Eyelid Surgery before & after photos
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439 reviews
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Eyelid Surgery Cost $4,300 average cost

Definitely Not Worth It

27 posts
Comments (34)
Updated 12 Feb 2011
Posted 6 Jun 2009
Not Worth It
Spent: $3,000 in Gainesville, Florida

There are no pros to upper eyelid surgery. I was left with a lot of hollowness, scarring in the inner corner of my eyelid and shortage of skin.

The cons are that it is a risky procedure, if you don't go to the right doctor, you will be out of luck. Not much can be done for too much fat and skin that has been taken out of your upper eyelids and you will end up looking older from a skeletonized appearance.

Updated on Jun 6, 2009:



Updated on Dec 23, 2009:


Updated on 12 Feb 2011:
I am in the process of having to get a skin graft on my left upper eyelid due to the skin that Dr. Nesmith took off. I am unable to close my left upper eyelid and must use cling wrap and use an eye patch with dry eye ointment in it every night. I also am unable to wear any make-up due to the loss of skin. I am left with hollowness as well as too much fat was removed. There is not much else that can be done when too much skin and fat have been removed. If anyone is intent on doing it; please seek an oculoplastic surgeon for this procedure who will take your individual eyes into account and will be conservative with skin and fat removal and not damage the integrity of your eyes.

This review is the subjective opinion of a RealSelf member and not of RealSelf, Inc.

My Doctor:

My rating:
Did not attent the pre-op appointment, only met with his nurse. Does not communicate with patients; personality is not warm; not skilled at upper eyelid surgery.
Vote: 9 members found this review helpful

Comments (34)

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Minnie (37 posts) 9 Jun 2009
I think your eyes look great - it's too bad you are unhappy.
nightmare (27 posts) 16 Jun 2009
It is not the eyes, it is the eyelids that were hollowed out and too much skin removed.
t37352 (48 posts) 9 Jun 2009
Hmmmm Where is the problem with your eyes ? I see nothing wrong with them....
nightmare (27 posts) 16 Jun 2009
It is not the eyes; it is the eyelids, too much skin and fat were removed, leaving me with hollowed eyelids.
Isi (unregistered guest) 10 Jun 2009
I understand exactly what you mean. You are right.
Bama Chick (56 posts) 12 Jun 2009
I don't know what your eyes looked like before the procedure, but they look great to me.
nightmare (27 posts) 16 Jun 2009
It is not the eyes; it is the eyelids that were hollowed out and much skin removed.
Cindy Larousse (4 posts) 30 Jul 2009
Yes you are right, i have the same appearence after agressive lower and upper eyelidsurgery. I hear upper eyelid ptosis recovery surgery can better the hollow appearance and correct the upperhollowness a little.
t37352 (48 posts) 17 Jun 2009
I think a BEFORE Pic would be great. Because to us who have never seen you, you look wonderful!
nightmare (27 posts) 24 Jun 2009
No one can see the physical pain of having dry eye syndrome caused by a lack of skin and an eyelid that does not close all the way at night.
ernurse (67 posts) 1 Jul 2009
too true. I put up with it for 3 years. I often had tears running down my cheeks because of the altered/wrong eye shape I now had courtesy of my dodgy surgeon. My eyes felt like I had red hot needles sticking into them. Do not put up with it. Seek out a surgeon who will fix it. One whose speciality is revision.
vanidozza (7 posts) 12 Jul 2009
I think your eyes look beautiful, but maybe if we could see a before picture we could compare better.
Cindy Larousse (4 posts) 14 Jul 2009
I have the same problem, for you fat grafting is a solution, however expensive, but done bij enough surgeons in US. I live in europe, cannot find anyone with ideas for a solution
Vickisue (137 posts) 29 Jul 2009
You look better than my surgery left me looking. I had mine 7 years ago, and your right, not much can be done for revision. Do your homework. No more than 3 mil. should be taken out upper eyelid. Use doctor that isn't invasive with cutting and muscle arranging. Should have your natural crease, and eyes should be slightly wider, not round,white eye wide and looks like someone is scarring you or on crack. Actually a good surgeon will leave you looking as normal only improved. I've seen those results, and only wish I'd of shopped around for one that specialized in eyes. Being a board certified plastic surgeon, does not mean they know what they are doing in all areas.Some use out dated procedures and you suffer those results.
Cindy Larousse (4 posts) 30 Jul 2009
Please everybody, go to an oculoplastic surgeon only, a specialist in eyelid plastic surgery, many surgeons use outdated procedures and are not specialized enough, they are only experienced in general.
ernurse (67 posts) 31 Jul 2009
I agree,only go to someone who is specialised in eyes or in the revision of them. Plastic or cosmetic surgeons have big egos and wont admit to not being good at everything. My surgeon when asked how often he had done the procedure he wanted to do on me replied "oh, not infrequently". I only wish now that I had realised he meant hardly ever. Shop around people!!!
AussieGal84 (4 posts) 5 Aug 2009
I like your eyes, the look nice
nightmare (27 posts) 15 Aug 2009
My family was shocked when they first saw my eyes! I have never felt so violated than I did when I looked in the mirror and saw all of the fat and skin removed. I have seen two doctors that recommend skin grafts and fat grafting because my eye does not close all the way at night.
ernurse (67 posts) 15 Aug 2009
I am not sure how long ago your surgery was, but I would wait until things settle down, then it will be apparant whether you really need skin grafts or not. I have heard that they dont look so great. Choose your revision surgeon carefully. Ask how many times he has done repairs of this type.
Vickisue (137 posts) 17 Aug 2009
Hi Crissy...Good luck on finding a surgeon for reversion. I truly wish that someone with this problem,has had a positive reversion procedure would post a picture,or write something. I have several appointments schedules this month. All Plastic Surgeons. I went to Oculoplastic and he had no suggestions for upper lids. He did not use or like using Fat grafting procedures and only used Derma filler for lowers. All are short term,and not what I'm looking for.Also suggested Face lift, brow lift, and canthoplasty.I just can't process anymore invasive surgeries,nor believe they will fix my hollowed, sunken eye socket problem entirely. I live in the Tampa,Fl. area, and unfortunately there is not alot of specialists in this field. Although from what I've read there should be. Many aggressive surgeons in Florida, with a "in and out"or "Next" policy. I have two more consultations set up this week and one is at U.S.F. I am going to see a burn specialist in reconstructive/ plastic surgery that specializes in eye area. Wow, who would ever think this would take me this far. I only wish I would have held my original surgeon more accountable. Even though I had lost trust in her abilities, and did not want her touching me any longer(not that she had a clue on what to do next)I wish I would of continued making appointments,so others in her waiting room could see and discuss possible misfortunes. Plastic Surgery can leave you DEFORMED!! I try to get this message out there and also any "Rate a Doctor" Web Sight, I do what I can in warning others of this surgeon. Funny thing,I'm finding now,I'm not alone in this ordeal regarding this doctor. Others have complaints against her too.This news comes to late,and wish I'd of known it 7 yrs ago.Would of saved alot of pain. I have no guarantees on reversion results or if possible. I am willing to listen to any advise and try what sounds promising,and possibly achievable with little risks to my sight, and invasive measures. I honestly do not want anymore cutting than necessary. My eye area is sensitive, and skin is thin. Again, I've learned even the best of surgeons can run into difficulty,and not achieve desired results. It's easy to take out, not so much to replace. My eyes do not stay closed during sleep at night either. This is more a weight problem that removed skin. Removal of skin doesn't help, but if you can blink, it shows lids close,skin is present.Not enough to give the weight you once had or stay closed when asleep. I've used tape the whole nine yards. My natural crease or fold was completely removed. If I'd of known this before going in, I never would of had this surgery.I was mislead in thinking a small incision and small amount of fat removed. Leaving my eyes as natural as before. Told my eyes would appear wider, but not altered,rounded, hollowed or made me look hard and empty. They cut and remove tissue and fat for this procedure. It is normally for drooping skin that blocks vision. None of which I had.This surgeon should have seen this, known this and therefore not been so aggressive. Not all are skilled in this area, and up to date on new techniques. Certified means nothing if they are "old school" in procedures.If the surgeon is aggressive you end up deformed in search of revision. Eye's are the hardest to restore. I have been told I will "NEVER" have my old eyes back. And to be very careful, could end up worse. I am terrified, and if it weren't for the traumatic, depressive and devastating affect this leaves on you I would just chalk it up to a bad mistake, and never look in the mirror again. THIS IS MY FACE!!! I cannot do that.It took the face and eyes god gave me, and raped me of my genetic identity. I no longer resemble my family. People I went to school with, no longer recognize me, and it left me with a negative , not Positive experience. There is more out here today than there was 7 years ago. Never give up. If I do find a surgeon that is skilled in this area,I promise I will let all know.Keep this forum open and going. Sooner or later something positive will come of it.
nightmare (27 posts) 19 Aug 2009

Vickisue: I feel for you because I have been going through the same thing for the past 3 years. I wish I had never used this Dr. for my surgery. I also feel violated and raped by what happened. I wish I had listened to my inner voice, I felt something was not right when he did not even attend the pre-op visit and I only saw his nurse. The morning of the surgery, he did not even talk to me, but just began marking on my eyes with a pen. How I wish I would have known then what I know now about eyelid surgery!!!!!!

tre (1 post) 19 Aug 2009
Cissy, I'm sorry this happened to you. I don't think you look as bad as you see yourself though. As far as revision, I have been doing a lot of research into fat grafting/injectibles in the eye area, and have come to understand who the experts are in these areas. I have specifically read reviews of patients who have gone to Dr. Jonathan Hoenig in LA for revision of botched eyelid surgeries. He is an oculoplastic surgeon, and is very highly regarded as an expert at the eye area. I've also learned a lot about Dr. Samuel Lam in Dallas - he is an expert in fat grafting around the eyes. Just thought I would share this info, because I don't think that revision is impossible - you just have to find the right person. Best Wishes!
Vickisue (137 posts) 24 Aug 2009
Hello Cissy, I hope this finds you well. tre, is correct in her assessment of doctors. Dr. Hoeing in California is known for revisions. So is Dr. Lam, in fat voluming. Dr. Lam does allot of facial volume in place of face lifts. I had an i-consultation with Lam a few years ago. He can help with lower, but uppers can be tricky. Both physicians are out of State and since I do not know your financial situation this may not pose a problem for you. I choose to search in my immediate area,of Florida. I've stated before, this reversion is one of the most difficult to perform.You are going to hear good and bad results. It depends on the surgeon,your individual condition/situation,extend of correction, age and your health. Even the best surgeons cannot guarantee success. Since you had your surgery 3 years ago, and mine (7)seven,it may be in our favor. Looseness of skin in that upper area is what is needed. Since time has given that area a chance to use movement of muscle and as a result loosened and formed some saggy skin again, fat strip grafting,fat injections, or fat grafting have a better chance of surviving,and obtaining blood flow. Which method to use is the debatable one,there is where you must read and read, educate self. I had a consult with an experienced Plastic Surgeon/Oculoplasty in this area. He too thinks Strip Fat grafting is what is needed to add tissue,create volume to upper lid and re-create the crease or fold. Hopefully reshaping my eye to a more almond shape as well. Face lift was recommended for lower eyes area and loss of volume.You really must be careful. When one area is manipulated by surgery,it can negatively affect another area of your face. I'm not so sure about the face lift for reversion,and it is optional for now. That's based on me,and my individual needs. Again, there is a 90% success rate, for upper strip fat grafting, but that 10% unsuccessful rate is as real as everything I've read regarding this reversion, and techniques. I've stated before,my expectations are to have some resemblance of what my eyes once looked like in shape, volume and form. I will "never" have my old eyes back. I have not yet made any final decisions. I have attached some information regarding volume to upper and lower lids you may find interesting. Educate yourself!Finding a doctor in this specialized area,using new approaches that are more apt to work, good luck. Rehabilitation of the volume deficient anophthalmic or enophthalmic socket. Methods: A retrospective review of clinical and photographic records of 12 patients with either an anophthalmic or enophthalmic orbit (14 orbits) undergoing volume augmentation by micro-fat grafting, or lipostructure, as initially described by Coleman. Patients with orbital volume deficiency seen in the oculoplastic clinic at Chelsea and Westminster Hospital, London, UK, were invited to participate in the study. The technique is discussed in detail. Results: The volume of fat injected ranged from 0.8mL to 4.5mL (median, 3.05mL) per orbit, with a median increase in exophthalmometry measurements (available in 9 patients) of 2mm (range, 0–7.5mm). Subjective improvement in cosmetic outcome was experienced in all patients. Repeat grafting was required in 1 patient, and will be required in another patient. There were no embolic complications. The procedure was well tolerated in all patients. Median follow-up was 14.5 months (range, 12–30 months). Conclusions: Micro-fat grafting to the anophthalmic or enophthalmic socket appears to be a safe alternative technique for orbital volume enhancement. It has the advantages of avoiding alloplastic infectious complications, ease of technique, minimal donor site morbidity, acceptable graft take rate, low embolic complication rate, and good cosmetic outcome.
Vickisue (137 posts) 24 Aug 2009
Here is more information: A revisional blepharoplasty is a reconstructive corrective procedure that is done to fix mistakes and complications that occurred with a patient's first blepharoplasty surgery. The risk of needing a revisional blepharoplasty is low when a qualified and experienced surgeon performs the original surgery. Even with a highly competent surgeon, there will always be risks of complications associated with any surgery. Revisional blepharoplasty is often sought because a patient is dissatisfied with the aesthetic outcome of the first surgery. Some patients are dissatisfied with an overly conservative procedure, which may be remedied with revisional blepharoplasty surgery. It is very important that a patient fully understand what to expect of their surgical results. Having realistic expectations of a surgical outcome will reduce the likelihood that a patient will seek revisional blepharoplasty surgery. It is also possible that revisional blepharoplasty will be desired because of a surgical misjudgment made by the doctor, which results in asymmetry or under-correction. For this reason, it is important to have blepharoplasty performed by a competent and experienced plastic surgeon. Asymmetry is not an uncommon outcome of blepharoplasty surgery. If the imbalance is significant, revisional blepharoplasty may be an option to correct the problem. In addition to aesthetic discrepancies, there are many medical reasons why revisional blepharoplasty may be sought. As with any surgery, there are risks of complications associated with blepharoplasty surgery. Complications are rare but may include: blurred vision, loss of vision, ptosis, abnormal lid position, scarring, or skin color, eye burning, corneal abrasion, trouble or inability to close eyes, hematoma, double vision, and more. In some cases, these complications will heal on their own, some are permanent, and others can be corrected through a revisional blepharoplasty. The complications that may be corrected with revisional blepharoplasty can include: difficulty or inability to close the eyes, milia, ptosis, and other correctable problems. Milia is the formation of small skin cysts on the scar tissue, which may resolve without intervention or removed during revisional blepharoplasty. Ptosis is the creation of a droopy upper eyelid that is caused during the first surgery and can often be corrected with revisional blepharoplasty. Comparatively, a blepharoplasty procedure is one of the most difficult plastic surgery procedures to revise. This is because the delicate tissues of the eyelids are quite unforgiving when it comes to undoing the damage caused during a blepharoplasty surgery. Depending on a patient's condition, revisional blepharoplasty may be a viable option to correct problems relating to a blepharoplasty surgery. For more information on revisional blepharoplasty, please contact us to confer with a qualified surgeon in your area with the expertise and experience necessary to revise a blepharoplasty procedure.
justchecking (2 posts) 28 May 2010
you might want to consider: Dr. Aharanov from Los Angeles. Check out the pictures under non-surgical lid lift where he addresses your problem. Hope this helps.

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