conservative surgery for which I for one, do not fault them. The fact of the matter is that what makes up the lower...
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Be Very Careful about repeat Eyelid Surgery
If would be of much benefit if you post before and after pictures or even just your after pictures. It is way too soon to consider any revision surgery. Eyelids are very sensitive and if you overdo it, you may have lifelong problems with your eyes. You should wait at least six months and then have a very careful and detailed discussion with your surgeon.
Good Luck.
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Be careful about revision lower blepharoplasty.
Hi.
1) Do not assume that the problem is that more skin needs to be removed. That is almost never the cause of a poor result in the lower eyelids. Taking out too much skin can cause terrible problems.
2) Get at least two opinions. You may benefit by a revision lower blepharoplasty (there is no way of knowing that without good pictures), but this is tricky surgery and you need a real expert.
3) You may need to have the outer corners of your eyelids...
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Reoperation on Lower Eyelids
Yours description of "baggy" and "puffy" lower eyelids do not suggest to me a problem with skin excess. Rather, those adjectives are typically used to describe a prominence of fat in the lids. There is also another scenario commonly seen in which fat was removed from the lids, but the orbicularis muscle which sits along the lid margin is now more evident. You can check this out yourself, as the muscle tends to show itself more when you squint or smile...
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