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.
A transconjunctival lower eyelid blepharoplasty with fat transposition and laser resurfacing for the loose skin is 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!
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. Dr Diana Tamboli
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) or excessive hooding of the upper eyelids. Correcting 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) before performing a brow lift at your age unless you have true brow ptosis which can be determined with an exam. Dr Diana Tamboli
Kayeis90, Based on your photos and reading your history, I think a series of microlaser peels Erbium or a single fully ablative CO2 resurfacing 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 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
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
