Crepey Skin and Hollow Eyes After Blepharoplasty

Blepharoplasty is often considered the removal of fat or skin from the eyelids. These days, more eyelid specialists are trying to preserve skin and fat while shifting the fat downward towards the cheek. It is best to be conservative, because the eyes will look natural. Enhancements are easier to perform on an under-corrected eyelid procedure compared to an over-corrected lid. If too much fat is excised, fat from another part of the body can be grafted in or fillers may be injected. 

In years past we removed the fat pads when
doing lower eyelid surgery that can leave a hollow “nursing home eye” look. In my practice, we are conservative and don’t
remove much fat, we transpose it. This
leads to a smooth and not “sunken” look.
If you had lower eyelid surgery 10 year ago, it is possible your fat
pads were removed, which was normal for that time period. You may be a candidate for fat grafting or fillers
to that area to camouflage the hollowness.
Without seeing you it is hard to tell and re-doing a lower
blepharoplasty does have its risks.
Make sure you are going to a board certified plastic surgeon with
experience in re-do lower eyelids and fat grafting techniques for best results.

Laser or chemical resurfacing can be done to improve the skin quality and adding volume (fat transfer is my preference) can improve the hollowness.