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.
July 11, 2025
Answer: Lower blepharoplasty 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
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July 11, 2025
Answer: Lower blepharoplasty 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
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March 3, 2025
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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March 3, 2025
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
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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
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