Lagophthalmos and hollow eyes after blepharoplasty - can this be corrected with a skin graft? (photos)

It is impossible to give you good opinion about your result without preoperative photos to compare. You may expect upper eyelids to stretch in time (very soon), skin graft are not needed; keep using taping over night until that happens. A small amount of fat graft may help to create more fulness in the upper eyelid and orbital rim which will correct hollow eyes. Hope this helps.

I am so sorry that you are experiencing this type of blepharoplasty result. It is best to avoid compounding your result with a disfiguring skin graft. They never look right. It is over-simplistic to think that the only issue here is that you are short of skin. The blepharoplasty weakens the closure function of the upper eyelid. In addition, internal scaring account for tethering of the upper eyelid. A physical examination is needed to determine what resources are left in this eyelid in order to be able to say what options you have for restoring the upper eyelid. Generally it is possible to break up internal eyelid scaring and improve eyelid closure without the necessity of an unsightly skin graft.

The best treatment for the presentation is a skin graft to the left upper eyelid to allow the lid to close properly after a trial of a very low dose injection of knalog 10 that might help with the scarring-causing contracture. As for the Hallow look, Nano fat grafting by an experienced Plastic Surgeon or Oculoplastic surgeon might help. As always, it is recommended that proper medical consultation is sought for accurate evaluation.

This is a difficult situation.
If you have not done so already, I suggest consulting with an oculoplastic surgeon.
I’m not sure what kind of provider did your procedure but you should be in the care of someone who has ophthalmology training I think.
There’s no easy solution and I think most providers would recommend supportive care with use of nighttime ophthalmologic ointment and minimize the chance of developing dry eyes.
This could include putting a plug in your punctum to minimize tear drainage.
For individuals who have difficulty with closing their eyelids based on neurological origin and gold weight can be placed in the upper eyelid.
I don’t think this would help in your case.
Skin grafting is the definitive treatment in severe cases and for this male foreskin is the skin of choice.
Consult with senior oculoplastic surgeons in your community and see what they have to say.
I recommend relying on in person consultations and avoiding virtual consultations.
Perhaps you’ll find some brilliant insight on this website, but I have a feeling that your case which is sufficiently complex deserves and requires in person assessment and recommendations.
Your situation is unfortunate.
On a sidenote, I hope you have followed up with your original provider so that he or she is aware of your outcome and don’t do this to other people.
Best,
Mats Hagstrom MD