Eyelid Surgery: Q&A

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Why Would A Surgeon Be Reluctant to Perform Under Eyelid Surgery?

I have visited a plastic surgeon with a view to getting an upper and lower eyelift. The surgeon agrees that I would benefit from an upper lift but says I do not have eyebags and the skin under the eyes is not perfect and is loose but would not benefit from surgery. However, I definitely do have puffy bags under my eyes and people I have asked agree with me. Why would a surgeon be reluctant to operate.

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6 Doctor Answers | Asked by confused millie

Doctor Answers (6)
Community Comments (0)

Fools rush in where Angels dare to tread.

Millie There are hundreds of thousands of bad eyelid surgery results out there. Arrogant surgeons imbue themselves with the attitude lower eyelid surgery is supposed to pull the lower eyelid down or alter the shape of the lower eyelid or leave the lower eyelid paralyzed. Whatever your post-surgical concern is that is what surgery is supposed to do. Others recognize that there is something wrong with our surgical paradigms. They try to be very selective in offering... more

Kenneth D. Steinsapir, MD

9 reviews

Los Angeles Oculoplastic Surgeon

Eye bags

There is ABSOLUTELY no question that surg8cal correction of lower eye bags is more tricky than surgery to correct upper eyelid skin. That is the only explanation I can give you. My best advice would be to consult a well-trained specialist in oculofacial plastic surgery.

Lawrence Kass, MD

34 reviews

Saint Petersburg Oculoplastic Surgeon

www.kassmd.com

Bags Under Eyes

One way you can tell if you have significant bags under eyes is to gently pushon the eyeball with eye closed while looking with the other eye. If you see enough eye bags, these can be removed. The pictures you have provided are hard to evaluate. As to why a surgeon might be reluctant to do the lower eyelid? The lower eyelid surgery is more complicated and if there is no fat but only a small amount of skin, then it is not worth doing the surgery. If you have doubts you can always get a... more

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Why Would A Surgeon Be Reluctant to Perform Under Eyelid Surgery?

The surgeon probably believes that he will not be able to improve your appearance. If you think otherwise, you are entitled to receive another opinion. See an Oculoplastic surgeon. Good luck.

Sam Goldberger, MD

12 reviews

Beverly Hills Oculoplastic Surgeon

www.neweyelids.com

Not a good surgical candidate for lower lid blepharoplasty

Millie, Perhaps the are issues that only a complete evaluation would clear up. If I were to guess perhaps your lower lid anatomy puts you at greater risk of lower eyelid malposition post op or you may have malar bags and not the more common fat buldges. Did you ask the surgeon directly? You already paid for an opinion so ask. Good luck

Why not correct my lower lids?

Confused millie, From your description,I am confused also. There are a myraid of ways to treat the lower lid; take away fat, pinch skin, excise skin and muscle, add fat, tighten the tarsal plate, etc. It is a complex procedure in any event. For you to be comfortable with your surgery you must be comfortable with your surgeon. Take some time to explain your concerns to your surgeon. If heor she does not seem to be hearing you, then consult one or more other physicians. Be sure the... more

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