Crepey Skin After Upper Blepharoplasty

The crepy skin after upper blepharoplasty can represent excess skin that has not been maximally removed, therefore a touch up may be in order several months after the procedure.  Crepy skin can also respond to tightening procedures like chemical peel or laser or volume replacement.

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.
Best,
Dr. Karamanoukian
Realself100 Surgeon

Crepey skin is normal if you have not combined s skin resurfacing procedure with your Blepharoplasty surgery.  When excess fat is removed from the lower lids and excess skin is removed from the upper lids- you have merely addressed skin and fat- not skin tone, texture and quality. 

 Lasers create a tightening affect that helps to improve the appearance of loose facial and neck skin.

A laser is an amplified beam of light that vaporizes blemishes, imperfections, and lines and wrinkles that were once thought to be permanent. Laser resurfacing may also improve the appearance of acne scars and remove precancerous skin growths.

It is not uncommon to have some crepy upper eyelid skin after upper blepharoplasty. It should resolve with time and I would wait at least six months. If it does not resolve options include a minor touch-up or a laser tightening procedure should the need arise.

Traditional eyelid surgery is designed to remove excess skin, but does not change its quality.  Sometimes stretching of the skin occurs afterwards that improves the appearance of fine lines, but typically wrinkled or crepey skin stays that way. 

In order to improve skin texture, the skin has to be wounded in a controlled way to allow it to heal with a more youthful appearance.  This can be approached through a number of techniques.  I prefer the Fraxel Repair laser.  It has about 5 days of downtime, but usually results in dramatic improvement.