Eye bag and crease when smile under one eye post lower blepharoplasty (Photo)

Question

I had lower blephoplasty around 18 months ago, and noticed a purple looking line (I’m assuming scar tissue) under one eye. It also looks like I have an eyebag under this eye too and my tear trough lines seem stronger than before, any advice much appreciated thanks 31 year old male

Zoran Potparic, MD · Answer

Our faces are not symmetric; for that reason, some asymmetry may be present even after the best surgery. A small amount of filler or a fat graft injected deep over the bone may improve this subtle asymmetry. Hope this helps.

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Camille Cash, MD · Answer

You can consider Morpheus8 treatments to help tighten skin and improve overall skin tone and texture.  Fillers can be used to addressed asymmetry.  We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.

Eye bag and crease when smile under one eye post lower blepharoplasty (Photo)

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