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.
Blepharoplasty Options - Lower Lids? (photo)
Doctor Answers 4
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.
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.
Lower lid bleph options
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Lower lid blepharoplasty revision.
If there is excess skin then you need an external incision. If only fat then the transconjunctival approach with resurfacing is better.
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