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Filler Under my Eyes After a Blepharoplasty and Laser Surgery?

asked 3 years ago by intears in Toronto
Latest answer by Anil R. Shah, MD
Question viewed 4,030 times
Tags: age 35-44, female

Or is there other options to help me? Im a 36 year old female who decided to get a few wrinkles out of the way...nothing to severe. I didnt do enough research on the procedure. I also got laser resurfacing underneath as well. It has now been 8 months and am in tears of the results. I look back now and nothing was wrong with my eyes. The doctor gives me botox injections right beneath the eye but this is a life long thing i never expected. My eyes look hollow more wrinkes and loser. I am in tears at 36 and cry myself to sleep. I dont know what to do? My surgeon suggests resurfacing again...or a filler parlene...or making a small insiscion underneath the eye to take away the saggy look...but i am very scared they will get worse? What about a fat transfer?Should i do it or is there something better to resolve this. I find my skin beneth my eyes very thin now......help me please. I use to be an attractive girl...now feel like hiding away in a hole due to this procedure.

17 answers to Filler Under my Eyes After a Blepharoplasty and Laser Surgery?

Fat injections are the way to go

We are embarking on a new frontier in volume replacement. Fat injections, if done well, do not clump. If they are done with large needles, poorly prepared, and injected in irregular volume, then lumping can occur. However, newer techniques, including the Viafill system (available in May), will allow for smooth, long-lasting fill. Fat also has stem cells in it that will help to thicken the crepey skin you complain about. Find a good doctor who performs fat injections regularly.... more

Robert M. Freund, MD
New York Plastic Surgeon

Correction after Blepharoplasty possible

In tears, Correction of your present condition can probably be done. I would suggest consulting with another surgeon to see if the recommendations are similar. If so, staying with the original surgeon would save you money, as he/she should correct it pro bono. If the recommendations are different, consider even a third consultation. Good luck!

Kenneth R. Francis, MD
Manhattan Plastic Surgeon

Hollow eyes after Blepharoplasty

I don't have photographs of your eyes so it is difficult to give you specific advice. That being said, it sounds like your surgeon performed a traditional lower blepharoplasty and was too aggressive. There has been a paradigm shift in Plastic Surgery with regards to the way surgeons perform lower blepharoplasty. We have noticed that over resection of lower eyelid fat has changed the way Plastic Surgeons approach this procedure. The trend is toward conservation of the lower eyelid skin,... more

Daniel Reichner, MD
Newport Beach Plastic Surgeon

Slow down with the eyelid procedures

Dear Intears, It is very common to be dissatisfied with the results of lower eyelid surgery, especially for someone who is as young as you are. You should be more aware than most that it is easy for a surgeon to promise you the sun, the moon, and the stars, and then not deliver. After surgery, they may tell you your issues are minor, will get better it time, or that you're simply wrong and this is the way it is supposed to look. The fact of the matter is that eyelid surgery is an art... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Options following Blepharoplasty

IF your skin is too thin, I would avoid any additional resurfacing techniques. There are few products or techniques to "thicken" the skin. One of the few products to actually thicken the skin are retinoids. However, you must exercise extreme caution in the use of these products around the eyes. IF your eyes are hollow-looking, you could contemplate the use of a filler. Hyaluronic products such as Perlane, Juvederm, Restylane, and Prevelle are commonly employed here. There are two... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

You must be carefully examined

Blepharoplasties can be one of the easiest procedures to do, but the periorbital anatomy is more complex than most appreciate. Your anatomy will dictate what options you have. You cannot look at wrinkles in isolation nor hollowness nor bags. Each can be caused by a multitude of anatomical structures and their relationship with each other. Bags do not always mean you should have fat removed. Hollowness is not always correctable by fillers. Wrinkles can be overtreated by resurfacing. No one... more

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Multiple eye procedures carry risks

I'm sorry to hear about your concerns about the results from your lid improvment procedures. There are many different techniques that can be used to improve your condition. However, you should proceed with caution. Multiple eyelid procedures carry the risk of creating problems with your lid's ability to protect your eye (conditions like ectropion). First, be sure you've given enough time for healing, this can take up to a year. In addition, when you're being evaluated for revisionary surgery... more

Steven H. Williams, MD
San Francisco Plastic Surgeon

Lower eyelid blepharoplasty results

Lower eyelid blepharoplasty results are obviously best assessed in person. When there is persistence of lines under the eye after a lower lid blepharoplasty many anatomic questions must be assessed including the following: Is there extra skin present? Not all patients are candidates for a transconjuctival blepharoplasty and have too much skin present preoperatively. Removal of extra skin can be the best option for the right patient. (i have a link to a... more

Anil R. Shah, MD
Chicago Facial Plastic Surgeon

Answer to your question

First I am sure you are still an attractive girl. Secondly, filler and fat grafts can sometimes help in this situation.

Chris Thiagarajah, MD
Washington DC Oculoplastic Surgeon

Fat transfer works for hollow under eyes.

Hi. I am sorry to say you have a very difficult problem. You need to find a plastic surgeon or an oculoplastic surgeon with experience doing fat transfer (fat injections) for the tear troughs and the under eyes which are hollow. This can work well but is difficult. I don't have a permanent solution for the wrinkled skin.

George J. Beraka, MD
Manhattan Plastic Surgeon

Fat Grafting

Structural fat grafting can be used for upper or lower eyelids and is often used to correct aggresive blepharoplasties where too much skin and or fat has been removed. Structural fat grafting uses small amounts (less than 0.1 cc at a time) of fat are carefully microinjected in a series of discrete layers to gradually 'build' new soft tissue structure. As there is space between each microinjection, new blood vessels are able to grow into the grafted fat, allowing it to persist. If this... more

Michael Law, MD
Raleigh-Durham Plastic Surgeon

michaellawmd.com

Fat transfer or fillers can be used

Yes, often when there is a residual hollow area at the outer orbital rim of the lower eyelid a filler can treat this. I prefer to use the eyelid fat to transpose in this area during surgery. But a filler can always be used if necessary to give good results.

David R. Stephens, MD
Seattle Plastic Surgeon

Blepharoplasty and additional options

It is hard to even comment about what to do without seeing pictures or evaluating you. If fat was removed and some skin was removed, the lower lid should look better. I doubt the wrinkles were significantly improve from that porcedure. If you think it is hollow, sometimes fillers can camouflage. If the skin is loose, sometimes lasers can help.

Steven Wallach, MD
Manhattan Plastic Surgeon

Fat transfer is an excellent idea

As we age, we lose fat that overlays the orbital bone under the eye. This, along with the general sagging that occurs in the face, can result in loose, hollow areas under the eyes, much like a balloon that is losing air. Fat grafting can restore a youthful appearance under the eyes in a very natural manner by "blowing the balloon back up." The results can be long lasting and the procedure is easy to undergo. Good luck. Dr. Miller

Andrew Miller, MD
Edison Facial Plastic Surgeon

www.associatesinplasticsurgery.com

Open fat grafting is your best option. Avoid fillers and further laser resurfacing.

The hollowness can be corrected with open fat grafting. I typically take fat from around the belly button and place it into the hollow area through a tiny laser incision on the inside of the eyelid. I do not use filler injections around the eyes-fillers tend to lump and show through the thin eyelid skin. I prefer open grafting to fat injection because the fat survives more uniformly when grafted whole-injections often leave visible lumps around the eyes. Check this website for lumps around... more

Brooke R. Seckel, MD
Boston Plastic Surgeon

www.drseckel.com

Fat grafting may be a nice option.

Some patient has similar concerns after lower lid blepharoplasty as you do. I often feel that surgeons are too aggressive with taking out fat from the lower lids. This often leaves a sunken or hollow look. At this point, you may consider fat grafting to replace the missing volume. Also another round of resurfacing or TCA peel may be helpful. As long as your eyelid maintains it strength - that is, it is not loose or pulling away from your eyeball - then you can safely undergo further... more

David Shafer, MD
New York Plastic Surgeon

There are good options for eye wrinkles and hollowness

A picture would be very helpful but in general it seems that you might require a revision surgery at some point. The hollow areas could be filled, but I would rather see the anatomy restored, as this requires a little more than a filler. There are lots of answers for you, but a good analysis will require a picture or a clinical exam with a plastic surgeon with special training in eye lid surgery. Hope that helps!