Eyelid Surgery: Q&A
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Second Upper and Lower Eyelid Surgery Recommended?
I have been told that once upper and lower eyelid surgery has been performed, that subsequent eyelid surgeries are not recommended as they often do not go well. Is that true? I had an upper and lower bleph done 20 years ago and it looked great for many years. Now at 63 years old, due to aging and a bad fat transfer procedure, I am considering a 2nd upper/lower bleph... but am worried about trying it a 2nd time. What are your thoughts on 2nd bleph surgeries?
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8 Doctor Answers |
Asked by
notsogood
in hawaii/california
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Eyelid Ptosis Surgery Candidate
Depending on anatomic changes such as skin excess and the development of eyelid drooping (called "ptosis"), you can safely have more than one eyelid procedure in your lifetime. I would like to point out to you that you appear to have ptosis, particularly affecting the left eye where it is difficult to see your pupil. A blepharoplasty alone is not likely to make your eyes look "brighter" without the ptosis being addressed. Ask your doctor when you have your consultation...
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Eyelid ptosis
Eyelid ptosis and volume loss is the problem most obvious in the photo you have posted. The eyelids are droopy. You are obviously compensating on the left eyelid with your brow elevation.
Addressing the eyelid ptosis may also improve the hollowness of the upper eyelids, but certainly fillers or fat grafting [done appropriately] would also improve this hollowness.
If you decide to explore this further, I would recommend consultation with an ASOPRS trained Oculoplastics...
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Second Upper and Lower Eyelid Surgery Recommended
You certainly can have another eyelid surgery if it is needed. However, often it is not the same procedure as you had before. For instance, It seems like you have ptosis (droopy eyelid). A ptosis repair might be all you need and that would be a different incision and plane from your previous surgery. Sometimes a brow lift is indicated. Laser resurfacing or peels can be performed for your lower eyelid skin. The best thing for you to do is see an...
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I'd been considering having this done for years. At 51, I decided it was time. Surgery is...
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Blepharoplasty is cosmetic surgery to remove skin, muscle or fat. This is not what you need!
Your upper eyelids are sunken. This can occur over time but removal of the upper eyelid fold at the time of blepharoplasty can certainly contribute to the process. There is essentially not a drop of spare skin in your upper eyelids. However your upper eyelids are droopy or ptotic with the upper eyelid margin encroaching into the pupillary axis. The hollow upper eyelids are consistent with a particular type of upper eyelid ptosis known as levator dehisence ptosis....
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Repeat eyelid surgery / blepharoplasty
There is no problem with having another eyelid procedure, especially 20 yrs after your original surgery. Your eyelids will continue to age and your eyelid skin will continue to loose tone. Repeat eyelid surgeries are a little more complicated because of changes in eyelid anatomy and scarring. The tissue planes may not be as distinct. This is only a problem if you have revision surgery when the wounds are still healing and the scar tissue hasn't had a chance to settle down. Initially when...
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Secondary blepharoplasty
There is no specific problem with performing a second blepharoplasty procedure, especially 20 years after your initial surgery. With any revision surgery changes resulting from the previous procedure must be taken into account so you should consult with a surgeon with experience performing second blepharoplasties. Additionally, the aesthetic considerations will be different for you now since you are 20 years older and have had fat transfer. All of this needs to be discussed...
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Revision blepharoplasty
Revision blepharoplasty is sometimes indicated, but it is very individualized based upon your exam. I recommend a consultation with a surgeon. Good luck.
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Secondary blepharoplasty should give good results.
Secondary blepharoplasty should give good results if you have an experienced surgeon. Make sure that a forehead lift is not what you need-cannot tell from photos.
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