Could a repeat bleph help eliminate my lower eye wrinkles? (Photo)

A repeat lower blepharoplasty can help reduce excess skin, but it may not fully address fine wrinkles around the eyes. For wrinkles and crepey skin, non-surgical options like alaser resurfacing, microneedling with RF, or chemical peels are often more effective. These treatments stimulate collagen production and improve skin texture. Consulting a specialist will help determine the best approach for your goals.

When we smile, the zygomaticus muscle lifts the cheek, creating a skin redundancy.
When we’re young and have good skin elasticity, the elasticity can absorb the skin redundancy.
As we age, we lose elasticity and wrinkles form during dynamic movement, creating skin redundancy.
The problem is not eliminated by trying to tighten the skin of the lower eyelid with a blepharoplasty.
Attempts that will not lift up the skin, but will pull down the eyelid itself, creating a premature ectropion. Most people will eventually develop a senile ectropion from old age.
Having had skin with or without orbicularis muscle removed during a lower eyelid, blepharoplasty tends to advance this happening at a younger age.
For this reason, I typically resist the temptation of trying to tighten the lower eyelid skin by removing skin during lower eyelid blepharoplasty surgery.
The best way to minimize the advancement of facial wrinkles is to protect the skin from sun damage by avoiding excessive sun exposure and wearing daily sunscreen.
Best,
Mats Hagstrom MD