One eye looks hollow after upper and lower eyelid surgery. If there a chance to fix it? (Photo)
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Doctor Answers 6
Hollowness after blepharoplasty
It is difficult to fully assess a set of eyelids from a photograph and a post.
I agree at 4.5 months there really should not be much swelling left. Yet in looking at these photos, it really does look like you are still swollen.
So what is going on? When I study your photos, I notice a significant malar bag under each eye. It makes you look haggard. Fat grafting will not fix this but can make it much worse. It can be due to lymphatic damage associated with surgery, or it can reflect a feature inherent to your face. There are a few ways to help this but it is certainly something that will need to be addressed. The left lower eyelid is more hollow than the right but again, the festoon also contributes to what is going on on the left side.
The upper eyelids look rough and not refined. There seems to be several issues. First I get the impression that there is left upper eyelid ptosis with a compensatory left eyebrow elevation. The left upper eyelid looks possibly overreacted with an A frame peak ( asymmetry in the left upper eyelid crease contour can be related to the work of a right handed surgeon.) There also appears to be excessive skin and orbicularis left in the upper eyelid platform. With blepharoplasty, the brows have a tendency to come down, this may lead to crowding of the upper eyelid space on the right side. Also I wonder if your surgeon did some sort of canthal procedure with your surgery with a shortening of the palbepral (eyelid) horizontal aperture (technical speak for making the eyes look smaller).
You are basically telling us that your surgeon feels he did an awesome job with your eyelid surgery. At 4.5 months if you are not feeling it with your original surgeon, it is reasonable to consider other opinions. Generally it is best to wait a full 6 months before having a revisional surgery but getting second opinions now will put you well into that time frame.
Hollow Upper Eyelids
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