Is my lower blepharoplasty botched and can it be fixed if so? (Photo)

Question

Hi! I got a lower blepharoplasty done about 6 weeks ago. I got my eye bags repositioned and my surgeon stretched the eyelid a little when stitching up to help with the saggy skin. I approved the latter decision and I’m kicking myself for it because now my eyes are a different shape and very asymmetrical. The right eyelid also looks puffier and the left looks more flat when I smile. I know it’s early in the healing process but can someone tell me if it can be revised if my eyes stay like this?

J. Renee Booth, MD · Answer

There is definitely still swelling in the surgical area at 6 weeks out. Generally, it takes swelling around 4 months to fully resolve for most people (although it sometimes takes longer). If the result is not satisfactory at that time, then it is reasonable to consider RF microneedling (Matrix RF or Morpheus8) to tighten up the skin under the eye (peri-orbital skin). Due to your skin tone, full ablative Erbium YAG laser may not be an option for you. If your provider feels that it is an option, then, at a minimum, you need 6 weeks of pre-treatment with 4% hydroquinone. Fully ablative laser tightens up the skin the most effectively and RF microneedling is 2nd most effective. Fractionated laser has less risk of hyperpigmentation than fully ablative laser, but fractionated is less effective at skin tightening.

Camille Cash, MD · Answer

I know it is hard to be patient but more time is needed before judging your results.  I encourage you to discuss your concerns with your surgeon.  If after a few months you are still not happy you can consider a revision or potentially Morpheus8 to give further improvement.  Until then closely follow your surgeon's instructions for optimal results.

Mats Hagstrom, MD (license on probation) · Answer

To make an accurate assessment regarding the outcome of a plastic surgery procedure we generally need to see a complete set of proper before and after pictures. We typically do not make outcome assessments based on dynamic pictures. Facial aesthetics and contours with muscles contracting can’t be controlled during surgery.
Assessments of both preoperative and postoperative pictures are typically done without facial expression.
There is little someone can do in regards to undesirable appearances from the contraction of muscles of facial expression. Dynamic changes are not something. We have all that much control over during surgery.
I suggest letting yourself heal up for a good six months, then go back and talk to your provider.
There is nothing obviously wrong with the outcome other than that you have wrinkles with the contraction of your ocularis muscle. This is fairly common. They’re usually called smile lines.We can’t really make an assessment based on the information provided.
Best,
Mats Hagstrom, MD

Is my lower blepharoplasty botched and can it be fixed if so? (Photo)

Answers (3)

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