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A much better set of pictures while you're not smiling, are required to make a determination of if you're a candidate for lower eyelid blepharoplasty. At 32 years of age, you should only require a trans conjunctival approach, fat removal when there is herniated fat bags in the lower lids. All the incisions are placed on the inside of the eyelids.
Plastic surgeons typically make facial aesthetic assessments using close-up quality, standard pictures of patients without facial expression. Contracting the muscles of facial expression can contort and distort the natural anatomy that we don’t assess patients based on showing emotional expression.Take a look at how plastic surgeons take before and after pictures to get an idea.I suggest you schedule a few in person consultations with local plastic surgeons in your community.Best,Matt Cerre, MD.
I don’t think you have upper eyelid mitosis. This condition should be tested and measured and the best provider to do that is an oculoplastic surgeon. I also don’t see the indication for a lower highland blood plasty. Your midface could use a little volume and projection because of the shape of ...
A deep tear trough is due in part to a very adherent orbicularis oculi muscle medically and in let due to a relative deficiency of fat in that area. Fat transfer with or without a transconjuctival lower blepharoplasty approach to lift the muscle off the bone can reliably improve a pronounced...
I would recommend removing all of the remaining Restylane. Your cheeks look boggy. You may benefit from corrective filler service after that or you might be a candidate for surgery. An in-person assessment would is necessary to have a reasonable idea of what your are likely to benefit from.