Eyelid Surgery: Q&A
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Lower Blepharoplasty Revision? (photo)
8 months ago I had an upper and lower blepharoplasty. My surgeon also lifted the outer corners of my lower eyes as they hung below my pupil. He also did CO2 resurfacing below my eyes. My eyes look awful with bags. It is as if I never had surgery at all. I have an appointment coming up with my doctor and I wish to be more educated on revisions before I spend even more money. Is it reasonable to expect this repair to be done at at discounted charge or no charge. Thank you so much for your help!
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9 Doctor Answers |
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hamelle21
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Eyelid positioning and support can be improved through revision
As an oculofacial cosmetic surgeon, 20% of my practice is revision and eyelid surgery and they rank highest in the hierarchy of plastic surgery procedures. Part of what we do in cosmetic surgery, is the reality that a certain percent or patients need revisions and no surgeon has never had to do revisions. One of our mentors in our field said, “A surgeon who claims never have to do revisions is doing one of the two things: either they’re not doing surgery or they’re just plain lying...
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Lower Eyelid Revision
There seems to be a component of irritation and allergic reaction in the lower eyelid skin. This is hindering the result to some extent. I would get the irritation under control before removing a little more skin with resuspension procedure of the eyelid.
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Lower eyelid excess skin
You appear to have combination of edema/fluid and excess skin, at the least. Expecting 100% improvement with perfectly smooth lower eyelid area may be not be practical but there are options available for improvement. See an oculoplastic surgeon for evaluation.
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Lower Blepharoplasty Revision?
Your result demonstrates the need for a lateral canthoplasty, redrawing of the excess skin. Best to obtain a few in person opinions.
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Dermatitis
Obviously with a photo, it is more difficult than an exam in person, but it seems to me that in addition to the redundancy of the skin, and a downward tilt to the corner of the eye, there is also thickening of the skin as well as some redness. I wonder if you have an allergic component [allergic or atopic dermatitis].
This would definitely need to be treated before a revision is attempted. I would recommend a consultation with a dermatologist as well as a second opinion with...
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Lower Blepharoplasty Revision? (photo)
It does look like you need further surgery. Unfortunatey, surgeons policies regarding revisions are different, and there is no standard. If you are uncomfortable, get a second opinion.
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Revision lower lid surgery
At the very least you need the orbicularis muscle tightened laterally and the lower lid skin redraped separately. I have no way of knowing whether your surgeon is capable of doing this. If he is, yes he should do it at no charge or give you a large discount.
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Blepharoplasty revision
It would certainly be helpful to see your before photos, but your 8 month post-operative photos appear to show that you still have quite an abundance of lower eyelid skin. I also see the corner of your eye appears to be lowered, which may leave you susceptible to chronically dry, scratchy, and irritated eyes (if it hasn't already). I do recommend you seek a second opinoin as corrective surgery may be necessary.
Hope this helps!
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I don't think you should feel committed to have surgical revision by this surgeon.
Not all lower eyelid surgeons are created equal. We don't have the benefit of having your before photos. It is likely that you needed more than CO2 resurfacing. Lower eyelids burn a lot of very experienced surgeons. You need a better repair of your lateral canthal angle, excision of the extra lower eyelid skin and support of the orbicularis oculi muscle at the orbital rim to reconstruct the orbitomalar ligament. Additional opinions are warranted here.
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