Hello Doctors, I had a transcutaneous lower eyelid blepharoplasty a year ago to look less tired, but I see little change. The tear trough is still pronounced, and there's a noticeable circular indentation under my eye. Could this indicate that the procedure wasn’t effective, or are there additional treatments that could help? Would a cheek implant be beneficial? Thank you.
Answer: An HA Filler Cheek Augmentation Can Improve UnderEye Hollows, Tear Troughs & Bags The photos provided show signficiant volume deficit in the upper cheeks. And, since the upper cheeks are a major physical support to the under-eye region, lack of volume in that region typically gives rise to the bags, tear troughs and hollows. Surgical procedures do NOT address the issue of volume depletion and thereby would not have been expected to do much for the problems seen in the photos.
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Answer: An HA Filler Cheek Augmentation Can Improve UnderEye Hollows, Tear Troughs & Bags The photos provided show signficiant volume deficit in the upper cheeks. And, since the upper cheeks are a major physical support to the under-eye region, lack of volume in that region typically gives rise to the bags, tear troughs and hollows. Surgical procedures do NOT address the issue of volume depletion and thereby would not have been expected to do much for the problems seen in the photos.
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Answer: Lower lid blepharoplasty You continue to have lower lid herniation of fat which creates the “bags.” In my hands you would be a great candidate for transconjunctival lower lid blepharoplasty with fat repositioning. This will take the remaining eyelid fat and move it to the cheek to create a smooth contour and eliminate the tear trough.
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Answer: Lower lid blepharoplasty You continue to have lower lid herniation of fat which creates the “bags.” In my hands you would be a great candidate for transconjunctival lower lid blepharoplasty with fat repositioning. This will take the remaining eyelid fat and move it to the cheek to create a smooth contour and eliminate the tear trough.
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August 12, 2024
Answer: Post op lower eyelid blepharoplasty and unhappy Thank you for sharing your concerns and posting your photos. It appears that there is some residual fat which can still be removed or relocated slightly lower to your cheeks. The addition of fillers to the cheek area would significantly improve the appearance as well. Seek consultation with an experienced oculoplastic surgeon.
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August 12, 2024
Answer: Post op lower eyelid blepharoplasty and unhappy Thank you for sharing your concerns and posting your photos. It appears that there is some residual fat which can still be removed or relocated slightly lower to your cheeks. The addition of fillers to the cheek area would significantly improve the appearance as well. Seek consultation with an experienced oculoplastic surgeon.
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August 7, 2024
Answer: Transconjunctival bleph There is residual fat in the central and lateral compartments causing residual fullness of the lower lids and exacerbating the tear trough and orbital malar lines. A transconjunctival bleph can correct this.
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August 7, 2024
Answer: Transconjunctival bleph There is residual fat in the central and lateral compartments causing residual fullness of the lower lids and exacerbating the tear trough and orbital malar lines. A transconjunctival bleph can correct this.
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August 5, 2024
Answer: An examination will be necessary to answer your question. If you had lower eyelid blepharoplasty, it is not clear why you still appear to have fat pads below your eyes. Additionally, you may have some rounding or scleral show at the outside margin of your lower eyelids, and that is something that might need to be taken into account should you proceed with a further procedure. Thank you for your question. Sincerely, Dr. Joseph
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August 5, 2024
Answer: An examination will be necessary to answer your question. If you had lower eyelid blepharoplasty, it is not clear why you still appear to have fat pads below your eyes. Additionally, you may have some rounding or scleral show at the outside margin of your lower eyelids, and that is something that might need to be taken into account should you proceed with a further procedure. Thank you for your question. Sincerely, Dr. Joseph
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August 5, 2024
Answer: Circles underneath the eyelids after lower blepharoplasty This is very likely combination of residual deformity (orbicularis muscle and oblique ligaments were not sufficiently released) and smaller cheek bones. Cheek augmentation with fat or implants, possibly revision of eyelid surgery should be considered. Good luck.
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August 5, 2024
Answer: Circles underneath the eyelids after lower blepharoplasty This is very likely combination of residual deformity (orbicularis muscle and oblique ligaments were not sufficiently released) and smaller cheek bones. Cheek augmentation with fat or implants, possibly revision of eyelid surgery should be considered. Good luck.
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