In Tears - Toronto, ON

Im a 36 year old female who decided to get a few...

Im a 36 year old female who decided to get a few wrinkles out of the way...nothing to severe. I didnt do enough research on the procedure. I also got laser resurfacing underneath as well. It has now been 8 months and am in tears of the results. I look back now and nothing was wrong with my eyes. The doctor gives me botox injections right beneath the eye but this is a life long thing i never expected. My eyes look hollow more wrinkes and loser. I am in tears at 36 and cry myself to sleep. I dont know what to do? My surgeon suggests resurfacing again...but i am very scared they will get worse? Should i do it or is there something better to resolve this. I find my skin beneth my eyes very thin now......help me please. I use to be an attractive girl...now feel like hiding away in a hole due to this procedure.


Ok Im deciding between a parlane filler under my...

Ok Im deciding between a parlane filler under my eyes...above the bone or an inscision underneath the eye to get rid of the extra skin created....any advice?


I recently transconjunctival blepharoplasty(8...

I recently transconjunctival blepharoplasty(8 months ago) with laser resurfacing CO2 and find my eyes have hollowed out and extra skin remains. I have seen a few doctors and they all seem to see the problem, but take on different routes to solve it. Some suggest a filler first (to a fat graph)then a snip insision underneath the eye. Or the reverse order? Does the order matter? Also with the filler...what do i consider as some doctors prefer restylane and others perlane?? My skin is fairly thin. Also are there different techniques to apply the filler in this area as Im finding cost varies with each sergeon. Im so afraid to even touch them again...I cry myself to sleep every night and I hate looking into mirrors. I;m seriously going into a depression.....I should never have touched them as there was nothing wrong with them in the beginning...and need help.

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Looking at your photo, I had the very same thing happen to me. The surgery completely changed my eyes, but not in a good way. My eyes were very similar in shape to yours before you had the surgery, and now they are a different shape which does not suit my face. It is something I have regretted every single day of my life since that falal day. I have no great solution to offer, but, hopefully, you can get a filler put in to take up the slack under your eyes. One comment talked about a Dr. Apostolakis that does permanent fillers. It may be worth checking out. I, too, am Canadian and had it done by a plastic surgeon here in Canada. There are bad surgeons everywhere.
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Hope you are doing well today, can you update and let us know how your healing has come, and what if any additional treatments you had to fix the lines under your eyes....I have a CO2 treatment scheduled in the near future, do you think the C02 laser was the cause here, I too have pale and very thin skin....
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How did you make out??
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how are you doing now? i hope you're more at peace and have found a remedy for your eyes.
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Hi in tears - I have a question for you. You say that before the blephoraplasty, you had botox under the eyes. Do you mean directly under the eye lashes? I had botox directly under the lashes of my left eye. It was a massive error and caused the fat pad under my eye to herniate and bulge out in a massive festoon. Did you have botox that had not worn off when you had the surgery? Perhaps too much fat was removed because your fat pad was slightly hernitated at the time of the surgery. Alternatively, have you had botox under the eyes since the surgery? When did you first notice those horizontal wrinkles? I agree with the earlier post by the doctor and I think you should do nothing at all until everything has settled down. You just risk making it worse, especially if you are putting filler in when you know your skin is thin and delicate at the moment from the resurfacing. You had an upper blepharoplasty done too, didn't you? Both surgeries seem quite agressive. Because of the damage done under my eyes from botox (especially the under lash botox) I am considering having a lower blepharoplasty to repair the damage, being the herniated fat pad and horizontal wrinkles that I did not have before. I have just turned 37. Like you, I am really scared to do anything but I need to. I don't want to make another mistake. If you have recently had botox anywhere around your eyes, then I would wait until it has worn off before doing anything. I am waiting a full year after my botox disaster (July) before considering a lower blepharoplasty because I am very concerned as to how the weakened muscles might impact the results of the surgery. Please let us know what you decide to do and best of luck.
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Dear In Tears, thanks for sharing your experience. I am coincidentally wanting to get eyelid surgery in Toronto. Was your laser eyelid surgery or traditional? Many thanks.
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DEAR DINAH, DID YOU GET MY EMAIL? I'M ON MY BROTHER'S COMPUTER, AND I DON'T KNOW IF MY EMAILS ARE GOING THROUGH. My email,if I can get it to work: xxx@yahoo.com Jane

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What kind of laser did you use.Six years ago I got the CO2 laser done under my eyes.It caused horrible burn scars under my eyes.The doctor refused to help saying to give it time.I quickly found another doctor who did pulse dye laser to flatten the burn scars.after about six months of treatment the scars were gone.I thank god I found that doctor.Pulse dye laser is safe and excellent for scars and wrinkles.
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I'm so sorry for your bad experience. Looking at your eyes and reading the other peoples' comments, I think there's another possible solution for you that's at least worth looking into. It's something I just had done myself. I have always had thin, bluish skin under my eyes. People often would comment that I looked tired, or as if I hadn't had enough sleep. I'd always gook up with concealer to try to hide the deepset, blue skin under my eyes, even though the gooky makeup probably just made me look worse. Well, 4 days ago my dr. in Austin TX, Dr. Apostolakis, put implants in the troughs of my eyes. He also put inserts into my lips to make them look fuller. Of course right now, 4 days post-op, my face is just black, blue and purple--I don't have any photos to show you--but the ones I saw of other patients who had had it look good. Why not CALL Dr. Apostolakis, tell him your situation, email him your photos. Speak to Celeste. Tell Celeste and Dr. Apostolakis that 'Jane from Pennsylvania, who's visiting her Dad in Austin,' suggested that you call--they'll know who you're talking about. Dr. A. might be limited on what he can tell you without seeing you in person, but he WILL tell you some of his general thoughts and opinions--that's one thing I like about him. And he only works on the face--he doesn't spread himself thin by doing other parts of the body, like breast implants. He's a good man and, quite frankly, I think he's one step ahead of most of the doctors on this site who don't seem to have experience with eye trough and lip inserts. Fat transplants don't last forever. Inserts do. Dr. Apostolakis' phone no. is: 512-329-8989. Or contact me through realself, I'll give you my personal email address. DO call him--you have nothing to lose. Jane T. New Hope PA
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Hi truecolors What was the cost of your lower implant done by Dr. Apostolakis? I, also, have the same problem after lower eyelid surgery. unsuspected
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I need recommedation on finding a good surgeon for upper & lower eyelid surgery along with cheek lift, anyone knows Dr. Philip Cheng in Lansdown, VA, please suggest what should I ask the Dr. to know if he is expert in this field.
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Dear Laila, It's harder to find a good surgeon than you think. First of all--why Dr. Cheng? Did someone recommend him to you? Is his office close to your home? Why are you asking specifically about him and no one else? My advice: 1.Ask doctors who work in emergency rooms in your larger hospitals who they recommend (not hard to do--just find out their names,call their offices, and ask who they recommend. Call more than one). These ER doctors are the ones who call in plastic surgeons to treat injuries from car accidents, dog bites, etc. They think carefully about which plastic surgeon they call for injuries that might result in severe facial scarring. 2. Make sure he is a plastic surgeon, not a "cosmetic" surgeon. Plastic surgeons have rigorous training for years. Licensing for "Cosmetic surgeons," on the other hand, practice under very lax licensure. Cosmetic surgeons are often just Dermatologist or Family Doctors who decided they wanted to make more money. 3. Look at before and after photos of people he's done, but don't give these B and A photos too much weight. After all, even the best photos are only 2-dimensional, (not 3D like real people are)--and you rarely see blepharoplasty photos taken at an angle that shows the surface of the upper eyelid to see what the stitches look like. Also, he's obviously only going to display the best photos he's got. 3. When you see him, ask him: a. How long have you been practicing plastic surgery? b. What hospital(s) are you associated with? c. Can you give me the names of some DOCTORS I can call as references? d. HOw many blepharoplasties have you performed? 4. Check with your state's regulatory agency to see if any complaints have been filed against him. Check with your Better Business Bureau too. 5. Personally speaking, from now on I am only going to see plastic surgeons who work EXCLUSIVELY with the face as their specialty, rather than spread themselves thin with breast implants, etc. These doctors are (usually) focussed doing high quality work on the face.
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Right, so hard to find a surgeon to repair a bad blep. My MD took too much skin and my lids turn up. I have to tape them down as the air etc goes up under the eye lid and if a/c is on the entire eye area feels frozen. 4.5 years since initial surgery. All my friends had successful eyelid lifts, but the MD's have passed. Has anyone had successful repair to their lids. I've seen 6 md's and no one understands the discomfort since ti doesn't look that bad. At this point I don't care how it looks, just so I don't have to tape them down anymore. Thanks for help.
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You might want to check out Dr. Yang who specializes in fat transfer. Apparently RealSelf.com is linked to him. He's a great guy. http://www.realself.com/find/New-York/New-York-City/Facial-Plastic-Surgeon/George-Yang
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Hi Lisa, His name was Dr. McLanahan but he retired from his Los Gatos CA practice about about 5 years ago. I tried to contact him once after he retired but could never find him. However, surgeons freeze fat all the time. But it's more common for them to inject the fat when it's fresh (as in a facelift) because they've just extracted the fat so it's right there in their hands during the surgery to use somewhere else on the body. My latest plastic surgeon--Dr. Silberman in Doylestown P--said that he's had good results with artificial fillers under the eyes, although one person here on Realself commented that she's seen artificial fillers used on people and she feels that they look unnatural. I just don't know. As a 'by-the-way,'I just had Radiesse injected into my naso-labeal and corner of lips-to-chin folds (forget what they're called) in anticipation of my son's wedding this June. Will get Botox done in May.
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I had/have deep-set eyes, much like yours appeared to be in your 'before' picture, only mine were a lot worse--my skin was paper-thin and bluish in color under the eyes--it always looked like I never had enough sleep. I'd goop on extra-strength undereye concealer to hide it but it looked just that--gooped on. Then in 2002 a cosmetic surgeon recommend fat injections, using my own body fat (which he took from my mid-back--NOT my abdomen--because he said it was better quality fat. He also FROZE MY FAT FIRST because he'd discovered that he got better results when he did. Now, 7 years later, my under-eye areas STILL LOOK BETTER THAN THEY DID 15 YEARS AGO, and I still don't have to goop on concealer. The bluish color under my eyes never came back. I think his "FREEZING THE FAT" MADE ALL THE DIFFERENCE.
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can you please provide the name of your surgeon?
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Maybe the doc removed too much fat, but maybe also if some lateral fat pad (on outer side under the eyebrow) was thinned out with a revision surgery, that would give a pleasing balanced look you seek? Or some the fat pad could be repositioned to the medial (inside) area?
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Hi munktown, You can contact intears privately by clicking on her username, then clicking the "Contact" link.
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Hi Intears, My heart goes out to you..though I don't have much advice to offer, for I too am going through my own plastic surgery outcome hell, for 9 years now... I just wanted you to know that you are not alone and I understand exactly how you are feeling. Hang in there and never give up hope.
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Look into fat grafting.
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Hi, I am so sorry that you have had such a horrible experience. I wish you well and hope you find a doctor that can help you fix you eyes. Best, Chrystal.
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Not sure who you are asking but here is my opinion. I would talk to my PS about a permanent filler of some kind. Be it fat or the tear trough implants I told you about. I don't think they use Artefill under the eyes but there may be others, I just don't know. I know that I wouldn't want to be having to go back every 8 or 9 months for injections. Thats the reason I went with the implants. Since they aren't known by all your PS may not know about them. In that case you'll have to go with the fat unless you want to go to another PS that does the implants. Talk to your PS and see what he/she says. Hope this helps.
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They are tiny implants that they put in the hollow under the eyes and tear trough to do what fillers do. Most people haven't heard of them and I hadn't either until I went to this PS. I had had fillers before and was very pleased but they only lasted about 8 mos. and I was needing again and I just didn't want to have to keep that up forever so opted for the implants. He also implanted (not injected) fat into my NF. They look great already even this early out!
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