2 years post blepharoplasty, what can be done about left over excess skin? (photo)

Question

I’ve had a blepharoplasty (and a revision surgery) to correct ptosis in one eye. Now, nearly 2 years since both surgeries, it has left me with an extra skin fold. The scar itself seems to cause the skin above to fold over. I’ve asked my surgeon and she said to keep massaging it and there is no further surgical or non-surgical action I can take. However, another surgeon said I need another blepharoplasty to cut the excess skin out; while another claims filler can fix it. Help?

Ilke Bahceci Simsek, MD · Answer

Your problem is about the asymetry. I seems that there is little ptosis in your right eyelid but with one photo it is to hard to say sth about it. After the examination we can talk about it. Making a ptosis correction surgery, minimal pinch resection of skin and after that placement of fillers along the superior orbital rim can fix the asymetry. I hope you find this answer helpful.

Raffy Karamanoukian, MD, FACS · Answer

I would suggest a revision vs. fillers so that the upper eyelid crease and skin can be more symmetrical with the other side. Removal of excess skin may sometimes be needed to help remove minimal skin.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question and posting your photos. All three surgeons are correct. The problem is so mild that the risk of over correction is significant and might not be worth the risk. Placement of fillers along the superior orbital rim (the bone above the eye) might pull up the skin. A minimal pinch removal of skin could possibly solve your problem too. For your situation there is no best answer. In general I feel being conservative and doing nothing could be the best answer. Whatever you choose, make sure an oculoplastic surgeon is involved in your case. Good luck!

Kenneth D. Steinsapir, MD · Answer

You have residual upper eyelid ptosis and disinsertion of the lateral canthal angles. What appears to be more skin in the right upper eyelid is actually represents more retraction of fat in the right upper eyelid related to the ptosis and a compensatory elevation in the eyebrow on the right side. If your surgeon removes this "spare" skin, you will expose more of the asymmetry. I predict that you will not be happy with that outcome. Upper eyelid fold filler is very fussy and will not address the upper eyelid ptosis. If you are motivated to do something about this, please understand that you are opening a "kettle of fish". Caution is advised.

2 years post blepharoplasty, what can be done about left over excess skin? (photo)

Answers (4)

Answer: The risk of removing this tiny bit of skin is further skeletonizing the eyelid.

Answer: The risk of removing this tiny bit of skin is further skeletonizing the eyelid.

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Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

2 years post blepharoplasty, what can be done about left over excess skin? (photo)

Answers (4)

Answer: The risk of removing this tiny bit of skin is further skeletonizing the eyelid.

Answer: The risk of removing this tiny bit of skin is further skeletonizing the eyelid.

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Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.