Eyelid Surgery: Q&A
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Severe Under Eye Wrinkles After Blepharoplasty
I had upper and lower blepharoplasty about 4 weeks ago. I am looking for the best possible follow-up treatment to remove or greatly diminish the under eye wrinkles and possibly make that area a bit more taut. Thanks so much.
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9 Doctor Answers |
Asked by
Bama Chick
in Alabama
+3
4 weeks postop after lower bleph with lax skin
Since you are very soon after your surgery, it is best to wait until all the swelling has gone (typically 6 months). You wouldn't want to reoperate on temporary swelling. Peels and laser could typically be done much sooner than the six months.
There are several options if the looseness persists beyond that.
If your problem before your last surgery was lax skin, the problem will likely still be there after a transconjunctival blepharoplasty. The transconjunctival blepharoplasty is...
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Severe skin redundancy is best treated with excision
We utilize a graduated system of addressing lax skin under the eyes. We usually perform some volume replacement with our lower lid surgery that addresses wrinkles by inflating the lower lid volume. We also perfom fractional ablative resurfacing, peels and skin pinch or excision. As you have addressed, this is severe, and we would look at some volumizing combined with skin excsion.
+2
We use Fraxel CO2 about 6 weeks after lower lid surgery
I use the example of washing sheets--You know after they come out of the dryer the sheets are pretty wrinkled. Then you stretch those sheets on the bed and you can still see the creases--- the only way to remove those creases is with a steam iron--the same goes with your skin. If you pull the skin too tightly, you can end up with ectropion or tugging on the lower lid. After about 6 weeks or so, I Fraxel my lower lids and this tightens up and smoooths out those creases.
Talk to your...
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Creating taut skin of the lower eyelids can be difficult in some cases
Creating taut skin of the lower eyelid can be a difficult task to accomplish without significant risk of lower eyelid malpostion. The position and balance of the lower eyelid is very complex and there are many factors that come in to play when deciding what type of lower eyelid blepharoplasty is appropriate in each individual situation. The lower eyelid is like a clothesline. Too much tension and pull will cause a bowing of the lower eyelid creating the hound dog appearance. The...
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Work closely with your doctor on post blepharoplasty concerns
You are still in the early stages of healing. This is a fairly traumatic operation for such a small and delicate area. You should do nothing without notifying/consulting with your surgeon, as what you do now may affect the outcome.
A word of encouragement. Many times after surgery like this, the skin appears loose. Over time, and with maturation of the site, the skin contracts or shrinks down and redrapes.
In several months, if there is still laxity of the skin, several options are...
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Skin wrinkles after lower blepharoplasty
I assume that you had a transconjunctival ("inside the eyelid") blepharoplasty with some additional wrinkling after the fat was removed. In this case, there are a few options to discuss with your facial surgeon:
1. chemical peel
2. laser resurfacing
3. skin pinch
If you had blepharoplasty with the incision right under the eyelashes, then I would adivce you to wait for further healing to take place before considering any additional treatments.
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It is best that you discuss this with your surgeon
Dear Jen Jen,
At 4 weeks out from eyelid surgery, you are very early from the eyelid surgery. If you are interested in further improving the eyelid skin wrinkling, you should discuss this with your current surgeon. Any plan to rejuvenate the lower eyelids should address the wrinkles of the lower eyelid. This may involve removal of skin during the eyelid surgery or by skin resurfacing which can be done in a variety of ways. These treatments can be performed at the time of surgery or can be...
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Fractional laser resurfacing can help eyelid wrinkles
Fractional laser resurfacing can smooth eyelid wrinkles and Botox can reduce crow's feet.
It is important to wait 3 months after your blepharoplasty for healing to occcur and many of the wrinkles you see now may be gone.
You must have good lower eyelid support if you are going to have resurfacing of the eyelid skin. If your lower eyelid is lax, resurfacing can pull the skin and eyelid down.
See before and after pics of laser resurfacing of lower eyelid and botox treatments: Set 1, Set 2,...
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A pinch may help
Since it has only been four weeks since the blepharoplasty, there is still swelling in the lower eyelids. We can possibly make a final decision as to whether or not a pinch of skin needs to be taken on the lower lids. If a pinch of skin needs to be taken, it has to be done very conservatively so as not to change the shape of the eye or get a pull-down effect.
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