Unbelievable bags under my eyes. Lower Bleph or Facelift or..? (photos)
Doctor Answers 6
The importance of choosing an eyelid surgical specialist, and why a facelift is a separate procedure
The lower eyelid is a very complex structure. As a specialist, I deal with patients from all over the world, where they had lower eyelid surgery by board certified plastic surgeons and they have had severe lower eyelid retraction, skin loss, exposure and their lower eyelid was disconnected from their outer corners. Lower eyelid anatomy is complex and sometimes surgeons who don’t have specialized training will get themselves in trouble. The lower eyelid tone and position is so critical - it is important point in your decision-making process when you meet with prospective doctors in choosing who to do your lower eyelid surgery.
Very often, we will combine the lower eyelid surgery with the face and neck lift surgery. When you meet with a doctor, the way to understand if the doctor is at a mastery level of the lower eyelid surgery is by doing various tests to check the tone of the lower eyelid, such as a pull test or a snap test. With that, there are options on how to ensure that the lower eyelid position is maintained or enhanced with procedures such as lateral tarsal strip. When you are doing your consultations, you may decide whether to do the procedures together or to do them separately. With your level of anxiety it might be practical to do the lower eyelids first to make sure everything turns out right.
In our practice, we don’t use general anesthesia routinely for any procedure. We do everything in local LITE sedation™. By doing that, our patients can make decisions based on their own comfort rather than the incentive to do as much as you can while going under general anesthesia.
Learn more about your situation and meet with qualified experienced cosmetic surgeons about your lower eyelids, facelifts and neck lifts. Once you feel comfortable, move forward and have these procedures done. I hope that was helpful, I wish you the best of luck, and thank you for question.
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Blepharoplasty may make your festoons look worse
Lower Bleph or Facelift?
Although your photos are limited, it looks as though you would benefit from a face/neck lift. In addition, upper and lower blepharoplasty. However, you have festoons which are difficult to treat. For a more thorough discussion regarding this, I recommend that you see a board certified plastic surgeon in consultation to get more specific answers to your questions which can best be addressed after a thorough history and examination is performed.
Best of luck to you!