I Had Lower Bleph Surgery One Year Ago but Still Have Bags - Suggestions? (photo) Doctor Answers, Tips
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I Had Lower Bleph Surgery One Year Ago but Still Have Bags - Suggestions? (photo)

I had upper and lower bleph - top worked great but bottom still have bags. Any suggestions to eliminate bags?

7 Doctor Answers | Asked by zak001
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Hollow lower eyelid and midface improved by a midface lift

Lower eyelid blepharoplasty generally improves bulging fat and excess skin, but usually does not improve hollowing of the lower eyelid or the junction between the eyelid and cheek. I think that you would be improved by a transcutaneous lower blepharoplasty with midface lift.
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I Had Lower Bleph Surgery One Year Ago but Still Have Bags - Suggestions? (photo)

You have a few things going on as others have desribed. You should seek a consultation to best discuss your different options. Revisional surgery is definitely more complex.
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Residual eyelid bags after blepharoplasty

Your posted photos show outer eye corners lower than inner eye corners with loose hanging lower eyelid edges, worse on the left than the right. I do not know what your surgeon did but it looks like you had scleral show before surgery and slightly more scleral show after surgery. Your eyelid skin is like a shower curtain hanging from a rod and in your case the rod is loose and curves downward in the middle rather than being straight horizontal. You need the lower eyelid edge (the curtain rod)... more

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Residual eyelid bags post surgery

It is likely that your results can be improved with revision surgery and/or filler injections. Seek a second opinion with a facial or ophthalmic plastic surgeon.
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Revision blepharoplasty for recurrent eyelid bags.

Revision blepharoplasty for recurrent eyelid bags along with lid support and tightening for your lower lid sagging as well is what you need. I do not think a laser will adequately treat your problem.
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Persistent lower eye bags

I agree that you have persistent lower eyelid fullness likely due to excess peri-orbital fat. The concern in your case is that you appear to have decreased lower lid tone and some festooning. A more aggressive skin excision or correction may cause ectropion or lower lid being pulled down and away from your globe. You may consider some non-surgical options first, such as Ultherapy for improving skin tone and Fractional CO2 resurfacing to improve texture and provide for micro tightening. If... more
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I Had Lower Bleph Surgery One Year Ago but Still Have Bags - Suggestions?

Based upon your posted photos I agree that your result is not optimal. Best to seek other opinions. I might redo with a lateral cantalpiexy.
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