Question

Options for eyelid rejuvenation

I had an endoscopic brow lift in the fall of 2006. I still had loose, crepey skin on my upper eyelids so my doctor told me to wait several months to "let things settle" he said, but after almost a year, my eyelids were still hooded, and I had loose, crepey skin.

As I was not pleased with my appearance, he did an upper blepharoplasty at no charge. Unfortunately, one of the stitches came out and was not re-stitched and, as a result, left very loose skin sagging. So one eye is *OK* and the other looks awful.

Now he suggest doing Laser resurfacing on my upper lids to tighten them. Will this actually solve this problem? I had a full face resurfacing in 2007 and I still have lines on my forehead and lip lines (vertical). It was my understanding this procedure would eliminate ALL of these lines on my face even after having a brow lift and upper and lower eyelid surgery. What are my other options to resolve this situation? Thanks~L.P.


Asked by: lp2u2
Kirkland, WA U.S.A.

Answers (2)

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1
October 7, 2008

Eyelid asymmetry

Sam Naficy, MD
Sam Naficy, MD
Board Certified
Facial Plastic Surgeon
Answer by Sam Naficy, MD

It is difficult if not impossible to answer your questions without seeing you in person.

Laser resurfacing will help tighten loose skin to some extent but it well certainly not correct significant asymmetry nor will it eliminate all lines or wrinkles from your skin.

You may wish to see other surgeons for a consultation before doing additional procedures.

2
October 6, 2008

Nothing removes all lines unfortunately

Richard P. Rand, MD
Richard P. Rand, MD
Board Certified
Plastic Surgeon

It sounds as though you have had an agressive treatment program so far.  It may have been a miscommunication from your MD but there are no treatments in existence that remove all lines.  If you lasered deep enough into the skin to try to get this to result, you would have a dramatic increase in the rate of hypopigmentation where your skin permanently looses color.  In addition, deep lasering carries an increased risk of scars.

Without seing you, one can't determine if a revision of your blepharoplasty might help but please alter your expectations to ones where a dramatic reduction in lines is the goal, not their total elimination.

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