I had upper and lower Blepharoplasty two weeks ago. The main reason was for bags, loose skin and wrinkles under my eyes. I was told that these could be corrected by removing some fat and tightening up the loose skin.
While it looks like some of the puffiness is gone, I am very concerned about remaining loose skin and wrinkles under my eyes. I am feeling very upset and disappointed at my result. I don't feel like the skin under my eyes was tightened up and deep wrinkles are still present. Is this a normal outcome and is it acceptable? It does not seem acceptable to me. Thanks.
Answer: First give this some time to settle down. Jill Your dissatisfaction is not uncommon. Much depends on exactly what you had done, what your issues were to begin with, and what is going on once you are 4 to 6 months out from your surgery. Nothing replaces a personal consultation. At two weeks out, you are extremely early from surgery. Many of the healing processes that we think account for new collagen formation take time to develop and are at their maximum at about 4 to 6 weeks after surgery. This is when the long term remodeling of fat begins to take place. So try to be patient. I would caution you about rushing your surgeon for help right now. I have seen people talk themselves into unnecessary procedures. Your surgeon is basically a problem solver who may try to placate you by "doing something to make you happy" before the dust has settled. For now I strongly recommend that you let yourself heal.
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Answer: First give this some time to settle down. Jill Your dissatisfaction is not uncommon. Much depends on exactly what you had done, what your issues were to begin with, and what is going on once you are 4 to 6 months out from your surgery. Nothing replaces a personal consultation. At two weeks out, you are extremely early from surgery. Many of the healing processes that we think account for new collagen formation take time to develop and are at their maximum at about 4 to 6 weeks after surgery. This is when the long term remodeling of fat begins to take place. So try to be patient. I would caution you about rushing your surgeon for help right now. I have seen people talk themselves into unnecessary procedures. Your surgeon is basically a problem solver who may try to placate you by "doing something to make you happy" before the dust has settled. For now I strongly recommend that you let yourself heal.
Helpful 1 person found this helpful
September 15, 2016
Answer: Residual Eyelid Wrinkles It's not unusual for patients to have significant swelling following blepharoplasty surgery. This swelling can obscure the final aesthetic result and be the source of tremendous anxiety for patients. In some cases, it can give the appearance of excess skin and residual eyelid wrinkles.When patients undergo this procedure, excess skin and fat are removed from the lower eyelids. Unfortunately, this procedure doesn't always impact fine wrinkles that occur on the lower eyelids. Efforts to remove fine wrinkles by removing additional skin can be associated with severe complications. Under these circumstances, the lower eyelid can pull in a downward direction. This condition is called an ectropian and often requires revisional surgery. It's difficult to evaluate the aesthetic result in someone who's still swollen and only two weeks post-op. It's, therefore, important to be patient and give your swelling time to resolve.Once your swelling has resolved, you might ultimately be happy with your result. If you're not happy with your result because of eyelid wrinkles, you may still be a good candidate for eyelid re-surfacing.
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September 15, 2016
Answer: Residual Eyelid Wrinkles It's not unusual for patients to have significant swelling following blepharoplasty surgery. This swelling can obscure the final aesthetic result and be the source of tremendous anxiety for patients. In some cases, it can give the appearance of excess skin and residual eyelid wrinkles.When patients undergo this procedure, excess skin and fat are removed from the lower eyelids. Unfortunately, this procedure doesn't always impact fine wrinkles that occur on the lower eyelids. Efforts to remove fine wrinkles by removing additional skin can be associated with severe complications. Under these circumstances, the lower eyelid can pull in a downward direction. This condition is called an ectropian and often requires revisional surgery. It's difficult to evaluate the aesthetic result in someone who's still swollen and only two weeks post-op. It's, therefore, important to be patient and give your swelling time to resolve.Once your swelling has resolved, you might ultimately be happy with your result. If you're not happy with your result because of eyelid wrinkles, you may still be a good candidate for eyelid re-surfacing.
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Answer: Loose Skin and Wrinkles under the Eyes: Blepharoplasty After Effects? Thank you for your question! First and foremost, congratulations on getting a blepharoplasty to resolve your eye bag, loose skin, and wrinkles issues. That is possibly the best option out there for these, what I like to call, irregularities. Regarding your concern of not yet seeing the results that were promised, I would advise waiting a bit more. Patience is a virtue and you need to be fully healed first prior to seeing the actual results of blepharoplasty. In my practice, I usually advice my patients to wait for up to 3 months or later before full and complete recovery is observed. If you have undergone fat repositioning, you may still observe excessive skin for a few weeks since it has not retracted well yet. Healing takes time. Now, after 3 months or up to 6 months, and you are still showing wrinkles and excessive skin, then that is the time to worry. You may need to consult your board certified plastic surgeon at this point for progress evaluation. Do not ask for the excess to be removed so early on as this may affect the retraction needed for the lower lid. If this affected by removal of skin prior to full healing, major problems may arise. You need to be more patient on this.
Helpful 1 person found this helpful
Answer: Loose Skin and Wrinkles under the Eyes: Blepharoplasty After Effects? Thank you for your question! First and foremost, congratulations on getting a blepharoplasty to resolve your eye bag, loose skin, and wrinkles issues. That is possibly the best option out there for these, what I like to call, irregularities. Regarding your concern of not yet seeing the results that were promised, I would advise waiting a bit more. Patience is a virtue and you need to be fully healed first prior to seeing the actual results of blepharoplasty. In my practice, I usually advice my patients to wait for up to 3 months or later before full and complete recovery is observed. If you have undergone fat repositioning, you may still observe excessive skin for a few weeks since it has not retracted well yet. Healing takes time. Now, after 3 months or up to 6 months, and you are still showing wrinkles and excessive skin, then that is the time to worry. You may need to consult your board certified plastic surgeon at this point for progress evaluation. Do not ask for the excess to be removed so early on as this may affect the retraction needed for the lower lid. If this affected by removal of skin prior to full healing, major problems may arise. You need to be more patient on this.
Helpful 1 person found this helpful
October 14, 2014
Answer: Surgery is for sags and bags only There are some great things about blepharoplasty. It can improve sags and bags and reduce the excess skin, but it cannot remove wrinkles or re-inflate the groove between the edge of the (very thin) lower eyelid skin as it transitions into thicker upper cheek skin. It is way too early to be concerned. Most of the swelling usually disappears in a few weeks, but it will take up to a year for the remaining minimal swelling to finally go away. The incision lines will become pink and firm for a while, then soften and lighten after a few months. This is normal. This is expected. Wrinkles are treated with skin exfoliation and hydration. A daily skin care regimen will help over time. If you have deep wrinkles, some form of chemical peeling may be needed. Remember, it took a while to develop the wrinkles, puffiness, etc. So, it will take a while to get things better. Laser is an option, but with 23 years of experience, we have found peeling to be far superior. For a better evaluation, please post frontal and side view photos.
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October 14, 2014
Answer: Surgery is for sags and bags only There are some great things about blepharoplasty. It can improve sags and bags and reduce the excess skin, but it cannot remove wrinkles or re-inflate the groove between the edge of the (very thin) lower eyelid skin as it transitions into thicker upper cheek skin. It is way too early to be concerned. Most of the swelling usually disappears in a few weeks, but it will take up to a year for the remaining minimal swelling to finally go away. The incision lines will become pink and firm for a while, then soften and lighten after a few months. This is normal. This is expected. Wrinkles are treated with skin exfoliation and hydration. A daily skin care regimen will help over time. If you have deep wrinkles, some form of chemical peeling may be needed. Remember, it took a while to develop the wrinkles, puffiness, etc. So, it will take a while to get things better. Laser is an option, but with 23 years of experience, we have found peeling to be far superior. For a better evaluation, please post frontal and side view photos.
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December 5, 2014
Answer: Give it Time Two weeks is definitely too soon to be talking about revision but I understand your frustration. Removal of skin from the lower lids a tricky and requires other procedures to be done at the same time such as a canthoplasty and cheek support. You mention deep wrinkles. If the wrinkles are low on the eyelid, ie at the orbital rim. then removal of a small amount of skin from the superior part of the eyelid will not help. This area can only really be helped by a midface lift or standard facelift. So give it time. Then consider laser or peels to help the wrinkles and if that doesn't do it consider other surgery.
Helpful
December 5, 2014
Answer: Give it Time Two weeks is definitely too soon to be talking about revision but I understand your frustration. Removal of skin from the lower lids a tricky and requires other procedures to be done at the same time such as a canthoplasty and cheek support. You mention deep wrinkles. If the wrinkles are low on the eyelid, ie at the orbital rim. then removal of a small amount of skin from the superior part of the eyelid will not help. This area can only really be helped by a midface lift or standard facelift. So give it time. Then consider laser or peels to help the wrinkles and if that doesn't do it consider other surgery.
Helpful