61, male, realistic expectations & remedies available for blepharoplasty overcorrection? (Photos)

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.

Hello,
Thank you for your question.
Based on the clinical presentation nearly two years post-upper and lower blepharoplasty, the progressive under-eye hollowing—particularly the right-sided infraorbital "divot"—suggests likely over-resection of orbital fat or age-related volume depletion unmasked postoperatively. While some degree of under-eye contour change is expected with aging, the asymmetry and deepening hollow are consistent with post-surgical volume loss, often seen when excessive fat is removed during lower eyelid surgery. This appearance can typically be improved with hyaluronic acid filler for subtle, reversible volume restoration, or autologous fat grafting for a more permanent solution. A revision consultation with a facial plastic or oculoplastic surgeon is advisable to assess candidacy for corrective treatment.

Hi Danelelectro67
It's very hard from the photographs to judge whether you are overcorrected or whether there is a scar in the location of the divot. It actually would be best to consult with the original surgeon.
If it's a scar, it's correctable because it's not a skin scar: it would be in the deeper layers.
Options include injecting filler which is usually done in the office, or adding fat, either taken with liposuction techniques and injected, or by actually adding small fat "pearls".
Good luck!

Few things happened wrong here; first you're on spot there is over resection of skin at the lower eyelid, creating a retraction of the margin called ectropion or also scleral show; there is also a look like sunken on one lower eyelid, that's not over correction but damage to / resection a patch of the orbicularis oculi muscle, which been absent allows the skin to contour the orbital cavity, this means to sink inwards.

Finally, I was zooming in, seems there might be, not sure so I'd need better images, there might be an accidental burn on the free marginal edge, that explains the notch there, that needs technical attention.

I recommend you seek the help of a surgeon experienced in revision blepharoplasties, but please not an "oculoplastic surgeon" or those self attributed "credentials", find a good plastic surgeon experienced in revision cases.

I'd go for:
-wedge escision of the burned area (if confirmed)
-tarsal strip cantoplasty to gain tension of the lower lid
-eventually a skin graft to restore the missing over resection, should the gap be significantly large

Hi, sorry to hear you're having trouble after your lower lid blepharoplasty. It doesn't necessarily relate to over resection. All injured tissues in the body whether due to surgery or other types of trauma cause a scarring process. Sometimes the scarring can be more significant in very delicate structures like the layers of tissue in the lower lids. When the scarring is aggressive it tends to shorten or shrink. It appears that area of the eye may have been affected by a scarring process. There are treatments but these are usually performed by an oculoplastic or eye surgeon although some plastic surgeons may have enough experience to offer it.
Best of luck.
Dr. Reilly

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

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

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.

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.

thank you for posting your question and pictures. Just based on your pictures, I would recommend to add to your corrective procedure regenerative lipofilling. The volume and contour can be restored by transferring fat cells into the area. The retraction of the lower eyelid margin will improve. The regenerative cells that are part of this type of lipofilling will improve your internal scar, and the overlying skin. We and others oberved, that the effects of these regenerative cells continue to improve with time. There are automated, surgical instruments injecting the regenerative lipofilling in an even, very controlled, and safe way. Injecting by hand with a syringe and cannula is much less precise. I would refrain from fillers. Fillers are an artificial product and are often notable in this area. I hope this helps.

Although I am not sure what your lower lids looked like prior to surgery, the appearance in the current photos does not appear grossly over-corrected or appear to be a bad result. I see the "divot" that you describe and that is certainly worth discussing with your Surgeon. I also encourage you to review the pre- and postop photos with your Surgeon to more objectively evaluate your result. The skin can be tightened further with fractionated CO2 laser resurfacing and the "divot" can be addressed with a small amount of hyaluronic acid filler. However, I would caution you to be cautious with this modality, since it tends to last for a long period of time in his area.