How long do I need to wait to have upper and lower blepharoplasty after dissolving with hyaluronidase to tear troughs?

Hi,Every case is very unique. In your case it seems the biggest issues are hollowing and negative vector. The bone of the under eye is further back compared to the eyeball.Overall the answer is that you would likely do best with filler or fat grafting to add volume to the area of hollowing. If...

The small amount of redundant skin that you see in your upper eyelids is actually not extra skin. It’s the fact that some of your fat in that area has atrophy and therefore you’re seeing some laxity of the skin due to that. Preservation of volume in the upper eyelids is important to maintain the...

Your eyebrows are quite low. You will need a browlift and extend it down to include the upper cheek area and tighten the lower eyelids at the same time. Best Wishes, Gary Horndeski, M.D.

A closeup photo would be very helpful. If by fluid is meant lymphedema from lymphatic obstruction, I have had success in treating using an algorithm of varying combinations, concentrations and amounts of intralesional anti-inflammatory agents. That being said the precise management of this...

Hi, thank you for you question. Based on your photos it does appear you have some excess upper eyelid skin. The best option to correct this is surgical with the removal of this excess skin (upper blepharoplasty). The incision and resulting scar is typically well hidden within the upper eyelid...

Correcting these under-eye areas like the tear troughs and orbital rims can usually be done with an injectable filler. Likewise, the temporal hollows can often be improved this way. I tend to start conservatively with a temporary hyaluronic acid gel filler like RHA, Juvederm, etc. These usually...