What Tx Recommended for Eyes with Puffy Bags & Wrinkles? Will Tattoo Eyeliner Be Cut Off? (photo) Doctor Answers, Tips
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What Tx Recommended for Eyes with Puffy Bags & Wrinkles? Will Tattoo Eyeliner Be Cut Off? (photo)

What tx recommended for eyes with folds, puffy bags underneath Will surgery cut off the permanent eyeliner above and below? What can I do about upper eyes which didn't heal properly from 1996 surgery?

upper eyes done in 1996; left eye doesn't droop but is more upper eye worth cost as plan for lower face & neck lift. New concern for recent appearance of folds & bags WHEN I SMILE! Catch 22; when I don't smile, lips are downturned and look sad combined with puffy marionette lines each side. Dermatologist suggested various skin tightening ie: laser, Pelleve, thermage & botox but wouldn't a surgeon prefer blank slate? Will permanent eyeliner be cut off with blepharoplasty?

Updated: January 25, 2012

Tags:
eyes downturned marionette lines puffiness wrinkles
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1 Doctor Answer | Asked by chellamia in St. Petersburg, FL
+2

Correcting eye hollowness with fat grafting

Lower lid hollowness can be improved. One must exercise care and caution, as lower lid skin and the underlying soft tissues are usually quite thin, and thus the lower lids are less able to conceal grafted fat. Fat grafting must be preformed conservatively here, with a plan for secondary and occasionally tertiary fat grafting procedures depending on the 'take' of the initial fat grafting surgery. One of the most remarkable and rewarding enhancements I have been able to provide patients... more
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Comments (1)

chellamia 24 Jan 2013
I am not clear about this answer. My biggest concern is the recent bags I've developed under my eyes and I did have eye surgery in 1996 to correct a droopy eye which did have some problems healing so it doesn't look quite right now. Is the doctor talking about hollowness under my eye or the upper eye and is he saying that fat grafting would be for under or above? I have heard good things about fat grafting but also that it doesn't last as can get absorbed by the body so not sure about this.

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