I’ve very concerned about my under eye area and early aging due to it. Also the crease from my eye into my cheek area is a concern. I feel like I would most benefit from a lower blepharoplasty however am interested in suggestions
December 31, 2023
Answer: Lower eyelid and midface assessment Making an accurate assessment regarding the lower eyelid and midface area can be tricky. Generally, in an attractive, youthful face, the contour of the lower eyelid should be snug and tight with immediate fullness in the upper part of the mid face. With typical facial, aging, the volumes, sometimes reverse with the lower eyelid, showing fullness due to weakness in the peri-orbital septum, allowing the three fat pads of the lower eyelid to cause bulging.At the same time, patient often develop a loss of volume and the upper part of the midface. In your case, I don’t see significant bulging of the lower eyelid fat pads. What I do see is lines of premature facial aging due to sun damage with malar edema. I recommend avoiding sun exposure and wearing sunscreen. Very careful use of Botox in the upper part of the lower eyelid may be helpful. Chemical peels, laser resurfacing or tretinoin may potentially be useful. Long-term reversal of sun damage is inherently difficult and ultimately not really possible. A lower eyelid blepharoplasty may or may not be useful but I don’t think it is necessarily indicated. Personally, I’m not a big fan of lower eyelid blepharoplasty including skin resection. I typically rely on removal of fat pads only. Skin resection of the lower eyelid typically leads to premature ectropion. Best, Mats Hagstrom, MD.
Helpful
December 31, 2023
Answer: Lower eyelid and midface assessment Making an accurate assessment regarding the lower eyelid and midface area can be tricky. Generally, in an attractive, youthful face, the contour of the lower eyelid should be snug and tight with immediate fullness in the upper part of the mid face. With typical facial, aging, the volumes, sometimes reverse with the lower eyelid, showing fullness due to weakness in the peri-orbital septum, allowing the three fat pads of the lower eyelid to cause bulging.At the same time, patient often develop a loss of volume and the upper part of the midface. In your case, I don’t see significant bulging of the lower eyelid fat pads. What I do see is lines of premature facial aging due to sun damage with malar edema. I recommend avoiding sun exposure and wearing sunscreen. Very careful use of Botox in the upper part of the lower eyelid may be helpful. Chemical peels, laser resurfacing or tretinoin may potentially be useful. Long-term reversal of sun damage is inherently difficult and ultimately not really possible. A lower eyelid blepharoplasty may or may not be useful but I don’t think it is necessarily indicated. Personally, I’m not a big fan of lower eyelid blepharoplasty including skin resection. I typically rely on removal of fat pads only. Skin resection of the lower eyelid typically leads to premature ectropion. Best, Mats Hagstrom, MD.
Helpful