When I smile I have extra skin and bags that appear below my eyes. I have tried botox, and also just did Morpheus8 a couple of weeks ago. I've been advised by several surgeons against eye surgery. What are my other options to fix this?
Answer: Eyelid appearance Hi, thanks for your question and photo. Based off the photo alone an upper and lower blepharoplasty seems to be a potential option for you to correct the concerns you noted on above. Since I don't know your medical and surgical history, I'm unsure why other surgeons have recommended against eyelid surgery. Sometimes prior eye surgery or a particular underlying medical condition may increase your risks for poor wound healing or surgical complications, and this may be the reason they recommended against surgery. Without this additional information or an exam its difficult to provide you with a better answer.
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Answer: Eyelid appearance Hi, thanks for your question and photo. Based off the photo alone an upper and lower blepharoplasty seems to be a potential option for you to correct the concerns you noted on above. Since I don't know your medical and surgical history, I'm unsure why other surgeons have recommended against eyelid surgery. Sometimes prior eye surgery or a particular underlying medical condition may increase your risks for poor wound healing or surgical complications, and this may be the reason they recommended against surgery. Without this additional information or an exam its difficult to provide you with a better answer.
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February 5, 2024
Answer: Upper and lower blepharoplasty, mid facelift and extended browlift You have excess skin of the upper and lower eyelids, mid face and forehead. I recommend an extended browlift to pull the eyebrows up higher and a mid facelift to pull the peri-orbital skin tighter. At the same time, you can undergo upper and lower blepharoplasty. Best Wishes, Gary Horndeski, M.D.
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February 5, 2024
Answer: Upper and lower blepharoplasty, mid facelift and extended browlift You have excess skin of the upper and lower eyelids, mid face and forehead. I recommend an extended browlift to pull the eyebrows up higher and a mid facelift to pull the peri-orbital skin tighter. At the same time, you can undergo upper and lower blepharoplasty. Best Wishes, Gary Horndeski, M.D.
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February 2, 2024
Answer: Undereye concerns Further photos or an exam would be needed to determine the best recommendation for you. Typically for excess skin and under eye bags a lower blepharoplasty is advised. I'm not sure why you were told you weren't a candidate. Morpheus8 which you are undergoing is another good treatment. Generally three sessions are recommended for optimal results. Fillers can also help the appearance of the under eye. We recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.
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February 2, 2024
Answer: Undereye concerns Further photos or an exam would be needed to determine the best recommendation for you. Typically for excess skin and under eye bags a lower blepharoplasty is advised. I'm not sure why you were told you weren't a candidate. Morpheus8 which you are undergoing is another good treatment. Generally three sessions are recommended for optimal results. Fillers can also help the appearance of the under eye. We recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.
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February 1, 2024
Answer: Treatment of under eye area It appears to me that you have excess skin under your eyes, but a photo of your eyelids when you are not smiling would be very helpful to evaluate you. If you do have excess skin in the under eye area, this could potentially be improved with CO2 laser resurfacing or with a surgical procedure where some of the excess skin is removed.
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February 1, 2024
Answer: Treatment of under eye area It appears to me that you have excess skin under your eyes, but a photo of your eyelids when you are not smiling would be very helpful to evaluate you. If you do have excess skin in the under eye area, this could potentially be improved with CO2 laser resurfacing or with a surgical procedure where some of the excess skin is removed.
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February 1, 2024
Answer: Which procedure would help minimize the appearance of my under eye bags and excess skin? Most expert experienced artistic plastic surgeons have a variety of procedures, both non-surgical and surgical, at their disposal to produce excellent cosmetic results in the appropriately selected patient: Botox or Dysport, temporary hyaluronic acid fillers like Restylane, long-lasting micro-fat grafts, blepharoplasties, or combinations of procedures. Each has benefits and drawbacks and depends on desired outcome and individual anatomy. In a patient with your inherited anatomy, a blepharoplasty will produce the best and longest lasting cosmetic result. The darkness may be less obvious, but will not be totally eliminated. Following the advice of anyone who would presume to tell you what to do without seeing photos and without taking a full medical history, examining you, feeling and assessing your tissue tone, discussing your desired outcome and fully informing you about the pros and cons of each option would not be in your best interest. Find a plastic surgeon that you are comfortable with and one that you trust and listen to his or her advice. The surgeon should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS). You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla, California
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February 1, 2024
Answer: Which procedure would help minimize the appearance of my under eye bags and excess skin? Most expert experienced artistic plastic surgeons have a variety of procedures, both non-surgical and surgical, at their disposal to produce excellent cosmetic results in the appropriately selected patient: Botox or Dysport, temporary hyaluronic acid fillers like Restylane, long-lasting micro-fat grafts, blepharoplasties, or combinations of procedures. Each has benefits and drawbacks and depends on desired outcome and individual anatomy. In a patient with your inherited anatomy, a blepharoplasty will produce the best and longest lasting cosmetic result. The darkness may be less obvious, but will not be totally eliminated. Following the advice of anyone who would presume to tell you what to do without seeing photos and without taking a full medical history, examining you, feeling and assessing your tissue tone, discussing your desired outcome and fully informing you about the pros and cons of each option would not be in your best interest. Find a plastic surgeon that you are comfortable with and one that you trust and listen to his or her advice. The surgeon should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS). You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla, California
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