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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CONTACT NOW 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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CONTACT NOW 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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CONTACT NOW 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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July 17, 2017
Answer: Repeat lower blepharoplasty can be very risky without orbiculopexy Thank you for your question.Avoid and stay away from the surgeon who said there is no problem with a secondary blepharoplasty of the lower eyelids.A secondary lower blepharoplasty without adjustment of canthal ligament most always in his in the disaster of an ectropion or downward pole of the lower eyelid which creates a sad I appearance.Please find an expert board certified plastic surgeon with specific experience in oculoplastic surgery.A secondary blepharoplasty can be a very successful operation, however the support of the lower eyelid needs to be strengthened by a procedure called a canthopexy which tightens the lower eyelid and presents of the downward pole of the secondary procedure.If you want to test the expertise of your plastic surgeon, ask them to do a Jelks test to assess the laxity of your lower eyelid. If they look that you with a quizzical look run don't walk from their office.It is extremely important for your safety that the proper surgeon with experience and lower eyelid surgery and canthopexy only be allowed to treat your lower eyelids.
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Answer: Repeat lower blepharoplasty can be very risky without orbiculopexy Thank you for your question.Avoid and stay away from the surgeon who said there is no problem with a secondary blepharoplasty of the lower eyelids.A secondary lower blepharoplasty without adjustment of canthal ligament most always in his in the disaster of an ectropion or downward pole of the lower eyelid which creates a sad I appearance.Please find an expert board certified plastic surgeon with specific experience in oculoplastic surgery.A secondary blepharoplasty can be a very successful operation, however the support of the lower eyelid needs to be strengthened by a procedure called a canthopexy which tightens the lower eyelid and presents of the downward pole of the secondary procedure.If you want to test the expertise of your plastic surgeon, ask them to do a Jelks test to assess the laxity of your lower eyelid. If they look that you with a quizzical look run don't walk from their office.It is extremely important for your safety that the proper surgeon with experience and lower eyelid surgery and canthopexy only be allowed to treat your lower eyelids.
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March 18, 2014
Answer: Revision Blepharoplasty Cosmetic issues earlier in life such as hereditary "bags" or steatoblepharon may require different techniques than those you want to treat now: crepy skin and tear troughs/hollowing. An effective nonsurgical option is Total FX fractionated CO2 laser to tighten and smooth out the eyelid skin, followed by Belotero and/or Restylane filler injections to the tear trough hollows. Surgical option would be fat repositioning via incision under the eyelashes or inside the eyelid, muscle and fat resuspension with excess skin removal. Fat grafting instead of or adjunctive to fat repositioning may also be indicated.
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CONTACT NOW March 18, 2014
Answer: Revision Blepharoplasty Cosmetic issues earlier in life such as hereditary "bags" or steatoblepharon may require different techniques than those you want to treat now: crepy skin and tear troughs/hollowing. An effective nonsurgical option is Total FX fractionated CO2 laser to tighten and smooth out the eyelid skin, followed by Belotero and/or Restylane filler injections to the tear trough hollows. Surgical option would be fat repositioning via incision under the eyelashes or inside the eyelid, muscle and fat resuspension with excess skin removal. Fat grafting instead of or adjunctive to fat repositioning may also be indicated.
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March 18, 2014
Answer: Lower eyelid blepharoplasty can be repeated Usually, the primary goal for lower blepharoplasty is to remove a conservative amount of fat in the 3 fatty compartments on the lower lids. The fat is removed from the inside of the eyelid through a trans-conjunctival approach. When excess skin is present, a pinch technique is performed on the lower lid skin at the lash line on the outside. For many examples, please see the link below to our eyelid surgery photo Gallery
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CONTACT NOW March 18, 2014
Answer: Lower eyelid blepharoplasty can be repeated Usually, the primary goal for lower blepharoplasty is to remove a conservative amount of fat in the 3 fatty compartments on the lower lids. The fat is removed from the inside of the eyelid through a trans-conjunctival approach. When excess skin is present, a pinch technique is performed on the lower lid skin at the lash line on the outside. For many examples, please see the link below to our eyelid surgery photo Gallery
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