How can you treat hollowed eyes after lower bleph? (Photo)

It looks like your brows are raised too high and you have a small micro upper eyelid ptosis. I will first try Botox to the brows and Upper eyelid elevation ( ptosis repair). Together this will provide more upper eyelid fullness. If it is still hollow, augmentation with fat or filler will additionally help the hollowness.

You have several options to rejuvenate the lower eyelids.
First, some volume would help. In your situation, you could consider: serial PRP/PRF injections to add collagen and improve the skin, fillers, or fat grafting.
For the fine lines, after volume restoration, consider neurotoxin treatment.
Additionally, consider a resurfacing procedure for overall skin tone and texture - fractional laser or chemical peel.

Thank you for sharing your story and photos. Injection of fillers is usually the best method for treating the hollows of the lower eyelids. Based on your photos I would not do anything for your upper eyelids at this time. Give it a couple of more years before considering any treatment on the uppers. Good luck!

There is no substitute for an in person evaluation. It is improbable that a forehead lift was the correct surgical choice at the time of your surgery. When you have ptosis, you compensate by elevating the eyebrows but this does not fix the underlying ptosis. You have a central levator ptosis. This still needs to be corrected. Options for the under eye would need to be assessed based on your actual physical finding. There is no substitute for a detailed in person assessment.

The eye area needs significant combinations to get improvement. Lasers like erbium, co2, halo, profractional/contour, or Fraxel can all be used to build collagen long term. Plasma pen is a newer less invasive option but will take many treatments and require proper skincare. Plasma Pen is focused electrical plasma energy to tighten skin, producing small columns of energy just above the skin, allowing the skin to tighten to help improve wrinkles. This area will have 3-5 days of small “dots” that will then scab and peel, then the skin will tighter and brighter after. Numerous treatments are needed over lasers where only one or two give a bigger result, but more downtime. After plasma pen you NEED peels 2 weeks like later Cosmelan, enlighten or aerify, see emeragecosmetics (link). At home derma rolling should be started weekly even after plasma pen or lasers to further increase collagen, see emeragecosmetics AERIFY x anteagemd stem cell ampules. To properly heal you need light Stim red LED, EmerageSkin refit face, refit eye; AnteageMD serum, silagen silicone gel, jan Marini bioshield, EmerageSkin enzymatic polish, and EmerageSkin hyla b and AOX, and Sente dermal repair. Otherwise there is EXTREME risk of pigmentation issues and “dots” in the treatment area. at home peels like cosmelan, enlighten and aerify along with dermarolling (AERIFY emerageskin roller with Anteage MD ampules) should be started now regardless for antiaging, sun damage, and wrinkle prevention. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as eyelid blepharoplasty with or without fat pad repositioning (if doing lower eyelid surgery) will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora, PiXel8 or morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

While I do not see significant lower eyelid bags following your surgery, I believe you may be noticing hollowness, which occurs with the normal aging process. Examining photos from 10-20 years ago with your surgeon can help define your issues and make reasonable goals. Fillers or fat grafting may be helpful. Be well!

Hello, and thank you for your question. Fat grafting is a nice option to prevent hollowed lower lids when performing lower lid blepharoplasty. It can also be used to treat hollowing after previous lower blepharoplasty. Fat grafting to the tear trough and infraorbital rim, and the midface can provide beautiful results. Fat grafting is not entirely predictable, but it generally survives well in this location. Ensure you see a Board Certified Plastic Surgeon with extensive experience with microfat grafting to the face. Upper lid blepharoplasty can be performed without fat removal, and this would prevent the development of a hollowed appearance. Communicate your goals clearly to your Board Certified Plastic Surgeon, and review before and after pictures to ensure you are on the same page.

You seem to have hollowness in the underaye area due to removal of fat in lower blepharoplasty. You can opt for fillers or fat grafting to correct the hollowness. And also some botox to correct the crow's feet. This will help to improve your look with minimal intervention and give satisfying results. We usually combine fat grafting or fat transposition at the same time as lower blepharoplasty to avoid this hollowed look later on.

Treating hollowed eyes after lower blepharoplasty (lower eyelid surgery) typically involves a combination of surgical and non-surgical approaches. Hollowing of the eyes can occur due to the removal of excess fat or tissue during the blepharoplasty procedure. Here are some ways to address hollowed eyes after lower blepharoplasty:
1.) Consult with Your Surgeon: The first step is to have a consultation with your plastic surgeon. They can evaluate your specific case and discuss your concerns. In some cases, what appears as hollowing may be temporary due to swelling or other post-operative factors.
2.) Filler Injections: Dermal fillers, such as hyaluronic acid-based fillers like Restylane or Juvederm, can be used to restore volume to the hollowed areas. Your surgeon or a trained injector can carefully inject the fillers into the affected areas to create a more youthful and full appearance.
3.) Fat Grafting: Another option is fat grafting (lipofilling), where fat is harvested from another part of your body (typically the abdomen or thighs), processed, and then injected into the hollowed areas around the eyes. This can provide a more permanent solution compared to fillers.
4.) Platelet-Rich Plasma (PRP): PRP treatment involves using your blood plasma, rich in growth factors, to stimulate collagen production and improve skin texture. It can be used in conjunction with fillers or fat grafting to enhance the results.
5.) Proper Skincare: Using high-quality skincare products and maintaining a good skincare routine can help improve the overall appearance of the skin around the eyes. Products containing hyaluronic acid, peptides, and retinoids can promote collagen production and skin hydration.
6.) Non-Surgical Skin Tightening: Non-invasive skin tightening treatments, such as radiofrequency or ultrasound therapy, can help tighten loose skin around the eyes, which can contribute to the appearance of hollowness.
7.) Consider Revision Surgery: In some cases, revision surgery may be necessary if the hollowing is severe or if the initial blepharoplasty did not achieve the desired results. Revision surgery should only be performed by a skilled and experienced surgeon.
8.) Maintain a Healthy Lifestyle: Eating a balanced diet, staying hydrated, avoiding smoking, and managing stress can all contribute to better skin health and overall appearance.
It's essential to consult with a board-certified plastic surgeon or a qualified medical professional to discuss your specific concerns and explore the most suitable treatment options. They can provide personalized recommendations based on your individual needs and goals. Additionally, be sure to follow post-operative care instructions and attend follow-up appointments to monitor your healing progress.

Thank you for your question. Will the resection of the lower eyelid fat is not uncommon.

A transconjunctival lower blepharoplasty with grafting of fat harvested from the pubic region can restore fullness to the lower eyelid.

The fat underneath the pubic hair is similar in texture to the medial eyelid fat which was removed. This suprapubic fat will take better when grafting to the eyelid than yellow fat harvested from other regions.

Botox can reduce wrinkling and the lateral one third of the eyelid and crows feet area.