Eyelid Surgery Q&A
75%
WORTH IT RATING
"Worth It Rating" shows the % of consumer reviewers that stated the procedure was "Worth It" or not. See more RealSelf Worth It Ratings or Add Your Review
477 Reviews
Eyelid Surgerybefore & after photos
View Before and Afters

Average Eyelid Surgery Cost: $3,875

Learn about Eyelid Surgery

2,264 people and 797 doctors are talking about Eyelid Surgery

Get Free Email Updates

Post-blepharoplasty Skin Tightening?

asked 3 years ago by Babyjoe
Latest answer by Boris M. Ackerman, MD
Question viewed 2,670 times
Tags: facial plastic surgery, skin

I had lower Blepharoplasty done to my bottom eyes. I had orbital fat grafting with Pearls add in lower eyes as well. The outside skin could be a little tighter.

Is there any type of thermal or heat sysem to tighten the skin without additional surgery? This operation was done on Nov 13 and this picture was taken about a month and a half later (Dec 29).

9 answers to Post-blepharoplasty Skin Tightening?

+1

Skin tightening after eyelid surgery.

There are many ways to tighten the skin in the lower lids.  The more important question is, whether that is the optimal choice for you.  Judging just by your photos, it might not be the best choice.  An experienced and talented surgeon would thoroughly examine your particular anatomy ( first we'd wait another few month for all the healing to finalize) and only then determine the best approach.  There are a number of factors to consider in your particular case, you... more
Boris M. Ackerman, MD

Newport Beach Plastic Surgeon

www.doctorackerman.com

+1

CO2 laser is only treatment that will significantly tighten skin.

There are many plastic surgeons whom I respect that have faith in the factional laser to tighten skin.  I remain a skeptic.  You are too close to your operation to consider any further treatment.  All swelling must have subsided before trying skin tightening and my guess is that you won't need it. The CO2 laser will tighten skin but there is collateral.  I'm not sure you are a good candidate based on the color of skin I see in the picture.  You might... more
Vincent N. Zubowicz, MD

Atlanta Plastic Surgeon
+1

Fractional ablative laser resurfacing an option for post blepharoplasty skin tightening

My preference for tightening loose skin after a lower blepharoplasty is fractional ablative laser resurfacing using the 2940 Erbium laser. You are far too early to consider this. You need to heal for 3-6 months and it may not be necessary after you have healed. You need to have good lower eyelid support for any tightening procedure after blepharoplasty including laser resurfacing. I prefer the laser resurfacing approach because it avoids an incision in the lower eyelid skin. An incision... more
Brooke R. Seckel, MD

Boston Plastic Surgeon

www.drseckel.com

+1

Thermal or heat systems not recommended

After a blepharoplasty if there is still extra skin present on the lower lids without animation (or at repose), then a small pinch of lower lid skin, usually 2 to 3 mm, can be taken at the subciliary lash line. This incision is then closed with Histocryl tissue adhesive. We do not recommend thermal or heat systems to tighten skin around the eyelids.
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Baby Joe needs more time

Dear Baby Joe, In reviewing your photos, I see several things: You are likely still swollen so you must give it more time. The fat pearls to the tear trough and orbital rim do not seem to have taken adequately. You may still have some herniated fat under the left eye. You are a set-up for less then stellar results because you have what is called -MPE - morphologically prone eyes - in lay mens terms, your cheek and cheekbone are not very prominent and as a result your eyeball bulges out a... more
Robert M. Freund, MD

New York Plastic Surgeon
+1

Laser or Thermage for Skin Tightening

There are several important issues to consider. First you have to make sure that all of your swelling has gone away. Even though this picture is about 6-7 weeks post surgery, you could still be experiencing some swelling that accounts for the laxity in your lower eyelids. Lower eyelid surgery usually does require some type of procedure to address the loose skin in addition to the bulging fat so a skin tightening procedure is very common. If all swelling has resolved and there is... more
Edgar Franklin Fincher, MD, PhD

Beverly Hills Dermatologic Surgeon
+1

Hold the phone Joe

Joe, From the photograph, it is difficult to appreciate the skin excess or looseness. At any rate, you should wait another 3-6 months before undergoing a skin tightening procedure, such as CO2 laser resurfacing. It appears that you still have swelling present, as well as, the fullness from the fat grafting and the treatment needed may change once the swelling has resolved and the fat has resorbed. Presumably your surgeon made a determination before your surgery as to whether or not you... more
Kenneth R. Francis, MD

Manhattan Plastic Surgeon
+1

Yes, crepey skin could be tightened

Crepey skin could be tightened in some cases by resurfacing the skin with a deep chemical peel or laser resurfacing.  Based on your photos, I would recommend evaluating the present deeper contour of your lower eyelids as well.
Robert Schwarcz, MD

New York Oculoplastic Surgeon

Ask a question