I just had filler removed. Would a lower blepharoplasty help? (Photo)

Question

Just had filler removed so I can see my under eyes, filler not working any more, do i have a Blepharoplasty and do I add fat?

Leland Deane, MD, FACS · Answer

You have sagging of the lower lid muscle which could be corrected by lower blepharoplasty with suspension, something I do all the time.
See my instagram for examples.
Happy to speak with you virtually in consultation, if you wish.

Nima Shemirani, MD · Answer

Hi @rachaelgodd86. You would be a great candidate for a lower blepharoplasty. A lower blepharoplasty will address the herniated fat pads and excess skin under your eyes giving you a more refreshed and rested appearance. Best of luck, Dr. Nima!

Caner Kacmaz, MD · Answer

Thank you for your picture. We can achieve amazing results by performing lower blepharoplasty surgery. You are a great candidate for it. We perform this surgery under general anesthesia. This will give a youthful and fresh look by removing skin and/or fat in order to reduce wrinkles and fat bulges on your lower eyelids. Good luck

Jonathan Kulbersh, MD · Answer

Thank you for your question and photo. It is possible to improve the under-eye appearance with a lower blepharoplasty procedure. This surgery can smooth the transition between the eye and upper cheek by sculpting or removing excess fat and skin, depending on each patient’s individual situation. 
By contouring and restructuring the lower lid, the eyes can appear more open, awake, and refreshed, with results lasting approximately 10 years or more. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can make the best suggestion for helping you achieve your cosmetic goals.

Marc Polacco, MD · Answer

Thank you for your question. A lower blepharoplasty is helpful for reducing eyelid fat pad show. Some surgeons such as myself also will transfer the fat pad into the tear trough to act like a natural filler that's permanent. A resurfacing procedure can also be performed at the same time to tighten the skin and reduce wrinkles. I hope that helps, and all the best to you.
-Dr. P

C. Blake Perry, MD · Answer

You are a great candidate for lower lid blepharoplasty with fat transposition. This surgery utilizes an incision from behind the eyelid and moves fat from your lid to tear trough to smooth the transition from the lid to cheek. This essentially removes the puffiness from the lid.

Nelson Lee Novick, MD · Answer

If by prior filler was meant direct treatment of the tear trough region with a low viscosity filler, lack of success would not be surprising.  I wonder if the more appropriate injection of  a robust HA filler in the upper cheek regions (which are a very important supports and buttresses for the infraorbital region) was tried instead in order to help to improve the under eyes. If this was not done, then this would be worth discussing with your injector before jumping to aggressive, invasive, expensive surgery or the use of fat injections.  Make sure that you consult with a board certified cosmetic dermatologist.

Mehryar (Ray) Taban, MD, FACS · Answer

You will likely benefit from lower blepharoplasty. It is important to see an expert for evaluation and treatment.

Zoran Potparic, MD · Answer

Based on this photo, you seem to be good candiate for transconjuctival lower blepharoplasty. Surgery is performed entirely through a small incision inside the lower eyelid and, the most significant signs like tear trough and fat bags above. are corrected. no need for outside scar in your case. In person consultation with a board certified plastic surgeon, familiar with this technique, is recommended. Good luck.

John Michael Thomassen, MD · Answer

Yes, a lower lid blepharoplasty would be a good option.  It would remove the "bags" of the lower lids.  Some fat grafting along the tear trough at the same time can ensure no residual orbitomalar groove remains.

I just had filler removed. Would a lower blepharoplasty help? (Photo)

Answers (17)

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