I’m a 46 yr old woman, somewhat in the public eye, with hereditary lower eye bags that got worse with age. For years I tried filler but it just stopped being effective at a certain point and created additional issues despite seeing a top derm. My derm actually recommended lower bleph, something I was shocked to hear I was a candidate for. I’ve been happy with the way I was aging and still had a very youthful look except for those damn bags. I saw a few doctors and was astounded in the difference in approaches. One doctor wanted to do multiple procedures (full fat repositioning, a skin pinch, even my upper lids). Dr. Elahi suggested a more conservative approach, lowers only, very conservative fat removal, only repositioning at the inner corners (lumps are more likely to appear at outer eye). In ten days I looked acceptable with no bruising. The swelling in the lower lids, while not perceptible to anyone, bothered me until about 6 weeks or so bf it was hard to imagine the final results. Being hyper sensitive about my looks, I was stressed about the outcome (is this how it’s going to look??) and paid way too many anxious visits to my patient doctor, who was only a few blocks from my apartment. But now at five months I am beyond thrilled with the results. It looks completely natural and the bags are gone. My cheekbones look way more prominent and overall my face looks sculpted without those pesky bags marring my looks. The things I worried about (drooping lids, crepey skin etc) never happened, despite the conservative approach. My skin snapped back into place with no change in wrinkles. I look even younger than before and am confident in any lighting conditions. I really wish I’d done this sooner and am grateful I found the right doctor.
I tend to agree with several of the other respondents. As it is, under normal circumstances a combined blepharoplasty and brow lift require careful planning and consideration. Given the presence of a nerve palsy, it may be wiser to address the brow before undergoing a blepharoplasty. A recent presentation at the American Society of Ophthalmic and Plastic Surgery even suggested that long standing facial nerve palsy may lead to a shortening of the upper lid skin on the involved side. In short, both procedures are appropriate as long as a thoughtful planning is in place.
In addition to what has already been proposed, one common problem following the injection of botulinum toxin can be the formation of festoons or fluid pockets underneath the eyelid. The normal muscle tension of the orbicularis muscle may hide this tendency under normal circumstances. However with the loss of tone, any skin or muscle laxity is likely to reveal itself and may result in the formation of festoons. On a positive note, your condition should self-resolve as the toxin wears off. Best wishes
The response you are seeing is not unusual. Very often blood and fluid can travel down the face. This does not mean your surgery was in anyway unsuccessful. If these findings do not resolve soon you should consult your physician. All the best
The scar can certainly be dimished but you are always taking a chance with possibe further scarring. Tatoo and hair transplant can help assuming you would want your hairline to be lower. A new incision with meticulous repair has a very good chance of improving your appearance. It would be critical to follow the surgey with adjunct treatments such as steroids, IPL etc to prevent the formation of a new scar - Best of luck
The answer to you question requires significanlty more information regarding the type of surgery performed. Generally blepharoplasty MAY change the shape of the eyeldis but should not cause a signficant change in the position fo the eyeball. what you are describing can happen if the eyelid ligaments (canthal ligamnets) were also tightened causing the eye to shift upwards. In general this can resolve slowly over time. Alternatively the points of attachement can be revised to allow for a looser eyelid. As long as you are not experiencing double vision, diinished vision or eye pain, I would recommend you wait 6 months or more before reassessing the eye position. Good luck
