Twenty years after a lower blepharoplasty, my eyes desparately need rejuvenating. The skin looks crepy and hollow with pronounced tear troughs. I've always had large, round, sensitive eyes. An occuloplastic surgeon said it would now be necessary to do grafting or some such thing while a facial plastic surgeon said there should be no problem with a basic blepharoplasty. I want a natural outcome with the least chance of complications.
Answer: Repeat Lower Blepharoplasty The short answer is YES you can repeat this operation. However, there are several caveats. The margin of error shrinks dramatically. You can still remove some fat, but over doing it and making the eyes look hollowed is easy to do. If you had a lower skin pinch or a skin-muscle flap blepharoplasty done with the first, the risk of ectropion (rounding or pulling down of the eyelid) is much higher. I would probably recommend some type of lower eyelid suspension (tarsal strip or canthoplasty) done at the same time to prevent this from happening. This is not meant to scare you or discourage you from having surgery. Remember that in experienced hands you can safely repeat this and still get fantastic results. Just pick someone who has enough experience, someone who specializes in only the face.
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Answer: Repeat Lower Blepharoplasty The short answer is YES you can repeat this operation. However, there are several caveats. The margin of error shrinks dramatically. You can still remove some fat, but over doing it and making the eyes look hollowed is easy to do. If you had a lower skin pinch or a skin-muscle flap blepharoplasty done with the first, the risk of ectropion (rounding or pulling down of the eyelid) is much higher. I would probably recommend some type of lower eyelid suspension (tarsal strip or canthoplasty) done at the same time to prevent this from happening. This is not meant to scare you or discourage you from having surgery. Remember that in experienced hands you can safely repeat this and still get fantastic results. Just pick someone who has enough experience, someone who specializes in only the face.
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March 19, 2014
Answer: Blepharoplasty 20 years later Pictures would be helpful. In general blepharoplasty can be repeated since your sister years ago it should be easily repeated. Whether you need additional scan or some type of grafting depends on your examination. Good luck.Earl Stephenson, Jr, M.D., DDS, FACS
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March 19, 2014
Answer: Blepharoplasty 20 years later Pictures would be helpful. In general blepharoplasty can be repeated since your sister years ago it should be easily repeated. Whether you need additional scan or some type of grafting depends on your examination. Good luck.Earl Stephenson, Jr, M.D., DDS, FACS
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March 18, 2014
Answer: Surgeries can often be repeated if necessary. That is certainly the case with lower blepharoplasty. However, the indications for surgery often change. The two surgical options you are being presented are starkly different. Unless you have a good intuitive sense of which surgery and surgeon seem the most reasonable, you may benefit from some additional opinions. You could also consider reposting on this forum with photographs so we have a better idea of your needs.
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March 18, 2014
Answer: Surgeries can often be repeated if necessary. That is certainly the case with lower blepharoplasty. However, the indications for surgery often change. The two surgical options you are being presented are starkly different. Unless you have a good intuitive sense of which surgery and surgeon seem the most reasonable, you may benefit from some additional opinions. You could also consider reposting on this forum with photographs so we have a better idea of your needs.
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March 18, 2014
Answer: Repeat blepharoplasty After 20 years you may have some skin laxity again. You may also have some laxity of the tendons which support the lid, so just taking off skin may pull the lid down. If the oculoplastic surgeon told you you would need a graft to safely do the surgery, they probably were talking about a graft on the inside of the lid so that it won't pull down with a skin excision. If you are hollow with deep tear troughs, you may also need filler or fat.
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March 18, 2014
Answer: Repeat blepharoplasty After 20 years you may have some skin laxity again. You may also have some laxity of the tendons which support the lid, so just taking off skin may pull the lid down. If the oculoplastic surgeon told you you would need a graft to safely do the surgery, they probably were talking about a graft on the inside of the lid so that it won't pull down with a skin excision. If you are hollow with deep tear troughs, you may also need filler or fat.
Helpful
March 18, 2014
Answer: Can a lower blepharoplasty be safely and successfully repeated? Cosmetic surgery does not stop the natural ageing processes of the body. As it has been many years since your original surgery, it is very possible that the results have diminished. If possible, you may want to return to your original surgeon to see what they have to say. If that is not possible, I recommend speaking to an experienced surgeon about your expectations for results and use his or her advice to help guide your decision.
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March 18, 2014
Answer: Can a lower blepharoplasty be safely and successfully repeated? Cosmetic surgery does not stop the natural ageing processes of the body. As it has been many years since your original surgery, it is very possible that the results have diminished. If possible, you may want to return to your original surgeon to see what they have to say. If that is not possible, I recommend speaking to an experienced surgeon about your expectations for results and use his or her advice to help guide your decision.
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