What Procedure can Fix this Loose Skin Under Eye After Blepharoplasty? (photos)

Eyelids are delicate structures and following eyelid procedures healing can require a year or so for optimal healing. Use of lasers and peels (non surgical) likewise require healing. Injection of fillers and fat add yet another factor that sometimes has unintended consequences. It is important to stay in contact with one’s surgeon throughout this entire process. Sometimes revisions are necessary to achieve optimal results.

Although skin excision is often done with a lower blepharoplasty, based on your photos, you would be at risk for eyelid malposition, such as eyelid retraction, even with a skin pinch. An in person evaluation would help confirm that, but I would consider a resurfacing procedure with laser or chemical peel in your case.

It looks like you are pretty fresh from the procedure, so giving things more time may be the best option. If you are six months or more out from the procedure then you most likely need a skin pinch. It's the removal of excess lower eyelid skin. The scar is a few mm below the lash line and heals extremely well. It's easy to perform in the office using local anesthetic. You could also be a candidate for laser resurfacing instead of the skin pinch. Lasers can only smooth skin, they can't really tighten enough to get rid of truly excess skin, so it depends on whether you truly have excess skin, which would require a physical exam. It's totally up to the original clinic on whether they should cover the cost of a touch up, but most would.

Andrew Campbell, M.D.
Facial Rejuvenation Specialist
Quintessa