Extra Baggy Skin After Blepharoplasty (photo)

Question

I'm in tears every day due to a Blepharoplasty surgery and Laser Resurfacing. I am only 36 and looking back, there was nothing wrong with my eyes. Now I do. I have extra baggy skin, extra folding sunken eyes, and wrinkles which I never had before and not sure how to repair this. I probably should never had the surgery in the first place. My eyes were fine. It's not even a year later and now I have a huge problem. What can be done about this?

Sanjay Grover, MD, FACS · Answer

I prefer to use an external incision on many of my blepharoplasty patients to address the fat (excision or redraping), along with muscle tightening, skin removal and canthal tightening. You may need to have the skin/muscle addressed at this point and should seek further consultation.

James Chan, MD · Answer

Without knowing the full details of your preoperative condition, and what surgery was performed, it is difficult to comment on what can be done to improve the situation. My advice is to talk to your surgeon and develop a plan that meets your needs. You can also get another opinion from a specialist in this area.

David Shafer, MD, FACS · Answer

Based on your picture, it looks like you need skin tightening.  This can be accomplished with a chemical peel, laser resurfacing, or skin resection.  You just have to be careful the the tension of your lower lid is sufficient, since multiple lower lid procedures may cause the lid to pull away from the eyeball if a canthopexy (tightening stitch) is not used.

Frank P. Fechner, MD · Answer

I assume that you had a transconjunctival blepharoplasty (performed through the inside of the eyes). You had already laser resurfacing. Therefore, options to consider now include additional skin removal through a incision just beneath the lash line. Volume enhancement with fat transfer (or injectable fillers) can improve the sunken aspect.
I hope this helps.

Hisham Seify, MD, PhD, FACS · Answer

A full contact Blepharoplasty with muscle and skin redraping will address this issue for the long term. Laser could have a role but since it did not work for you it is better to try surgery.

Extra Baggy Skin After Blepharoplasty (photo)

Answers (9)

Answer: There are options for excess skin and hollowness

Answer: There are options for excess skin and hollowness

Answer: Surgery for lower lid revision may be needed

Answer: Surgery for lower lid revision may be needed

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.

Extra Baggy Skin After Blepharoplasty (photo)

Answers (9)

Answer: There are options for excess skin and hollowness

Answer: There are options for excess skin and hollowness

Answer: Surgery for lower lid revision may be needed

Answer: Surgery for lower lid revision may be needed

Browse related questions

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.