Options for Under Eyes After Upper Eye Bleph ?

I recently had an upper eye bleph which...

I recently had an upper eye bleph which dramatically improved my appearance . My lids were so droopy that I didn't remember what it looked like to see the sky ...no kidding ! They were so bad that my insurance paid for upper lid surgery.

Now that they are done and I am able to see better , I am noticing that under my eyes look tired and sunken . Can you recommend some fillers or fat transfer that would be appropriate for me ? Do I need a lower lid bleph or can I get away with fillers for now ? Thanks !

Pros : This took years off of my face at 52 I...

Pros : This took years off of my face at 52 I can see an amazing difference in the before and after. I can see so much better not just up but left and right . I did not realize how little I was seeing ...it was like I had a baseball cap on for years but didn't realize it. I feel so good when I look in the mirror and see a younger image. I actually went to the eye doctor for latisse and he told me I needed this surgery! I had no idea how much I needed it until it was over and all of the swelling went away about 3 weeks later.

Cons : I really don't have any ...would do it again in a heartbeat.  It was very difficult ...I am a nurse and had to go back to work on Monday after surgery on the previous Thursday evening which only gave me 3 days to recover. I felt lousy and looked worse ! lol ..I bruised very badly and was really embarrassed ! 

Hi Kat I have a question....did you have to get a referral to get this surgery approved by your insurance? My mom had this same surgery done when she was in her 50s and I remember it was covered. I have inherited her droopy and somewhat assymetrical lazy eye. I want to know how to go about getting this covered. Thanks! Lauri
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Hi Laurie , No , I did not get a referral. I just went to Dr Berg and his office took care of it all ...first they do all of the visual testing to see if it is warranted but in my case he did not think it would be a problem. ....they did say that if the insurance did decide to not cover it that I would be responsible but he only charges $1800 for an upper eyelid surgery. He may have given me a professional courtesy because I am a nurse who worked with him at the hospital for many years , but still he IS reasonable maybe because he is not a plastic surgeon but an eye surgeon. There are no bells and whistles , your surgery is done in office , with no anesthesia , but who needs bells and whistles to get 10 years knocked off of your face right ? :) Happy New Year ! Kat
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Hi ... My doctor is located in Monmouth County ...he has offices in Asbury and also in Brick ..that is Ocean County ....however he is not a plastic surgeon he is an ocular (eye surgeon) . Lower eyes will not be covered under your insurance ..only upper IF they are obstructing your vision. I am so surprised that at your age you have bags ....you may want to have your thyroid checked and also make sure you are keeping your body hydrated ....I hate water more than anyone I know but it does make a huge difference in our eyes ....Kat
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Pros ~I can see again , I look way better than I...

Pros ~I can see again , I look way better than I had pre-op and am having fun applying shadows where I could not at all before , due to having no upper lid showing.

Cons~I wish there had been more skin removed from my lids, under eyes seem to look more hollow.



What can I do for under eyes now that upper lids...



What can I do for under eyes now that upper lids have been done ?


-- Updated on Jan 3, 2010:

It has been 4 months since my upper lid bleph and all is healed. However I notice that there is still a significant amount of skin that now folds over the incision line , more on the left eye than the right. Even when my eyes are closed there is skin that is covering the suture line. It shows the most at the outside corners where the suture line extends past my eye.
Would it be out of the question to ask my surgeon to do a scar revision and remove that excess skin ? Would I be required to pay for a whole new procedure? Of course I understand I would have to pay for local anesthesia , use of office etc but don't want to pay for a bleph .
My eyes are back to looking tired and droopy , although I can see better , I want them to look as best as they can .
I feel embarrassed to ask my doctor but I really want the incision line to be fixed. Would love to hear input on this ...thanks !
Gee thanks, lol :p I have been thinking the same , however was wondering if injections into the tear trough may work ...its really not that bad ? I don't normally have huge bags under my eyes , could be swelling in this photo from the upper lid bleph. Seems like all of a sudden my face is falling ! Not to mention the body. There seriously should be a menopause makeover , not just the mommy makeover.
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Looking at your photos, you have a small need for a lower lid bleph. I would have an ophthalmic plastic surgeon take a look at it and see what they think.
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Thanks so much M for the sweet compliment :) ! I actually feel so much better having had my eyes done. I didn't realize HOW tired and old I looked until after. I look at pictures from before the surgery and I am blown away that a 30 minute surgical procedure could take 10 years from my face. I don't know why I waited so long. I would do it again in a second. Good luck and DO keep me posted. Kat
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Its been 3 years since I have had my upper bleph...

Its been 3 years since I have had my upper bleph and I am still pleased ...,however its time to do something about my lower lids and some fillers in other areas.
I realize this is dated, however if by chance you or anyone sees this with the knowledge... how is it you paid only $200 for your procedure? It looks great!
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Name not provided

My doctor was awesome. I think because he is an eye surgeon and performed many visual tests my insurance company paid for my surgery. Probably they would not have done so if I had gone for only cosmetic reasons but I'm not sure ...just make sure if you need this surgery to ask your plastic surgeon to send you for visual field exams.

5 out of 5 stars Overall rating
5 out of 5 stars Doctor's bedside manner
5 out of 5 stars Answered my questions
5 out of 5 stars After care follow-up
5 out of 5 stars Time spent with me
5 out of 5 stars Phone or email responsiveness
5 out of 5 stars Staff professionalism & courtesy
5 out of 5 stars Payment process
5 out of 5 stars Wait times
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