1 month after surgery the area of my stitches still pull, hurt. In the morning my eyes are puffy and feel a bit better appearance wise towards evening they sunk in, pull and uneven stitches are more visible. Something doesn't feel right. If I sleep long my eyes swell and feel like they r about to explode. I'm afraid this might be due to insufficient skin. My eye sockets are visible and lids too wide, stitches high. Will lids be covered over time as stitches heal and skin relaxes? I'm depressed
August 26, 2015
Answer: What can I do to improve a hollowed results after blepharoplasty? Do I need eyelid surgery revision? Based on the photos you provided, I think your concerns are valid. In addition, at this point after surgery I would not expect the result to change that significantly. It appears that you've had an excessive amount of tissue removed during your blepharoplasty surgery. Once removed, it is very difficult to re-create the normal contours and relationships that once existed. My preferred treatment for this issue is to attempt to replace some of the volume that has been lost by utilizing injectable fillers such as Restylane, Belotero or Juvederm. This type of in office treatment should be performed only by physicians with the highest level of experience, the familiarity, and comfort around the eyes.
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August 26, 2015
Answer: What can I do to improve a hollowed results after blepharoplasty? Do I need eyelid surgery revision? Based on the photos you provided, I think your concerns are valid. In addition, at this point after surgery I would not expect the result to change that significantly. It appears that you've had an excessive amount of tissue removed during your blepharoplasty surgery. Once removed, it is very difficult to re-create the normal contours and relationships that once existed. My preferred treatment for this issue is to attempt to replace some of the volume that has been lost by utilizing injectable fillers such as Restylane, Belotero or Juvederm. This type of in office treatment should be performed only by physicians with the highest level of experience, the familiarity, and comfort around the eyes.
Helpful 1 person found this helpful
August 26, 2015
Answer: Hollow Sunken Eyes After Blepharoplasty I am sorry to hear that you are having such difficulties after your recent eyelid surgery. Your concerns are certainly valid, and it does appear that a more aggressive amount of tissue (skin, muscle, and fat) was removed during your surgery. It also sounds like you are experiencing significant issues with dry eye symptoms and possibly some lagophthalmos, which is an inability to close the eyes completely, particularly when sleeping. Temporary dry eye symptoms are relatively common in the immediate post-operative period following eyelid surgery, but they do need to be treated with aggressive lubrication in the form of over-the-counter artificial tears during the day and lubricating eye ointment inside the eyes at bedtime. At times, other treatments are also required to alleviate dry eye symptoms, but you would need to consult with an Ophthalmologist or Oculoplastic surgeon for a full examination to determine whether such treatments would be beneficial in this case. With regard to the appearance of your eyes, it does appear that they appear more hollow in your post-operative photos. Volume replacement to improve the sunken appearance can often be achieved in this area with injection of facial fillers. Restylane would be the best choice for this treatment. Fat grafting is sometimes done in this area as well, but this is not my preference due to the risks of scarring and asymmetry in such a thin skin area of the eyelids. Consultation with a skilled Oculoplastic surgeon who is comfortable managing these type of issues would be a good idea at this point to address your concerns. Best, Dr. Gregory Lewen
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August 26, 2015
Answer: Hollow Sunken Eyes After Blepharoplasty I am sorry to hear that you are having such difficulties after your recent eyelid surgery. Your concerns are certainly valid, and it does appear that a more aggressive amount of tissue (skin, muscle, and fat) was removed during your surgery. It also sounds like you are experiencing significant issues with dry eye symptoms and possibly some lagophthalmos, which is an inability to close the eyes completely, particularly when sleeping. Temporary dry eye symptoms are relatively common in the immediate post-operative period following eyelid surgery, but they do need to be treated with aggressive lubrication in the form of over-the-counter artificial tears during the day and lubricating eye ointment inside the eyes at bedtime. At times, other treatments are also required to alleviate dry eye symptoms, but you would need to consult with an Ophthalmologist or Oculoplastic surgeon for a full examination to determine whether such treatments would be beneficial in this case. With regard to the appearance of your eyes, it does appear that they appear more hollow in your post-operative photos. Volume replacement to improve the sunken appearance can often be achieved in this area with injection of facial fillers. Restylane would be the best choice for this treatment. Fat grafting is sometimes done in this area as well, but this is not my preference due to the risks of scarring and asymmetry in such a thin skin area of the eyelids. Consultation with a skilled Oculoplastic surgeon who is comfortable managing these type of issues would be a good idea at this point to address your concerns. Best, Dr. Gregory Lewen
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