I had a blepharoplasty 3 years ago at which time the lower fat pads were removed. I have very deep folds when I smile (Photo)
Doctor Answers 7
Complication of the lower lid blepharoplasty, Skeltonization of the orbital region.
I agree with the comment of DR John Martin: "The main problem here is the lack of volume which can occur after a blepharoplasty with fat excision. Taking off skin and more laser will not correct this, and: "trying some filler such as Restylane" is not the solution.You need to understand that, when fat is removed for treatment of baggy eyelids, this fat is coming from inside the orbit, from the normal fat which help to maintain the eyeball,So the outcome of "good" treatment of bags of the lower lid (always too much), is some degree of skeltonisation in the orbital area. In my experience, you need a total reshaping of orbital region (Orbital rim bones, Orbicularis oculii muscle and malar fat pad) with Adipose stem cells as done by the FAMI procedure (in US Europe or Asia) which will give you back normal younger folds, only by injections.
Hollowing and folds in the lower lids after blepharoplasty with fat removal
You are noticing volume loss and skin folds which may be improved - perhaps not completely corrected - by filler injection and laser resurfacing to contract and plump the skin. I agree with Dr. Steinsapir's approach to fill and to shrink the skin. To preserve your results, it is important to avoid hand-to-eye contact and eye-rubbing as this will destroy the delicate structures of the eyelid. Rubbing gives the skin a dark and crepe-like appearance. Best wishes.