Am I candidate for a revision lower blepharoplasty?

Question

Had a lower blepharoplasty on the first of September. There were some improvements but im not totally satisfied with my results. Was thinking of getting a revision in a couple months. I still have like a long lump right under both my eyes, kind of looks like swelling but i'm not sure. Had my eye bags since birth. I have pictures where I lightly press under the tear trough area and I like how I look in those. Could revision surgery make me look like the pictures where i'm pressing under my eyes?

Marc Polacco, MD · Answer

Thank you for your question. If pressing under the tear trough region helps, it may be that this is more of a volume issue rather than excess skin or fat herniation, which is typically what a blepharoplasty treats. Thus, instead of revision surgery, it may be better to add volume via fillers or fat transfer. A detailed discussion with your surgeon is crucial to determine what will give you the best result moving forward. I hope this is helpful, and I wish you all the best.
-Dr. P

Alan Gonzalez, MD, FACS · Answer

Hello @happyfarm123, thank you for your question. Only after the period of time indicated by the surgeon who performed the surgery to reduce inflammation has passed will it be possible to determine whether a subsequent intervention is necessary to improve the results. Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

C. Blake Perry, MD · Answer

You need more volume to the anterior-medial cheek. This can be accomplished by moving additional eyelid fat to the area or fat grafting. Filler is also an option but I will only last 12-18 months. Best to see an eyelid expert.

Camille Cash, MD · Answer

Your tissues are still healing from surgery.  I would not consider a revision for at least six months after your procedure.  I encourage you to discuss your concerns and options with your surgeon.

Robert T. Buchanan, MD (retired) · Answer

Unfortunately, what you have will not be corrected with a blepharoplasty revision. If this was the problem before, a blepharoplasty was not the answer then. What you need is volume enhancement with either fat or a filler by an expert.

Am I candidate for a revision lower blepharoplasty?

Answers (5)