I had a lower and upper bleph done about 17 years ago. The surgeon did a brilliant job. Within the last 6 months I have noticed a small but quite noticeable fat profusion just below the outside corner of my eye. It seems to be getting larger.
October 24, 2017
Answer: Lower Eyelid Looks Puffy Again Years After Surgery Lower eyelid surgery involving the fat does indeed usually last 10 or more years. The health of the skin deteriorates with age, and the septum structure of the eyelid can weaken allowing orbital/eyelid fat to become more prominent again. Also the facial tissues descend exacerbating the lower eyelid/cheek complex. Sometimes surgery is the answer, but we have great injectable fillers that can also improve the appearance sometimes without surgery. An in-person consultation would help best to go over your options. Best regards.
Helpful
October 24, 2017
Answer: Lower Eyelid Looks Puffy Again Years After Surgery Lower eyelid surgery involving the fat does indeed usually last 10 or more years. The health of the skin deteriorates with age, and the septum structure of the eyelid can weaken allowing orbital/eyelid fat to become more prominent again. Also the facial tissues descend exacerbating the lower eyelid/cheek complex. Sometimes surgery is the answer, but we have great injectable fillers that can also improve the appearance sometimes without surgery. An in-person consultation would help best to go over your options. Best regards.
Helpful
October 24, 2017
Answer: Recurrent bulge lower lid many years after blepharoplasty no photos but generically the cause may be a small herniation of fat due to loss of support or thinning of the eyelid skin and muscle support structures. if this is the case a conservative skin and possibly also muscle tightening may help. Since the risk of lid retraction is greater from removing skin beneath the tarsal plate is higher in a secondary ( repeat ) lower lid blepharoplasty, sometimes a lateral skin excision can be done in a crow,s foot crease, perhaps could improve this as when repaired this could create an upward pulling vector. you could consider exploring for excess fat, but this may not yield any excess fat.
Helpful
October 24, 2017
Answer: Recurrent bulge lower lid many years after blepharoplasty no photos but generically the cause may be a small herniation of fat due to loss of support or thinning of the eyelid skin and muscle support structures. if this is the case a conservative skin and possibly also muscle tightening may help. Since the risk of lid retraction is greater from removing skin beneath the tarsal plate is higher in a secondary ( repeat ) lower lid blepharoplasty, sometimes a lateral skin excision can be done in a crow,s foot crease, perhaps could improve this as when repaired this could create an upward pulling vector. you could consider exploring for excess fat, but this may not yield any excess fat.
Helpful
