Eyelid Surgery to Eliminate Lower Eyelid Wrinkling?

The goal of lower lid blepharoplasty is primarily to remove the excess fat bags in the lower lids. If there are no bags present, an additional pinch of lower eyelid skin can be performed at the lash line. This is typically closed with tissue glue for tightening the lower lid skin. This must be done conservatively so as not to change the shape of the eyelids.

Sapphire: Your suggestion may be a good course, but in-person evaluation is necessary. You have had several procedures which can improve lower lid wrinkling, and skin excision blepharoplasty might be next. You should also consider that it may not be possible to completely eliminate lower lid skin wrinkling. After consultation with experienced surgeons, consider your situation carefully.

If the skin is wrinkling and you have had previous laser procedures, I would probably encourage you to have a simple skin excision of the lower lid. If the lower lid is lax, then you may need a lid suspension procedure like a canthopexy.

Dear Sapphire One Ultimately you need to find a cosmetic surgeon who makes sense to you. I think that you have to appreciate that at age 55 there is more going on that just too much lower eyelid skin causing wrinkling. CO2 laser resurfacing has been both a blessing and a curse. Many patients have had too much laser treatment for their thin eyelid skin. Even though the skin may have healed, these individuals demonstrate long term atrophy of the skin. The thin rehealed skin does not do... more

I always approach the lower eyelids with caution. In fact, I personally don't like to remove excess lower lid skin as an isolated procedure. Your lower eyelid is a free floating border that could get pulled down, and become problematic if too much skin is removed. If your lower lid skin is getting you down, consult an experienced, board-certified oculoplastic surgeon with many favorable post-op photos of people with similar concerns. Best regards.

The eyes are the windows to the soul. All too often, however, they seem to reveal exhaustion. The very delicate skin around the eyes tends to get crepey and puffy due to fatigue and stress. Eyelid surgery has become one of my most popular procedures. If undereye puffiness and dark circles need to be eliminated, an incision is made along the lower lashes that will be almost invisable when it heals. Next, the fat below is either removed or redistributed and the saggy and crepey excess skin is... more

The crepiness and wrinkling of the lower eyelid is caused by skin changes, and standard blepharoplasty usually is used to remove fat (bags) and loose excess skin, however, blepharoplasty alone does not change the skin and does not remove wrinkles and crepiness.Laser resurfacing stimulates new collagen production in the eyelid skin and can help wrinkles and crepiness.The concern I have is that since you have had a previous CO2 resurfacing and several skin peels, a standard incisional... more

Hi! It's hard to tell exactly without seeing you, but, from your story, in New York we would probably do a lower blepharoplasty. We support and tighten the lower eyelids in good position with a canthopexy, so the lids don't slide down. Then it is safe to remove a surprising amount of excess skin. But technique is everything.

CO2 laser does not thin the skin. On the contrary it actually thickens the dermis over time as the skin repairs itselft from the procedure. If the only issue you have with the lower eyes is skin wrinkling then a combination of good skin care and potentially adding botox and skin resurfacing with a modality that is significant enough to allow improvement should be beneficial. This modality could be a chemical peel of sufficient depth or a laser. Blepharoplasty might also be of benefit as... more