Ihad a lower blepharoplasty ayear ago for wrinkling (no bags) I am now left with a bag which when I smile makes the suture line scar quite visible as it it quite a low scar. I have been told it is because I have strong eye muscles, a bit of the muscle needs to be trimmed. I am worried about having the muscle removed that it may cause more problems but am dissapointed I still have wrinkles and now a bag too! Is this safe or should I just leave well alone and put up with the bag?? Any advice please? TIA
Answer: Wrinkling Skin After Lower Blepharoplasty Thank you for sharing your case and photos. You have had the right amount of skin removed with surgery. The bunching you see is from the underlying orbicularis oculi muscle. Some residual muscle is necessary to help you close your eyes and blink. There are several options to treat this including surgery or Botox. Consider a consultation with a board certified oculoplastic surgeon to discuss your options. Good luck!
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CONTACT NOW Answer: Wrinkling Skin After Lower Blepharoplasty Thank you for sharing your case and photos. You have had the right amount of skin removed with surgery. The bunching you see is from the underlying orbicularis oculi muscle. Some residual muscle is necessary to help you close your eyes and blink. There are several options to treat this including surgery or Botox. Consider a consultation with a board certified oculoplastic surgeon to discuss your options. Good luck!
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CONTACT NOW Answer: Lower lid wrinkling There are a few issues here. At rest you don't appear to have redundant skin, so there is probably not much excess that could be removed or you might get an ectropion. It looks like you had fat removed, so you are volume deficient. This increases the amount of wrinkling when you smile. Adding filler to the lower lid may help. You could also do some laser resurfacing to try to improve the skin texture. Botox to the orbicularis will help soften the muscle roll you see under the lashes when you smile. When people have a very large muscle here, a small amount of it can sometimes be removed. If too much is taken it can affect your lid tone and blinking.
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CONTACT NOW Answer: Lower lid wrinkling There are a few issues here. At rest you don't appear to have redundant skin, so there is probably not much excess that could be removed or you might get an ectropion. It looks like you had fat removed, so you are volume deficient. This increases the amount of wrinkling when you smile. Adding filler to the lower lid may help. You could also do some laser resurfacing to try to improve the skin texture. Botox to the orbicularis will help soften the muscle roll you see under the lashes when you smile. When people have a very large muscle here, a small amount of it can sometimes be removed. If too much is taken it can affect your lid tone and blinking.
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August 14, 2016
Answer: Bag and skin muscle laxity after lower blepharoplasty You can tailor a muscle roll, reduce lower eyelid skin laxity and move up the we cheek junction with a superficial cheek lift.
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CONTACT NOW August 14, 2016
Answer: Bag and skin muscle laxity after lower blepharoplasty You can tailor a muscle roll, reduce lower eyelid skin laxity and move up the we cheek junction with a superficial cheek lift.
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August 14, 2016
Answer: "Eye bag" It may be thickening of the orbicularis oculi muscle during contraction. It appears it may be more noticeable from a lack of smooth redistribution of the overlying skin during animation. This may be from the small amount of fibrosis/scarring that occurs after raising a skin-only flap to reduce lower eyelid skin wrinkles. This of course only if your surgeon used that technique. In either event, a carefully evaluated/planned/executed revision may well offer some improvement. If the question is primarily more informational then I would leave well enough alone.
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CONTACT NOW August 14, 2016
Answer: "Eye bag" It may be thickening of the orbicularis oculi muscle during contraction. It appears it may be more noticeable from a lack of smooth redistribution of the overlying skin during animation. This may be from the small amount of fibrosis/scarring that occurs after raising a skin-only flap to reduce lower eyelid skin wrinkles. This of course only if your surgeon used that technique. In either event, a carefully evaluated/planned/executed revision may well offer some improvement. If the question is primarily more informational then I would leave well enough alone.
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August 15, 2016
Answer: Post Blepharoplasty concerns It appears that you may be looking at your orbicularis oculi muscle, though pictures of you looking up would be helpful to see if it is fat, or bags.
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Answer: Post Blepharoplasty concerns It appears that you may be looking at your orbicularis oculi muscle, though pictures of you looking up would be helpful to see if it is fat, or bags.
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