Suggestions for Revision Eyelid Surgery?

asked 2 years ago by Vickisue in Florida
Latest answer by William Portuese, MD
Question viewed 1,911 times
Tags: eyelids, hollow

What can be done for revision on Eyelid surgery? I had mine 7 years ago, I also had the almond eyes, but now they are round, wide and hollow.

I would do anything to have some resemblance of my old eyes. Even though it has been 7 years since my Eyelid surgery, the pain will never leave, nor the face it left.

Attached are pictures. My face has aged, I have lost volume in 10 years. You can plainly see this surgery changed my appearance from attractive, to unattractive. Hollow,sunken looking face.

It is hard to see a stranger looking back at you in the mirror, if you dare look. Any suggestions? Any help?

9 answers to Suggestions for Revision Eyelid Surgery?

Rounding of the eyelids after lower eyelid surgery

The most common cause of rounding of the lower eyelids is a subciliary blepharoplasty, a surgery where an incision is made below the eyelid. When skin is removed in an attempt to tighten it, the weak lower eyelid pulls down, causing a rounding of the eyelid with a loss of the almond eye shape. If you look closely at many subciliary blepharoplasties, there is some alteration in eye shape. this typically shows as rounding of the eyelid or pulling down in the corners, producing a downward... more

Brent Moelleken, MD
Beverly Hills Plastic Surgeon

www.drbrent.com

You have both a surgical issue and post traumatic stress

Dear Vickisue You clearly have legitimate concerns regarding your appearance after eyelid surgery. The fact that you have waited so long to address these issues is quite common. It is very difficult to bring one's self back to consider surgery after what is an unexpected and often devastating loss. Many of the patients who consult me after they have had disappointing eyelid surgery have chronic depression or a type of post traumatic stress syndrome as a result of the bad surgical outcome... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Numerous possibilities and choices for correction

You are obviously very distressed about the appearance of the area around your eyes. There are numerous possibilities to improve this area from injectables to surgery, but it is 1) difficult to tell from the pictures you sent exactly what I would recommend, and 2) very important that you and the surgeon you choose come up with a plan together to meet your goals - this is best done in a face to face setting, in my experience. Good luck and rest assured, there are numerous ways that we can... more

W. Tracy Hankins, MD
Las Vegas Plastic Surgeon

You look great!

There are some things that can enhance your natural beauty such as Restylane or Juvederm to fill the naturally occurring volume loss that can occur over time especially in the lower lids and cheek areas as well as the brow region as well. You look fabulous though and these are just some small things that can enhance your appearance if you'd like.

Charles Perry, MD
Sacramento Plastic Surgeon

Some Restylane might help.

I certainly don't think you look unattractive, but I understand that you are not happy with the changes in your face. It is not possible to get all of the information needed with one photo, however I agree that at least part of your problem is loss of volume. Little things often make a big difference. I would consider replacing some of the volume loss with Restylane. The advantage is that, while it is likely to last a long time around your eyes, it is also reversible if you are... more

Marc Cohen, MD
Philadelphia Oculoplastic Surgeon

Revisional Eyelid Surgery

As we age, we loose volume. This volume loss is worsened by removing skin and fat from our faces at younger ages. The only way to restore this youth full appearance is to add fat. This is now commonly done. By removing fat from our abdomen or thighs, we can then inject this fat into the eyelids. One must realize that fat injections are not permanent and that re injections may be necessary.

Robert M. Wald, Jr., MD
Orange County Plastic Surgeon

Options for revision eyelid surgery

A revision blepharoplasty can be done to improve round, wide, and hollow eyes. A canthoplasty and/or canthopexy procedure could give your eyes more of an almond shape. Occasionally fat injections can be placed deep into the orbital septum to create a little bit of volume in the lower lids.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Canthoplasty and open composite fat grafting can help round wide hollow eyes after blepharoplasty

Wide round eyes with downward slant and hollow eyes are common after aggressive external incision blepharoplasty with excessive fat removal. Transconjunctival open composite fat grafting can plump the hollow looking eyelid. A procedure called a canthoplasty can often elevate the outside corner of the lower eyelid and reduce the round wide eyed look. These are complex procedures so you will need to find an experienced plastic surgeon who does a lot of eyelid surgery.

Brooke R. Seckel, MD
Boston Plastic Surgeon

www.drseckel.com

You're not playing fair

Now Vickisue, You are being much too hard on your eyelid surgery and you are NOT comparing apples to apples, or cheeks to cheeks, in your case. The photos that you have provided are AT LEAST 7 years apart, one is professionally done, lighted and probably airbrushed (photoshop), you are made up in one and not the other, and I would bet ten pounds heavier in the earlier picture. In fact, with these factors taken into account, your eyelid shape is well maintained. I would bet that in a... more