61 y-o male. Had upper and lower bleph nearly two years ago to correct fairly severe eye bags. Since the surgery, the area under my eyes has progressively hollowed, particularly on the right where there is a slight divot. Before I contact the surgeon, I would like to get a professional assessment of the work done. It seems to me that he overcorrected. Wondering if I'm being realistic about expectations and what remedies might be available. Thanks in advance.
Answer: Concerned about results of blepharoplasty Thank you for sharing your questions and posting your photos. If you could share your before photos it would be easier to tell you about the results. Overall, your eyelids look pretty good. You could have fillers placed in those areas that seem “over-corrected.” See an eyelid specialist (oculoplastic surgeon) for consultation. I hope this helps. Good luck.
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Answer: Concerned about results of blepharoplasty Thank you for sharing your questions and posting your photos. If you could share your before photos it would be easier to tell you about the results. Overall, your eyelids look pretty good. You could have fillers placed in those areas that seem “over-corrected.” See an eyelid specialist (oculoplastic surgeon) for consultation. I hope this helps. Good luck.
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Answer: How to deal with a slight under eye asymmetry. It's a tough question, since you overall have a pleasing result. Based on what I see, I would leave a revision surgery as a last resort. Perhaps an injectable filler treatment may be considered. Hope this helps! Sincerely, Dr Joseph
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Answer: How to deal with a slight under eye asymmetry. It's a tough question, since you overall have a pleasing result. Based on what I see, I would leave a revision surgery as a last resort. Perhaps an injectable filler treatment may be considered. Hope this helps! Sincerely, Dr Joseph
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February 21, 2025
Answer: Can Hollowing After Blepharoplasty Be Corrected? Professional Opinion Needed Hi! Based on your description, it does seem possible that too much fat may have been removed during your initial blepharoplasty, which can lead to the hollowing you’re experiencing. Additionally, the appearance of a slight divot and the ‘pulled’ look of the eyelid could indicate that the ligament is under tension, contributing to this aesthetic outcome. To restore volume and achieve a more natural and balanced look, I would recommend: 1. Fat Transfer: This technique involves using your own fat to gently restore volume under the eyes, effectively softening the hollowed appearance and providing a more youthful contour. 2. Canthopexy: This procedure can help support and reposition the lower eyelid, addressing the tension and achieving a smoother transition between the eyelid and the cheek. 3. Midface Lift: Elevating the midface can provide additional support and volume to the lower eyelid area, enhancing the overall harmony of the face. These procedures, either alone or in combination, can significantly improve the aesthetic outcome and bring back a more natural, refreshed look. It’s always a good idea to have a consultation with an experienced facial plastic surgeon to assess your unique situation and discuss the best options for you. I hope this information helps, and I wish you the best on your journey to achieving the results you desire
Helpful
February 21, 2025
Answer: Can Hollowing After Blepharoplasty Be Corrected? Professional Opinion Needed Hi! Based on your description, it does seem possible that too much fat may have been removed during your initial blepharoplasty, which can lead to the hollowing you’re experiencing. Additionally, the appearance of a slight divot and the ‘pulled’ look of the eyelid could indicate that the ligament is under tension, contributing to this aesthetic outcome. To restore volume and achieve a more natural and balanced look, I would recommend: 1. Fat Transfer: This technique involves using your own fat to gently restore volume under the eyes, effectively softening the hollowed appearance and providing a more youthful contour. 2. Canthopexy: This procedure can help support and reposition the lower eyelid, addressing the tension and achieving a smoother transition between the eyelid and the cheek. 3. Midface Lift: Elevating the midface can provide additional support and volume to the lower eyelid area, enhancing the overall harmony of the face. These procedures, either alone or in combination, can significantly improve the aesthetic outcome and bring back a more natural, refreshed look. It’s always a good idea to have a consultation with an experienced facial plastic surgeon to assess your unique situation and discuss the best options for you. I hope this information helps, and I wish you the best on your journey to achieving the results you desire
Helpful
January 17, 2025
Answer: When someone undergoes a lower blepharoplasty for puffiness, ideally, the surgeon should focus on repositioning the excess lower eyelid fat, as opposed to removing it. Previous, older techniques involve removing that fat, and while they may be easier, it can ultimately result in hollowing to the lower eyes. If this technique was performed and is the cause of the hollowing, unfortunately, the only way to address this concern is by adding back volume. Generally, volume can be added back in two capacities: in a temporary manner with fillers, or more permanently with micro fat transfer. If you are considering micro fat transfer, you should utilize someone who has advanced expertise in fat transfer, and has been doing it for a long time. Ideally, someone who is not only a board certified plastic surgeon, but someone who also has advanced training, such as a cosmetic fellowship.
Helpful
January 17, 2025
Answer: When someone undergoes a lower blepharoplasty for puffiness, ideally, the surgeon should focus on repositioning the excess lower eyelid fat, as opposed to removing it. Previous, older techniques involve removing that fat, and while they may be easier, it can ultimately result in hollowing to the lower eyes. If this technique was performed and is the cause of the hollowing, unfortunately, the only way to address this concern is by adding back volume. Generally, volume can be added back in two capacities: in a temporary manner with fillers, or more permanently with micro fat transfer. If you are considering micro fat transfer, you should utilize someone who has advanced expertise in fat transfer, and has been doing it for a long time. Ideally, someone who is not only a board certified plastic surgeon, but someone who also has advanced training, such as a cosmetic fellowship.
Helpful
November 8, 2024
Answer: Blepharoplasty results Thank you for your inquiry. There are a couple of options for under any hollow areas under the eye. Fat transfer or filler to these areas can help. Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals.
Helpful
November 8, 2024
Answer: Blepharoplasty results Thank you for your inquiry. There are a couple of options for under any hollow areas under the eye. Fat transfer or filler to these areas can help. Schedule a consultation with a Board-Certified Plastic Surgeon to help you reach your goals.
Helpful
November 4, 2024
Answer: Blepharoplasty Overcorrection In order to fully assess your result from surgery it would be helpful to see your 'before' surgery photos and a description of what was surgical procedures were performed. There are multiple ways to perform eyelid surgery: fat removal only, fat repositioning or fat transposition. I would recommend you have these items when you go in to speak with a surgeon so they can discuss the best options for you.
Helpful
November 4, 2024
Answer: Blepharoplasty Overcorrection In order to fully assess your result from surgery it would be helpful to see your 'before' surgery photos and a description of what was surgical procedures were performed. There are multiple ways to perform eyelid surgery: fat removal only, fat repositioning or fat transposition. I would recommend you have these items when you go in to speak with a surgeon so they can discuss the best options for you.
Helpful