Which procedure would help correct hollow eyes after blepharoplasty? (photos)

Question

Please I need answers i got upper blepharoplasty I wanted a little bit of skin to be removed but I was shocked at the result a hollowness that made me look old and horrible I'm in my twenties I'm falling into depression and social isolation can this be fixed and how i will attach before and after pictures

Kenneth D. Steinsapir, MD · Answer

I seem to be the only surgeon out there doing post-upper blepharoplasty upper eyelid fold reconstruction. So it is possible to restore and upper eyelid fold. The biggest challenge to accomplishing this is what is left in your eyelid. It is impossible to know this until the time of reconstruction. However a very detailed consultation will determine the likelihood of retained pre-aponeurotic fat, condition of the orbicularis, height of current upper eyelid crease, severity of dry eye and other factors. It is possible to lower the upper eyelid crease, repair the damaged levator aponeurosis, reconstruct the upper eyelid fold, and set the factors that allow the eyebrows to return to a more normal position. There is help for you. It starts with a detailed in person assessment. Your eyes can be your best feature again.

Kenneth R. Francis, MD, FACS · Answer

Dear Caring,
It is unfortunate that you thought your already beautiful eyes needed surgery in your 20s, and more unfortunate that a surgeon agreed to do it.  Whoever that was, I'm guessing is older and less aware of current trends in beauty standards and plastic surgery.  That trend is now to avoid removing fat from the upper eyelids altogether, or at least removing smaller amounts in order to prevent the known specter of hollowing when that is done.  The hollowing can be improved with fat grafting, but be aware that there will be risks involved with this as well.  Seek consultation with a legitimate, certified plastic surgeon who is skilled in fat grafting for a discussion of your options and risks.  Good luck!

Mats Hagstrom, MD (license on probation) · Answer

There should always be a good indication before having surgical intervention.
An experienced ethical provider should’ve away from the procedure.
Overzealous, enthusiasm, temptation and greed can corrupt medical thinking away from patient advocacy.
At this point, the skillet has been removed and is gone. 
I always encourage people to have multiple in person, consultations before considering scheduling any procedure and to help select the right provider. Have you had multiple consultations before scheduling surgery perhaps someone would’ve pointed out that you really don’t need surgery have a significant skin excess your upper eyelid.
Replacing eyelid skin is one of the most challenging things to do in plastic surgery. this is sometimes needed after cancer, surgery, trauma, or burn injuries. feels the best skin for grafting for skin.
It’s not an aesthetic good solution, but for the truly need to cover their eyelids skin those are actual surgical options.
In your case, I think you should not have it any further surgery, since it is likely to not make good improvements, and can potentially make things worse.
Volume restoration with fillers is usually not done in the upper eyelids.
I think you’ll need to accept the decision to have the procedure. unfortunately your doctor did not have the insight or moral standard to steer you away from it.
I wish I could be more optimistic and give you good recommendations. I don’t believe people who’ve been injured through plastic surgery deserve anything but the truth.
For anyone reading this post, who is contemplating having surgery I recommend all patients of multiple in person, consultations before choosing a provider and scheduling surgery. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before and after pictures of the previous patient who have similar characteristics to your own. An experienced plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. Being shown a handful of pre-selected images, representing the best results of a providers career is insufficient to get a clear understanding of what average results look like in the hands of each provider or how many of these procedures they’ve actually performed. Being board-certified and plastic surgery with years of experience, and an overall good reputation does not mean somebody has mastered any one single procedure. Recognize that some procedures are inherently complex, and there is a wide variety of skill and experience among those with all the proper certifications and credentials. It is the patients obligation and responsibility to properly vet providers before having elective cosmetic surgery.
The biggest mistake most patients make is scheduling surgery after having only one single consultation. This eliminates any chance of choosing a better provider.
Best,
Mats Hagstrom, MD

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