Do you think I should ask my Dr. if she can do a "revision" on my lower bleph? (photo)
Doctor Answers 2
There is improvement on the size of the bags, but nothing for the tear troughs
There is some reduction in the size of the lower eyelid bag. It appears that any additional fat or skin removal may lead to an ectropion which is when the lower eyelid pulls down and away from the dark part of your eye and shows too much white of the eye. Your right eye appears to be slightly lower than it was prior to surgery. I would worry that simply taking more fat and skin out would pull both eyelids down even further.
The eyebags appear flat enough to simply fill the groove between the upper cheek and eyebag. This groove is called a tear trough. Typically a 1-2 cc's of Restylane can provide quite a bit of improvement than most people realize. It also lasts much longer than patient realize, since many have already tried Restylane in their lips or smile lines and only had it last 4-6 months. In the lower eyelid area, it last closer to 12-18 months in my experience before my patient return for a touch up. When they come back for a touch up, they usually use a fraction of the volume that they used in the initial injection. They also don't wait until all of the filler is gone before they come back. This is usually around the 12-18 month mark. If they were to wait for all of the filler to be absorbed, my guess is that it would be longer than 24 months and it would vary from patient to patient.
If you click on my web reference link, I have an example of what fillers can do for a moderate to severe eyebag without any eyelid surgery or midfacelift. My goal is to make the cheek appear to blend seamlessly with the lower eyelid area, so that you cannot tell where one ends and the other begins.