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Is It Common for a Lower Eyelid Skin Pinch to Alter the Shape of One's Eye?

Jane A
A plastic surgeon told me I have excess skin on my lower eyelids. CO2 fractional laser was recommended as first step. That was done 3 months ago. Mild improvement but did not tighten much. Botox under the eye and on the sides made my under eye bunch more. It is saggy & redundant skin under my eyes rather than just fine lines. When I smile it pleats & folds. Regarding a lower eyelid skin pinch - my main concern is that it could alter my eye shape. Is rounding the eye a risk? Thank you.

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