I am 4 months post lower bleph with fat reposition. I am not happy with my results. I've tried a light chemical peel (which gave me very dark circles) and Botox under my eyes (extreme swelling and puff eyes occurred) and a laser under my lash line (I think helped a bit) my dr wants to do more laser next week, But I am confused at this point. I would really appreciate some options and good advise. Thanks
Answer: Irregularity of the left cheek 4 months after arcus marginalis release surgery. Your right cheek seems to be more full that the left 4 months after arcus marginalis release surgery. While this area will continue to change to a small degree, you are not likely to see much change here. This means that it is reasonable to consider what can be done to make the too sides appear the same. Donot laser or botox this area. It will not address the lack of fullness on the left side. I do not recommend reoperating on the lower eyelid to further adjust the transposed fat-the risk of harm and the low likelihood of successful outcome does not make this intervention warranted. Your very best option, is likely your very best option before your surgery, which is lower eyelid/top of cheek fillers. The key is finding a very artful injector to perform your treatment. They need to very much understand what is bothering you about the cheek. Restylane is the preferred product for this treatment.
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Answer: Irregularity of the left cheek 4 months after arcus marginalis release surgery. Your right cheek seems to be more full that the left 4 months after arcus marginalis release surgery. While this area will continue to change to a small degree, you are not likely to see much change here. This means that it is reasonable to consider what can be done to make the too sides appear the same. Donot laser or botox this area. It will not address the lack of fullness on the left side. I do not recommend reoperating on the lower eyelid to further adjust the transposed fat-the risk of harm and the low likelihood of successful outcome does not make this intervention warranted. Your very best option, is likely your very best option before your surgery, which is lower eyelid/top of cheek fillers. The key is finding a very artful injector to perform your treatment. They need to very much understand what is bothering you about the cheek. Restylane is the preferred product for this treatment.
Helpful 3 people found this helpful
Answer: Tear Troughs Respond Well To Belotero Balance From the photos provided, it appears that volume loss and inadequate replacement likely account for the tear trough line still present following the surgical blepharoplasty. Since volume depletion is at the heart of the problem, it is hardly surprising then that Botox, which is used to treat hyperfunctional facial expression muscle action and chemical peels, which are used to treat surface discolorations and irregularities, were not helpful in this case. Volume loss requires volume repletion. My choice for this region would be Belotero Balance, since this filler possesses little chance of leading to the unwanted, bluish Tyndall Effect that may be seen when other hyaluronic acid fillers are injected superficially within this thin, delicate region. Smoothing this area in this fashion is nearly painless (contrary to popular misconception), takes only minutes to perform, and gives rise to results that are typically immediate and gratifying.Consultation with a board certified core aesthetic physician with extensive expertise and experience in injecting the periorbital region is strongly urged.
Helpful 1 person found this helpful
Answer: Tear Troughs Respond Well To Belotero Balance From the photos provided, it appears that volume loss and inadequate replacement likely account for the tear trough line still present following the surgical blepharoplasty. Since volume depletion is at the heart of the problem, it is hardly surprising then that Botox, which is used to treat hyperfunctional facial expression muscle action and chemical peels, which are used to treat surface discolorations and irregularities, were not helpful in this case. Volume loss requires volume repletion. My choice for this region would be Belotero Balance, since this filler possesses little chance of leading to the unwanted, bluish Tyndall Effect that may be seen when other hyaluronic acid fillers are injected superficially within this thin, delicate region. Smoothing this area in this fashion is nearly painless (contrary to popular misconception), takes only minutes to perform, and gives rise to results that are typically immediate and gratifying.Consultation with a board certified core aesthetic physician with extensive expertise and experience in injecting the periorbital region is strongly urged.
Helpful 1 person found this helpful
June 12, 2014
Answer: Blepharoplasty results Thank you for your pictures. I'm sorry that you're unhappy with your results. It seems that you still have fullness of your lower eyelid. This is most likely due to your reposition fat. None of the previous treatments in my opinion are going to correct your issue. The only way to reduce that fullness will be to remove the fat.
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June 12, 2014
Answer: Blepharoplasty results Thank you for your pictures. I'm sorry that you're unhappy with your results. It seems that you still have fullness of your lower eyelid. This is most likely due to your reposition fat. None of the previous treatments in my opinion are going to correct your issue. The only way to reduce that fullness will be to remove the fat.
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June 11, 2014
Answer: Bleph results - taking it to the next level! Four months is a reasonable time to have waited after blepharoplasty to see the final results. Though things may still change a little bit, usually one would not expect a lot of improvement after 4 months. If the under eye area seems hollow, injectible fillers are quite effective and last quite a long time (in some cases put o two years). In our New Jersey plastic surgery practice, we favor Voluma for the cheek area, which its he latest FDA approved HA-based filler. It is effective and has a good safety track record.
Helpful
June 11, 2014
Answer: Bleph results - taking it to the next level! Four months is a reasonable time to have waited after blepharoplasty to see the final results. Though things may still change a little bit, usually one would not expect a lot of improvement after 4 months. If the under eye area seems hollow, injectible fillers are quite effective and last quite a long time (in some cases put o two years). In our New Jersey plastic surgery practice, we favor Voluma for the cheek area, which its he latest FDA approved HA-based filler. It is effective and has a good safety track record.
Helpful
June 10, 2014
Answer: Post-op lower eyelid blepharoplasty You still have some volume deficiency in the lower eyelids. This can occur when there is not a lot of fat to reposition. You should try some HA filler here - restylane or belotero to give it a little more volume and smooth out the contour.
Helpful 1 person found this helpful
June 10, 2014
Answer: Post-op lower eyelid blepharoplasty You still have some volume deficiency in the lower eyelids. This can occur when there is not a lot of fat to reposition. You should try some HA filler here - restylane or belotero to give it a little more volume and smooth out the contour.
Helpful 1 person found this helpful
June 10, 2014
Answer: You appear to have mild under eye hollowing after your lower blepharoplasty and fat repositioning. Your narrative does nor explain your dissatisfaction. You appear to have lower eyelid grooves between your lower lid fat and cheeks. In our practice we prefer to fill these grooves with Silikon-1000, an off-label filler for permanent results. This would only make sense if your lower eye lid grooves are your source of concern. Hope this helps you.Dr. Joseph
Helpful 1 person found this helpful
June 10, 2014
Answer: You appear to have mild under eye hollowing after your lower blepharoplasty and fat repositioning. Your narrative does nor explain your dissatisfaction. You appear to have lower eyelid grooves between your lower lid fat and cheeks. In our practice we prefer to fill these grooves with Silikon-1000, an off-label filler for permanent results. This would only make sense if your lower eye lid grooves are your source of concern. Hope this helps you.Dr. Joseph
Helpful 1 person found this helpful
