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A transconjunctival&nbsp;lower eyelid blepharoplasty with fat transposition and laser&nbsp;resurfacing for the loose skin is&nbsp;what I would recommend based on your photos. It is not only important to see an eyelid specialist, but also someone well versed in laser resurfacing for patients of all skin types. There are oculoplastic specialist trained in face lifts and there are plastic surgeons trained in eyelid surgery. It would be best to look at before and afters for both specialties.
 
All the best!

I am a 51 year old female, and I have very loose and thin skin all over my face (and body). I also have very little fat on my face causing my skin to sag. I am considering having a facelift with fat transfer to my cheeks in some near future but my under eye area needs to be taken care of first. From what I read I should probably go to someone who specializes on the eyes. I would appreciate any advice.

The area under my eyelid is thin, wrinkled, and dark, is surgery the only solution? (Photos)

Anabelle,
Chemosis should resolve after a lower eyelid blepharoplasty and steroid drops or an oral steroid dose pack should also help, however chemosis tends not to resolve if allergies or dry eye is not addressed. So be sure to lubricate your eyes with artificial tears (do not get "get the red out" drops). Lower eyelid retraction can happen after surgery and postoperative upward massage can help resolve this issue. It is rare to have lower eyelid retraction be a permanent problem.&nbsp;
Dr Diana Tamboli

14 days since surgery and I developed Chemosis in both eyes almost immediately and whilst it’s not getting any worse it’s definitely not getting any better either. I have steroid drops, ointment and cover my eyes every night. The Chemosis doesn’t worry me as much as the retraction which looks hideous. My ps said it will get better as the Chemosis goes away. I guess I’m looking for reassurance that he’s right. Please help.

Is lower bleph chemosis causing the eyelid retraction? Will it heal? (Photo)

RMJAM1992,
A careful exam with an oculoplastic specialist is very important as subconsciously raising your eyebrows can be a result of having drooping upper eyelids (ptosis)&nbsp;or excessive hooding of the upper eyelids. Correcting&nbsp;ptosis or excessive skin can allow your brows to fall into a more natural position. It is difficult to provide you with a specific plan without an exam, however I would consider all options (blepharoplasty, ptosis repair, botox)&nbsp;before performing a brow lift at your age&nbsp;unless you have true brow ptosis which can be determined with an exam.
Dr Diana Tamboli

My hooded eyes have always bothered me. When I was younger I thought it was fat on my eyelids, and the past few years I find myself CONSTANTLY holding my brows up, otherwise I can see my lids and it changes the shape of my eyes. This sometimes gives me headaches and is leading to lines on my forehead, but I generally dont realize I'm doing it.

Would a brow lift be beneficial for my hooded eyes at 26 years old? (photo)

Kayeis90,
Based on your photos and reading your history, I think a series of microlaser peels Erbium or a single fully ablative CO2 resurfacing&nbsp;would be in your best interest. It is important to see someone who is trained in advanced laser procedures as you should certainly be seeing an improvement of lines and texture of your skin&nbsp;after the above stated treatments. Even though you state that you have not treated your skin well in the past, it is great that you are doing it now (its certainly not too late!).
Dr Diana Tamboli

In the past few months my skin texture has got really bad and given I am only 32 it is causing me a lot of distress. It is now full of fine connecting lines. I have not treated it well over the years and have used sunbeds etc. I use a retinol cream daily as well as zo medical retamax every few days. I had fractional CO2 laser about 7 weeks ago which has done nothing. Is there anything else I can do to try and improve it’s texture?

I'd like to improve my skin texture and fine lines, any suggestions?

SophiaB1112,
I understand your frustration and hear this complaint often when patients come to see me. Filler is wonderful in helping manage undereye hollows however it doesnt address the loose thin skin of the lower eyelids. I think the best way to approach this issue is with ablative laser skin resurfacing. You could use the CO2 or Erbium laser safely. I do laser resurfacing for 95% of my lower eyelid blepharoplasties to improve the texture and quality of the skin. This is a great wat to rejuvenate the area with little downtime and lasting results.
Dr Diana Tamboli

Dear Doctors, could you please advise on the treatment ( lasers, etc) to resolve the crepey texture under eyes (on upper cheek margin) developed a year ago. I have Botox regularly. Eye product used - AOX and Environ C-quence eye gel, diligent with SOF. I am 4O and very upset about the issue. I am prone to keloid scarring. I had a filler a year ago but it didn’t help the issue at all. Thank you.

Crepey skin under eye treatment suggestions? I'm 40 years old and have tried fillers. (photos)

Eye Bags Treatment

acne Citijohn,
Great question! Even static lines can benefit from botox in that it can soften them and prevent them from getting deeper. Realistically you will be able to significantly improve the lines, but it is unlikely for them to completely resolve no matter what treatment you undergo.&nbsp;I believe you would certainly&nbsp;benefit from laser resurfacing to address the static lines and acne scars and should expect to see a marked improvement.
Dr Diana Tamboli

My forehead is covered in acne scars and deep static lines. I am mostly concerned with the horrible scar texture of the skin overall, but reducing the lines would be an added bonus.

Am I good candidate for laser resurfacing for acne scars and lines? (Photos)

Hong,
Asians tend to develop post inflammatory hyperpigmentation (PIH)&nbsp;status post laser resurfacing. The Erbium laser which was used in your microlaser peel and profractional has less incidence of PIH than CO2 lasers, however PIH can be managed well&nbsp;with compounded creams of steroids, quinones, and tretinoin. The same procedure applied to different people can have different results so it is important for you to see someone trained in cosmetic laser resurfacing to help manage your post laser care.
Dr Diana Tamboli

I am a 42-year-old Asian woman. I had full facial Micro <a href='/reviews/laser-peel'>Laser Peel</a> (20 micron depth) and 20% <a href='/ProFractional-Laser/reviews'>ProFractional Laser</a> Resurfacing (200 micron depth) 16 days ago. The day of the procedure, I had a lot of bleeding all over my face and could see very distinct parallel longitudinal red bands (3 on each side) running down my cheeks, as if some of my skin had received far more exposure to the profractional laser than other parts.Beginning a week after treatment I started to get a <a href='/Hyperpigmentation/info'>hyperpigmentation</a> reaction exactly corresponding to the vertical bands on my cheeks. There were no bands on my forehead or chin following the procedure, and I have not had any hyperpigmentation occur on those areas either. Can anyone explain what is going on?

Why Did Laser Treatment Result in Demarcation Lines?

Lori6994,
It would be best to contact your provider since they are most familiar with your care and settings that were used, however this should not pose a problem for you to proceed with a 10micron laser peel. I would consult with your physician to be sure.
Dr Diana Tamboli

I'm getting a sciton microlaser peel (10 micron) tomorrow. I have been using a Joovv 660nm red light device for about 3 weeks. I skipped the last couple days. Will this red light therapy cause any issues with the microlaser peel?

I am getting a microlaser peel. I've been using 660nm red light therapy for a couple weeks. Is that a problem?

Canonballrun,
Good question. I would recommend a transconjunctival blepharoplasty to transpose the fat pads. A surgeon can reposition the fat pads surgically to avoid postoperative hollowing and allow for a smoother contour.&nbsp;Syringe aspiration is not something I would recommend as it would create significant trauma in a very delicate area and therefore would like cause complications.&nbsp;
All the best,
Dr. Diana Tamboli

I have a "bag" under of my eyes. So, you can imagine how uncomfortable this makes me feel. Anyway, I have heard of fat injections that plump up around the "bag" and the surgery that removes the bags completely.. I do not want hallow shafts from the surgery or have even more fat around my eyes. Is this removal process even a possibility?

I would like to know if it is possible to have some of the fatty bag under the eye removed with a syringe?

Hello Ascera-
Thank you for your question, this question applies to many of my patients. Based off of the photo,&nbsp;I believe you would most benefit from&nbsp;laser skin resurfacing.The CO2 laser or erbium laser are often used in my practice specifically for this problem. Using the laser to remove the top layer of skin will allow new skin to regenerate in this area. The new skin&nbsp;is healthier, smoother and has a high content of collagen which helps get rid of wrinkles.&nbsp;It is very important to see a specialist that uses these types of lasers safely and practices with caution around the eyes. An oculoplastic surgeon would be happy to help you address this issue.
All the best,
Dr. Diana Tamboli

I have what appears to be the early signs of bags under the eyes. My skin has become much looser in the last 5 years, gradually getting to the point where I'm self conscious and feel I look old and tired. I considered something like ultherapy but I read it can cause fat atrophy, is that true? It's not advanced enough to get surgery and I read on here that fillers under eyes are not recommended. I'm at a loss for what to do

How do I tighten under eye skin?

Diana Tamboli, MD

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Dr. Tamboli was very professional and felt she was capable of successfully performing this reconstruction of the Mohs surgery I had just had. In my post op visit, she seemed quite pleased with the results and was encouraging. Also, was explicit with instructions I need to do in the progression of healing.

Professional and caring

Diana Tamboli, MD

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