Eyelid Surgery: Q&A
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My Surgeon is Blaming my Skin for my Botched Bleph? (photo)
My plastic surgeon says that my skin is the reason for the hollow and the large skin fold on my left eye. I had an upper and lower bleph then about 7 months later I had a revision to the left lower eye because of puffiness this is when I believe he took too much fat resulting in the large skin fold you see now. He says that he is willing to do a fat transfer to the lower lid to bring back some fullness. A free corrective fat transfer!
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7 Doctor Answers |
Asked by
mesohappy
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Factors in surgery, skin quality and skin treatment options
There is always a range of acceptable results in cosmetic surgery, and in my opinion the term botched is a bit extreme. The goal of every cosmetic surgery is always the improvement of your appearance and it can only be in the static position. If you had puffiness under your eyes, and it is gone after surgery when your face is relaxed, then that’s an improvement. If there used to be extra skin over your eyes and now there’s symmetry after surgery, that’s another improvement.
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Wrinkles/ folds/ creases after bletharoplasty
An examination and pre-operative photo’s would be of great assistance in your case. However, I do believe I see what you are concerned about. Your surgeon is actually correct. The skin is most likely the issue. Treatment with Laser Ablation or resurfacing of the perioccular skin may be of greatest benefit to you to remove some of the wrinkles when you animate or smile with your face. For the laugh lines/ crows feet Botox would be of greatest benefit.
Your complaint is why...
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My Surgeon is Blaming my Skin for my Botched Bleph?
Try Botox to the area of the animated fold with or without droplets of fat. But besides that I would leave well enough alone.
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Blepharoplasty and skin issue
More details would be required to give a better suggestion. You have the appearance of the same thing on the right side.
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Bad Skin Blepharoplasty?
If you would truly like the most accurate opinion then you should provide a pre-operative photo. The fold of which you speak occurs when you animate your face. This fold is not readily apparent when you do not animate your face. Blepharoplasty takes care of redundant skin and fat to improve your non animated appearance. Secondly, this fold is at or around the nasojugal groove and typically fat in not available for removal in that area. You PS has a reasonable solution...
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Sagging Skin after Lower Eyelid Surgery
Preoperative pictures would be instructive here. The area of the tear trough and its interface with the lower eyelid can be problematic. I usually remove some fat in the lower eyelid to make this contour flat not sunken. However, this is usually not enough and the tear trough has to be addressed as well. Some transpose the fat from the lid to the tear trough. I fat graft the tear trough for best results.
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Sagging skin after blepharoplasty
I'm not sure what your particular question is. It sounds as if your main complaint is with the lower eyelids after your upper and lower blepharoplasty. It appears as if there might be some crepiness of your lower eyelid skin. If you did not have any skin removed with your lower blepharoplasty, that might be an option to help. Additionally, ablative laser resurfacing could help with that issue as well.
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