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This is an excellent question and a very common concern among patients. The deep blue inner corner that you are noticing is a combination of shadow, as this area has a natural valley, and possibly some veins that are visible through the thin skin. I usually do not recommend lipofilling the very inner aspect of the eye due to the dangers of the blood vessels in that region, however some correction can be made along the lower eyelid which appears darker. This can be improved with a lower blepharoplasty (Lower eyelid surgery) in combination with fat transfer.

Is there anything, apart from camouflage, that can be done about deep blue inner corners of the eyes? Is lipofilling an option maybe? Thank you for your help!

Blue inner corners of the eyes - What is the best option to treat this? (Photo)

Hello, There is no exact timing that is recommended for revision of a breast. The FDA recommends implants to be replaced every 10 years, however this is due to the risk of "silent" rupture of silicone implants. Based on your photos, you are correct as having a waterfall deformity. This typically leads to an implant which continues to sit high and provide fullness to the upper part of your breast while your nipple complex drifts downward. The correction for this would be to remove and replace the implants, as you desire to be smaller and perform a breast lift with small reduction. The dent on the lower part of your breast, which is more noticeable on the right is due to scar contraction from the initial surgery. This can be, and will be corrected during the revision surgery. As always, you should speak to a board certified plastic surgeon and make sure you are both understanding of your goals. Hope this helps!

I had a breast augmentation and lift 11 years ago. Wondering if it's time for a revision. I have more fullness at the top than I used to. Also my left breast has a sort of dent that's gotten worse over the years on the bottom side. Is this just a cosmetic issue? How do you know when it's time for a revision? I would probably go a bit smaller next time to slow down the gravity effect in the future. Is this something I should have looked at? I am 57.

57, waterfall issue after 11 years, is it time for a revision? (Photos)

Ali Roham, DO

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Plastic surgeons specialize in the full spectrum of cosmetic and reconstructive surgeries for the face, eyes, nose, breasts, and body.

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Meet Ali Roham, DO, a trusted Board Certified Plastic Surgeon. See 4 expert answers, before-and-after photos, credentials, treatments, and  real patient reviews. Book a consultation today!

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