Afterward, Dr said she didn't usually take out fat because it would look hollow. I'm worried that in no time it will sag and be just as bad as it was. What are my options if I need more done?
Answer: Upper lid bleph You do have fullness which is present in both the before and after. However it is not due to eyelid fat but to the fallen brow fat. You should probably have had at least a temporal browlift done with the lids. This would help to elevate the heavy brow tissue and open up the eye area. This can still be done, and should make a big difference cosmetically. Your surgeon is right in that we don't like to take a lot of fat out of the lids as it can make you look hollow. You also don't want to take out all that brow fat when doing the eyelid surgery or it will not look good.
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Answer: Upper lid bleph You do have fullness which is present in both the before and after. However it is not due to eyelid fat but to the fallen brow fat. You should probably have had at least a temporal browlift done with the lids. This would help to elevate the heavy brow tissue and open up the eye area. This can still be done, and should make a big difference cosmetically. Your surgeon is right in that we don't like to take a lot of fat out of the lids as it can make you look hollow. You also don't want to take out all that brow fat when doing the eyelid surgery or it will not look good.
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August 13, 2015
Answer: Slightly under done Thank you for the question and photos. Although you will continue to improve, I think you will still have a little extra skin/fat in the upper eyelids. Fortunately, this is not a complication. Your doctor was probably being conservative and cautious. Nothing would be worse than if she over-corrected your problem. At 6 months if you are not satisfied, you can have a brow lift which will fix your slightly low brows and pull up the eyelid skin at the same time. Good luck,
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August 13, 2015
Answer: Slightly under done Thank you for the question and photos. Although you will continue to improve, I think you will still have a little extra skin/fat in the upper eyelids. Fortunately, this is not a complication. Your doctor was probably being conservative and cautious. Nothing would be worse than if she over-corrected your problem. At 6 months if you are not satisfied, you can have a brow lift which will fix your slightly low brows and pull up the eyelid skin at the same time. Good luck,
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August 13, 2015
Answer: Unsatisfied with upper blepharoplasty result Hello. There are different issues that cause aging and drooping of the upper eyelids, including excess skin laxity, bulging of fat, and drooping of the brows. The first two issues can be addressed through a blepharoplasty procedure, but the third requires a brow lift. If someone has significant drooping of the brow (brow ptosis), it is unlikely that they will get significant, if any, improvement from a blepharoplasty alone, and sometimes the blepharoplasty can actually increase the degree of brow ptosis. Looking at your pictures, it appears that you have significant brow ptosis which is creating hooding of the outer part of the upper eyelids. A blepharoplasty won't resolve this issue, even if fat was removed at the time of the procedure. If a brow lift had been performed at the same time as your blepharoplasty procedure, I think you would be much more satisfied with your result. I would certainly advise you to allow the healing process to complete at this time, which usually takes a few months. I would suggest that you discuss your concerns with your physician and see what he suggests. It is likely that a brow lift will be required to achieve the optimal result in your case. I hope this is helpful.
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August 13, 2015
Answer: Unsatisfied with upper blepharoplasty result Hello. There are different issues that cause aging and drooping of the upper eyelids, including excess skin laxity, bulging of fat, and drooping of the brows. The first two issues can be addressed through a blepharoplasty procedure, but the third requires a brow lift. If someone has significant drooping of the brow (brow ptosis), it is unlikely that they will get significant, if any, improvement from a blepharoplasty alone, and sometimes the blepharoplasty can actually increase the degree of brow ptosis. Looking at your pictures, it appears that you have significant brow ptosis which is creating hooding of the outer part of the upper eyelids. A blepharoplasty won't resolve this issue, even if fat was removed at the time of the procedure. If a brow lift had been performed at the same time as your blepharoplasty procedure, I think you would be much more satisfied with your result. I would certainly advise you to allow the healing process to complete at this time, which usually takes a few months. I would suggest that you discuss your concerns with your physician and see what he suggests. It is likely that a brow lift will be required to achieve the optimal result in your case. I hope this is helpful.
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August 13, 2015
Answer: Unfortunately the result is totally unacceptable because you look worse after the procedure! Now, before you run out a do something, please let yourself heal longer. You have healed a lot, no question. However, before deciding what to do next, I recommend healing another 4 months. I suspect that you might need a conservative forehead lift. It also looks like a ptosis procedure might have been done in the upper eyelids-do you know? Time is helpful. When you are ready, I recommend getting several opinions before deciding what you need.
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August 13, 2015
Answer: Unfortunately the result is totally unacceptable because you look worse after the procedure! Now, before you run out a do something, please let yourself heal longer. You have healed a lot, no question. However, before deciding what to do next, I recommend healing another 4 months. I suspect that you might need a conservative forehead lift. It also looks like a ptosis procedure might have been done in the upper eyelids-do you know? Time is helpful. When you are ready, I recommend getting several opinions before deciding what you need.
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Answer: Fullness After Upper Blepharoplasty It may be due to the position of your eyebrows. When the eyelids and brows are at rest, it is likely that your brows are sitting at a lower level, which makes the upper eyelids look fuller. It also contributes to forehead wrinkles, since you get used to holding your lowered brows up higher, which causes the forehead muscles to contract, making wrinkles. An evaluation of your brows by a board certified plastic surgeon will help you understand if this is the case. Taking too much fat from the upper eyelids does give a "hollow" look, which should be avoided.
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Answer: Fullness After Upper Blepharoplasty It may be due to the position of your eyebrows. When the eyelids and brows are at rest, it is likely that your brows are sitting at a lower level, which makes the upper eyelids look fuller. It also contributes to forehead wrinkles, since you get used to holding your lowered brows up higher, which causes the forehead muscles to contract, making wrinkles. An evaluation of your brows by a board certified plastic surgeon will help you understand if this is the case. Taking too much fat from the upper eyelids does give a "hollow" look, which should be avoided.
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