I am in my late 20s. Two years ago, I had a lower transconjunctival bleph on both eyes (not laser). Afterward, one eye was still puffy. My doctor agreed and in 6 months I had an unsuccessful revision on the puffy eye. After a full year, it is still puffy and the other looks like too much fat was removed. Would it be possible to try again in the future (w a different doctor)? Also, can I get a bit of fat back in the other? I would like a bit of fat put back to support my lower lid.
Asymmetry After Lower Blepharoplasy - What Can Be Done?
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Doctor Answers 4
Fat grafting is possible. However if the asymmetry is subtle, it may not be possible to guarantee perfect results.
Without photos, it is impossible for us to give you a good evaluation on the concerns that are specific to you and your anatomy. Please post high quality photos of the eyes AND the face to give us a better perspective.
Lower Eyelid Asymmetry after Blepharoplasty
Asymmetry is present in everyone's face to a certain degree, which is normal. However, asymmetry between sides of the face should not be so great that it draws attention. There are many reasons why one eye bag is puffier than another, which also includes medical conditions such as allergies or thyroid condition.
Only after a comprehensive evaluation can an eyelid plastic surgeon help determine appropriate options for you. Further surgery is unlikely to be the best option. One may consider injectable filler with hyaluronic acid (Restylane) to help reduce lower eyelid asymmetry. Best of luck.
Fillers are likely your safest option.
I am so sorry that you have had this experience. Photographs are really essential to understand your concerns. It is likely that your surgeon did not correctly understand the basis for your puffy eyes. At your age, it was improbable that you actually needed lower eyelid surgery although it is possible. I would be very careful about looking for more surgical solutions. Can fat be put back into the lower eyelid? Yes and many surgeons will be more than happy to offer you this service. However graft fat can also be very problematic. In my office, I would first consider whether Restylane treatment might be able to address your concerns. These treatment tend to last well over a year and can easily be adjusted if there is an issue.
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