Revision lower eyelid surgery

Brent Moelleken, MD answers: Extra baggy skin after Blepharoplasty

I'm in tears every day due to a Blepharoplasty surgery and Laser Resurfacing. I am only 36 and looking back, there was nothing wrong with my eyes. Now I do. I have extra baggy skin, extra folding sunken eyes and wrinkles which I never had before and not sure how to repair this. I probably should never had the surgery in the first place. My eyes were fine. It's not even a year later and now I have a huge problem. I am seeking help...can someone address me?

Extra baggy skin after Blepharoplasty
Brent Moelleken, MD
13 months ago

Revision lower eyelid surgery is a very difficult area. You should consult with board certified plastic surgeons on your options.

You mentioned your eyes looked fine before surgery, yet you had surgery. This underscores that surgery should not be performed unless a problem is actually there; I do not believe in "prophylactic surgery". Any surgery, however apparently small, carries with it risk.

For your revision, the surgical plan should be clear and reasonable, and tailored to your problems.

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A: Seek an oculoplastic surgeon with Blepharoplasty correction experience

Kenneth D. Steinsapir, MD
13 months ago

Dear Intears:

With all due respect to my general plastic surgery colleagues on this forum, there is only one cosmetic surgery specialty with the largest body of experiencing fixing unsatisfactory eyelid surgery, and that is a fellowship-trained oculoplastic surgeon. This is an individual who is a board certified ophthalmologist, who has completed a fellowship approved by the American Society of Ophthalmic Plastic and Reconstructive Surgery, and has been elected as a fellow to this society.

However, this is not sufficient. That surgeon also has to devote a significant portion of their practice to addressing and fixing unsatisfactory eyelid surgery. Unfortunately, there are only a handful of us who cater to addressing these issues. It may be necessary for you to travel to see one of us for an appropriate second opinion. Look for this level of training and don't simply accept the advice of a general plastic surgeon or a facial plastic surgeon. Unforunately, these types of problems do require this level of special attention.

Good luck with your search for the right specialist.

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