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Lower Bleph - Baltimore, MD

I am 26 years old and have hereditary dark...

I am 26 years old and have hereditary dark circles/bags. I had lower transconjunctival blepharoplasty in the beginning of December 2011. Now over 4 months later the bags are mostly gone, however under certain indoor lighting I have terrible dark marks. I am not sure whether this is bruising or what. I am not sure whether the fact that that they are MUCH more visible in certain lightings makes a difference or not as to what the problem is. Is this normal? Is there anything I can do to fix this? Please help!

My first visit back with my doctor to get the...

My first visit back with my doctor to get the bandages removed he said everything looked good. It was hard to tell because there was obviously still bruising. After a month I went back to him and showed him that I still had these dark red/blue marks and I wasn't sure what it was. He just said that is just the way my skin is and theres nothing he can do about that. I asked about lasers etc and he just said that wouldn't do anything. What bothers me is that the whole under eye area isn't dark like when most people have dark circles, it is just a streak of darkness. I feel as if it might be the blood from the surgery clotting together under the skin or something? Before I had the surgery done I just had eye bags. If you pulled the skin tight there would be no blueish marks which is why we felt that the surgery would be successful. Not really sure what the problem is! My biggest concern is the placement of the darkness because it's very concentrated in one area like someone painted blue/red lines on me. I just can't tell if this is maybe hemosiderin staining or something. Any help would be appreciated!

I really hope I didn't trade eye bags for...

I really hope I didn't trade eye bags for extremely dark circles. What bothers me even if is that if it were just even darkness under my eyes that would be one thing but it's like streaks which makes it even harder to cover-up with makeup!! What can I do?!!

Name not provided

The surgery went well and the doctor really tried to answer all my questions and make me feel at ease. However, after the surgery I had one follow up (not including when the bandages were taken off) and even though I expressed concerns he seemed to just shrug it off and say there was nothing else he could do about the dark circles.

3 out of 5 stars Overall rating
4 out of 5 stars Doctor's bedside manner
4 out of 5 stars Answered my questions
2 out of 5 stars After care follow-up
2 out of 5 stars Time spent with me
2 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 tmes
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Comments (7)

If you are anonymous..why not shar the doctor name so some of us that are considering in your area will not go to him?
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Would it be possible to fill under eye hollows with
an autologous (self) fat transfer?

Yellow makeup removes bluish marks, green removes red. Best of luck to both of you.
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Hi Anonymous 443, sorry to see that you now have dark areas under your eyes that you didn't have before. For what it is worth, I would gladly trade my undereye hollows (from a lower bleph in Feb. 2011) for decent volume and smoothness that requires careful make-up application to cover up blue tints. Covering tinted skin is easier than trying to achieve normal fullness taken away by an aggressive lower bleph. I have had a very difficult time dealing with my hollowness (several rounds of fillers and none look natural) and I'd now give anything for smooth contours under my eyes, even if I had to apply concealer every single day! Best of luck to you. : )
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The Everything Pencil comes in many shades and
can be applied to a narrow area, such as a line.
A dark line is still better than "bags" which really
grow and hang with time. All surgeries are trade-
offs with consequences. Give it time as it
might still clear itself up or improve.
  • Reply
Lower bleph is used for fat removal, the cause of "bags". Under eye circles are hereditary and are
often due to thin skin. There are creams that help
and make up. I use a concealer and recently started
with the Everything Pencil. The upside is that the
makeup kept my under eye skin protected so it
wrinkled less with time. I did have an upper bleph
which left dark marks on either side of the eyes.
Again, makeup conceals this. Your circles might
get lighter post surgery; give it a year or more.
  • Reply
I am concerning filler under my eyes to 'thicken up' the skin, making my undereye shadows less noticable. You might want to do the same. I can't schedule my appt until July.
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I can see some color difference under your eyes, and I realize the picture might look a bit different than it does in real life, but to me it just looks like normal under eye darkness. Like you said, the bags are definitely gone, and the smoothness of the skin looks great.

I would encourage you to post your picture and question in the Q&A section so the board certified doctors who volunteer on RealSelf can share their opinions with you.

Please keep us updated on how things are looking & what you find out!

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