Blepharoplasty Options - Lower Lids? (photo)

56 year old woman. Blepharoplasty done on upper & lower lids in 1996. Considering getting both my upper & lower lids done again. Consulted several surgeons - different opinions on lower lids. One surgeon does not recommend surgery but filler in tear trough area; 2nd surgeon recommended a transcutaneous blepharoplasty on my lower lids with skin removal; 3rd surgeon recommended transconjunctival blepharoplasty with laser resurfacing on my lower lids. Any feedback would be helpful.

Doctor Answers 4

Revision blepharoplasty

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A revision blepharoplasty may be what is required for you, but photos do not show everything and an exam inperson is the best way to be evaluated. There is no one right way that is why you are getting several different opinions.

New York Plastic Surgeon
4.2 out of 5 stars 30 reviews


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Photos are not helpful. I think the contour can be improved by fillers and overlying texture of the skin and fine lines can be improved by laser resurfacing. Anyways removing more fat is debatable as it can cause hollowness not only in the lower lid but eventually in the upper eyelid as well.


Sanjay Parashar, MD
Dubai Plastic Surgeon
4.5 out of 5 stars 24 reviews

Lower lid bleph options

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The photos aren't helpful. I am not sure from what I see that you need more surgery rather than filler. In such cases, I recommend filler and then reassessment.

Lower lid blepharoplasty revision.

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If there is excess skin then you need an external incision. If only fat then the transconjunctival approach with resurfacing is better.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews

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