Lower eye bag returned 4 weeks after surgery - what are my options?

Question

I had a lower blepheroplasty with fat repositioning completed. At the 3-4 week mark, the results were perfect with a smooth contour. I went for drinks that weekend and the next morning the bags appeared to return, which I just thought was swelling from the alcohol. But 6 months post surgery and the bags remain. Overall, there is definitely an improvement in the hollow area compared to before surgery. But the bag that returned is annoying. What are my options? Could steroid injections help?

Mehryar (Ray) Taban, MD, FACS · Answer

You may need revision lower blepharoplasty with expert. Best to allow healing for several months and then re-evaluate.

Kenneth D. Steinsapir, MD · Answer

Not all fullness is caused by eyelid fat. Even if this is fat (and it may be) the answer is most definitely not injecting this volume with steroids. Some fat should live here. The injected steroid is dumb. It will harm fat in an uncontrolled way. The steroid can also atrophy the skin and connective tissue. For these reasons, it is not just a bad idea to use steroid to address this, it is a terrible idea. You may from volume at the top of the cheek to help blend these areas. This could be done with hyaluronic acid filler, which has the advantage of being an office based service. The left lower eyelid may benefit from revisional surgery.

Gurkan Kayabasoglu, MD · Answer

Hello. We can be more helpful if we see the photos before the surgery. maybe the fats were poorly fixed during the surgery and therefore they may have escaped back (to their old places). I’m the only triple board-certified facial plastic surgeon all around Europe. I’m just focused on this issue. I am a doctor who goes to almost every country in the world and explains my techniques to important doctors with the seminar invitations I receive, so I am definitely the only doctor who can perform your operation very comfortably and successfully. You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile. You can also book an online consultation and discuss your problems with me. With all respect.

Robert T. Buchanan, MD (retired) · Answer

I assume you had a transconjunctival procedure since I see no external scar. What you have is why I stopped doing that procedure and even more aggressive open blepharoplasties, especially when the medial orbital ligament is separate from the lateral one like yours. It is almost impossible to move enough fat to correct the volume loss and the ligament reforms. What you need is volume replacement below the ligament(s). This requires filler or fat. Juvederm Voluma is my present choice since it does an excellent job and can last over 5 years in this location. Make sure you see a true expert as the average injector uses the wrong filler in the wrong place.

Lower eye bag returned 4 weeks after surgery - what are my options?

Answers (4)

Answer: Residual "Eye Bag" after Blepharoplasty

Answer: Residual "Eye Bag" after Blepharoplasty

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Everything you need to know about Eyelid Surgery

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Lower eye bag returned 4 weeks after surgery - what are my options?

Answers (4)

Answer: Residual "Eye Bag" after Blepharoplasty

Answer: Residual "Eye Bag" after Blepharoplasty

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Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.