Allen Rezai, MD

Thank you for your question and sharing your photo.

There are several treatments available that may help reduce the appearance of under eye and cheek dents. Here are a few options:

1. Dermal Fillers: Injectable fillers, such as hyaluronic acid or collagen, can be used to fill in the hollow areas under the eyes and cheeks, reducing the appearance of dents.

2. Fat Transfer: This procedure involves removing fat from one part of your body, purifying it and transferring it to the under eye and cheek areas, providing natural-looking volume.

3. Laser Resurfacing: Laser treatments can help improve the texture and appearance of your skin by stimulating collagen production and reducing the appearance of fine lines and dents and also Radio frequency or FaceTite/AccuTite can have similar effects

4. Microneedling and PRP: These minimally invasive procedure uses a device with tiny needles to create controlled injuries to the skin, which prompts collagen production and improves the overall skin texture, including dents.

It's always advisable to consult with a qualified plastic surgeon or dermatologist who can discuss your medical history with you and evaluate your specific concerns recommending the most suitable treatment option for you.

Wish you all the best.
Allen Rezai M.D.

Thank you for your question and sharing your photo.

Hollow or sunken eyes can be caused by various factors, including genetics, ageing, loss of fat and collagen in the eye area, and lifestyle habits. While it's normal for the natural ageing process to affect the appearance of the eyes, there are some treatments that may help improve the appearance of hollow or sunken eyes. Here are a few options you could consider:

1. Dermal fillers: Hyaluronic acid-based fillers can be injected under the eyes to add volume and minimise the appearance of hollows. This treatment is temporary and will need to be repeated periodically.

2. Fat transfer: During this procedure, fat is taken from another part of your body, purified and injected into the hollow areas under your eyes. This can provide longer-lasting results compared to dermal fillers.

3. Chemical peels, laser resurfacing, Morpheus 8 and AccuTite: These treatments can help improve the overall texture and quality of the skin around the eyes. They may help minimise the appearance of fine lines and crepiness but might not directly target hollowness.

4. Good skincare routine: Using nourishing eye creams containing ingredients like retinol, hyaluronic acid, and antioxidants may help improve the appearance of your eye area over time. Regularly moisturising and protecting your skin from the sun's harmful UV rays is also important.

I recommend consulting with a qualified plastic surgeon or dermatologist who can assess your concerns and provide you with personalised advice and treatment plan based on your needs. They will be able to guide you on the most suitable treatment options for you.

Wish you all the best.
Allen Rezai M.D.

Thank you for your question and for sharing your photos.

I am sorry to hear that you have faced bullying due to the size of your eyes. It's important to embrace and appreciate our unique features. And in my humble opinion, your eyes look beautiful and suit your face.

However, if you're considering options to enhance the appearance of your eyes, there are a couple of approaches available:

1: Non-surgical procedures: Some non-surgical procedures like non-surgical blepharoplasty (using radiofrequency or lasers or dermal filler) may help tighten the skin and adjust the volume around the eyes, producing a more open-eye appearance. These procedures can be less invasive compared to surgical options.

2: Surgical options: for a more permanent change to the appearance of the eyes, you should consult with a plastic surgeon or an oculoplastic surgeon regarding options such as double eyelid surgery or canthopexy. These surgical procedures involve creating a crease or improve the laxity of eye ligaments to make the eyes appear larger or more open.

It's essential to have a consultation with a qualified plastic surgeon who can assess your specific needs, understand your expectations, and recommend the most suitable options for you. They can provide a more accurate understanding of what is feasible and discuss any potential risks or side effects with you.

Wish you all the best.
Allen Rezai M.D.

Thank you for your question and for sharing your photos.

It is important to note that asymmetry in eyelids is quite common, as many individuals have asymmetrical eyelids and faces. There can be various reasons for this, particularly when smiling.

These include:
1. Asymmetrical bone structure.
2. Variances in muscle volume, resulting in differing contractions and relaxations.
3. Uneven amounts of excess skin or laxity between the two sides.

To address your specific concerns, I strongly recommend scheduling a consultation with a board-certified plastic surgeon. They will be able to provide you with more insights and guidance specifically for you.

Wish you all the best.
Allen Rezai M.D.

Thank you for your question and providing photos.

There are several options, surgical and nonsurgical, available to address hooded/droopy eyelids depending on the degree of the ptosis.

The surgical option to consider is blepharoplasty, which involves the removal of excess skin and fat from the eyelids, resulting in a more rejuvenated appearance. It's important to note that this procedure is more invasive and generally requires a period of downtime for proper recovery.
However, based on the information you provided and reviewing your photos, it appears that there’s a distance greater than 3mm between your eyelash line and eye crease which means your indication for surgery is minimal.

Alternatives to surgery are injectable procedures which can provide temporary improvements. One example is the use of Botox or similar injectables to relax the muscles around the eyes and lift the eyebrows, thereby reducing the appearance of droopiness. Another option is the utilisation of dermal fillers to add volume and lift to areas around the eyes. These non-surgical options may be more suitable for you until a more substantial indication for surgery is present.

It is essential to consult with a qualified plastic surgeon who can assess your specific situation and provide personalised recommendation. The surgeon will be able to evaluate the severity of your concerns and discuss the advantages and disadvantages of both the surgical and non-surgical approach. They can also provide you with a better understanding of the potential risks and expected outcomes associated with these treatments.

Wish you all the best.
Allen Rezai M.D.

Thank you for your question and providing your photos.

Based on your explanation and assessment of your photos, here’s what I believe should be addressed:

1: deep tear throughs
2: excess skin and laxity in lower eyelids plus some degree of per orbital fat herniation.
3: lack of volume in mid face

To address all the above, I would recommend a lower blepharoplasty surgery with fat transfer (including stem cell) to tear throughs and cheek area. And to further improve skin elasticity, Morpheus8 (Radiofrequency microneedling) would be a good complementary treatment to have few months after surgery.

Wish you all the best.
Allen Rezai M.D.

Thank you for your question.

Based on the photos and information provided, I believe for being only 3 weeks post-op, your result is satisfactory. Healing following blepharoplasty normally takes several weeks or months even to complete. It's possible that the appearance of your eyes will improve with time as the swelling subsides and healing progresses. My suggestion is to be patient and give your eyes time to heal, if after few months, there hasn’t been any improvement and your concerns remain, and your surgeon agrees, revision/refinement surgery might be an option to address any issues.

Wish you all the best.
Allen Rezai M.D.

Thank you for your question and providing photos.

It's important to note that asymmetrical eyebrows and eyelids are quite common and often a natural occurrence in many individuals. The underlying cause can be attributed to various factors, including genetics, muscle imbalance, or even habits such as sleeping on one side more often.

To determine the most suitable approach for addressing your specific concern, it would be best to consult with a qualified plastic surgeon he/she will assess your condition and provide you with personalised recommendations based on your facial anatomy, skin elasticity, and overall goals.

In some cases, blepharoplasty (eyelid surgery) might be recommended if excess eyelid skin is the main cause of asymmetry. On the other hand, an eyebrow lift may be suggested if a drooping brow is the primary concern.

I believe in your case a brow lift should be the option. If following a clinical examination an eyebrow lift is recommended, it doesn't necessarily mean that only one eyebrow will be lifted. It will depend on the degree of asymmetry and the desired outcome. The plastic surgeon will evaluate your facial features and determine the appropriate approach to achieve a more symmetrical appearance.

In cases where the eyebrow asymmetry is minimal and surgery is not indicated, muscle relaxing injectables such as Botox or Dysport may be recommended to level the eyebrows, however this won’t be permanent, and treatment would need to be repeated to maintain the result.

Wish you all the best.
Allen Rezai M.D.

Thank you for your question.
Based on the photo provided, your upper eyelid unevenness may be a normal asymmetry that many people have but sometimes it can be a condition called ptosis, which is characterised by a sagging or drooping of the upper eyelid.

Ptosis can occur for various reasons, including muscle weakness or damage to the muscles that lift the eyelid, nerve problems, congenital (present since birth) factors, age-related changes, or even certain medical conditions.

To find a suitable solution for your condition, it would be best to consult with a plastic surgeon or an oculoplastic surgeon. They will be able to examine your eyelids, evaluate the severity of the ptosis, and recommend the most appropriate treatment option for you. These may include upper eyelid surgery, or a combination of treatments, depending on the underlying cause and desired aesthetic outcome. In cases where the asymmetry is minimal, non-surgical options may be recommended.

Wish you all the best.
Allen Rezai M.D.

I'm sorry to hear about your situation. Based on the photos you provided, it is possible to correct your upper eyelids asymmetry, your surgeon's explanation could be accurate. However, if you feel uncertain, it may be good to seek a second opinion from another qualified plastic surgeon.

In addition to seeking a second opinion, it might be helpful to gather any relevant documentation from your initial surgery, including before and after photos, medical records, and any communication with your surgeon. This information can provide a more comprehensive understanding of your situation for the second opinion.

I believe your eyelid asymmetry can be addressed with removal of excess skin and it’s important to understand that sometimes a revision or refinement surgery is necessary to improve the outcome of initial surgery and to achieve optimum result.

All the best.
Allen Rezai M.D.