Blepharoplasty Revision to Get Rid of Under Eye Wrinkles?

I had an upper and lower eyelids surgery 24 months ago. I really like it cause I don't have the fat underneath and the tired look. However, underneath my eyes, I have gained more wrinkles. I want to know if a second surgery on my lower will help to tighten and get rid of these wrinkles. I am 49.

Doctor Answers 14

Lower Eyelid Wrinkles After Blepharoplasty Best Treated With Laser

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Thank you for your question.

Lower Eyelid Wrinkles are caused by repeated contraction of the Eyelid Muscle during Eyelid closure, smiling and other facial expression. The repeated bunching of the muscles produces wrinkles in the Eyelid Skin.

A repeat Blepharopasty will not remove Eyelid wrinkles because the muscle continues to wrinkle the skin.

Botox can reduce muscle contraction in the "Ctow's Feet" area but not the entire lower eyelid.

Combined Laser Resurfacing is the best option to rejuvenate Eyelid Skin and reduce wrinkles. However you must see an expert in Eyelid Surgery. The eyelid must have adequate support and not be loose. If resurfacing is done to a loose eyelid the eyelid can be pulled down, a very serious complication

Removal of eyelid wrinkle after eyelid surgery

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Removal of eyelid wrinkles after #eyelid-surgery

The photos are hard to see
Botox,, superficial low dose botox,  laser and chemical peels may all help

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

For treating eyelid wrinkles, Botox is a great first option.

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Wrinkles are caused by movement of muscles under the skin. Around your eyes the muscles the tighten when you smile or squint cause wrinkles. Blepharoplasty surgery rarely will improve lines and wrinkles, Botox however can often help soften the lines. In your case you have already had blepharoplasty surgery and I would recommend trying Botox first to address your wrinkles.

Good luck.

Ivan Wayne, MD
Oklahoma City Facial Plastic Surgeon
5.0 out of 5 stars 65 reviews

Wrinkles on lower lids

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There are two ways to deal with the wrinkles on your lower lids. If there is too much skin, the skin can be tightened, but caution must be used to avoid having your lid sag down.  The other way is by peeling the skin, either with laser or a chemical peel.  Check with your surgeon which method he or she prefers.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 28 reviews

Revision lower blepharoplasty for increased wrinkles

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The primary goal of lower eyelid surgery is to remove the fat bags. The secondary goal is to remove excess wrinkles, which is done through a small pinch technique on the lower lids. The amount of excess skin is measured at rest and not animation. Any wrinkles that are present that cannot be pinched from the lower lids can also be addressed with a fractionated laser treatment.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 155 reviews

If you have more wrinkles after blepharoplasty, laser treatments are best to tighten the skin

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If you have more wrinkles after blepharoplasty, laser treatments are best to tighten the skin, like fractionated co2 laser.

Joseph A. Eviatar, MD, FACS
New York Oculoplastic Surgeon
4.7 out of 5 stars 68 reviews

Lower lid redo

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You may need a revision of the lower lids to improve the wrinkling, but I could not tell without an exam. Also remember, that when you smile the skin will wrinkle.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Blepharoplasty revision

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Wrinkles in the lower eyelid may be treated a number of different ways, with Botox, acid peels, laser resurfacing, or blepharoplasty. All of these have different advantages and disadvantages, recovery, outcomes and complications. You should have a thorough discussion with your plastic surgeon to discuss these options prior to undergoing another surgery.

Olivia Hutchinson, MD
New York Plastic Surgeon

Wrinkles in lower lids

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It is not uncommon for the skin to relax after a while in lower lid surgery.  The resultant wrinkles can be managed with a very light, and very conservative, CO2 laser resurfacing.  You will be susceptible to lagging of the lid so make sure you choose someone who knows what he/she is doing and that that person is aware you have had previous eyelid surgery.

All the best,

Tal Raine MD

Talmage J. Raine, MD, FACS
Chicago Plastic Surgeon
4.6 out of 5 stars 11 reviews

Wrinkles after lower blepharoplasty

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You really have an excellent result from the blepharoplasty. The eyelid is short and the cheek takes off high. The wrinkles appear to be from muscle contraction (natural with a smile) or may be partly loose skin. I would try Botox first. If that doesn’t smooth the area, you may try a peel or laser. I would not recommend a second surgery.

Robert T. Buchanan, MD
Highlands Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.