Why didn't my lower lid Bleph not work on my right eye? It's actually worse a year later. (photos)

Question

My PS I convinced me that a lower bleph and pinch would eliminate my bil eye puffiness. Shortly after the procedure, I noticed that he stitched the right corner of eye but not the left. After the swelling/bruising completely resolved, I still had that lower puffiness and some loose skin not previously there. Should I have the procedure again- of course with another plastic surgeon. Or would trough injections help. Which the best and most financially feasible.

Mehryar (Ray) Taban, MD, FACS · Answer

Need personal consultation to determine what would be the best treatment for you. Either filler or revision lower blepharoplasty (with fat repositioning). See following video. See an oculoplastic surgeon.

Kenneth D. Steinsapir, MD · Answer

A skin pinch cannot resolve these issues.  Yes you could have wonderful help with properly performed lower eyelid fillers.  However, like eyelid surgery, expertise is required to get an optimal result.  Which more affordable?  The fillers require once per year mantance so while they are less expensive than surgery, surgery provides a long tern solution.

Brian S. Biesman, MD · Answer

Thank you for your question.  I am sorry that you are not happy with the outcome of the procedure.  It does appear that there is some asymmetry of the lower lids.  As you suggested, injectable fillers may be one option.  Other options may include surgical revision and/or technology-based treatment.  I would recommend evaluation by a surgeon who is highly experienced in the aesthetic treatment of lower eyelids to determine what your options may be.

Silvia McKevitt, MD · Answer

Both tear trough fillers or a revision right lower lid blepharoplasty would likely improve the appearance of the right lower lid. Revision blepharoplasty to remove or reposition residual fat would be the longest lasting treatment for this.

Jason J. Hall, MD, FACS · Answer

It appears that you still have some muscle and fat excess of your right lower eyelid that accentuates the asymmetry between the sides.  Filler may help the eyes appear more even, but is not as accurate or durable as a surgical repair.

Why didn't my lower lid Bleph not work on my right eye? It's actually worse a year later. (photos)

Answers (5)

Answer: Right lower lid puffiness after blepharoplasty

Answer: Right lower lid puffiness after blepharoplasty

Answer: Uneven eyelids

Answer: Uneven eyelids

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

Why didn't my lower lid Bleph not work on my right eye? It's actually worse a year later. (photos)

Answers (5)

Answer: Right lower lid puffiness after blepharoplasty

Answer: Right lower lid puffiness after blepharoplasty

Answer: Uneven eyelids

Answer: Uneven eyelids

Browse related questions

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.