Did surgeon remove too much skin from my eyelids? (Photos)

Question

I had an upper and lower blepharoplasty last winter. At first I was mesmerizehow open and fresh my eyes looked, but with time I have started to have regrets. I certainly needed my eyelids adjusted, but I feel that a more conservative approach would have been better. I feel my eyes look hollow and my whole appearance has changed. I never had much upper eyelid show so the change is too big now. Did my surgeon remove too much? Will the eyelids drop with time? Can this be reversed?

Kenneth D. Steinsapir, MD · Answer

The eyelids are not going to soften with more time. To soften the appearance of your eyes and restore a more natural appearance, reconstructive surgery is needed. A detailed in person assessment is needed to determine a surgical plan for you. This assessment can't be done with a "Zoom consultation." Options exist to reconstruct the upper eyelid fold and lower the upper eyelid crease. The lower eyelids may also need reconstruction to restore their shape and the almond shape of the eyes. I am attaching a link for an article I wrote on fixing the upper eyelid and a graphic video that outlines how the lower eyelids are repaired. Your eyes can be your best feature.

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your question and posting your photos. You look amazing.You look natural and had the appropriate amount of skin removed. I hope this helps. Good luck.

John J. Martin, Jr., MD · Answer

You have a deep set eye with prominent full brow.  You can see in the before picture that you have some redundant skin, but not a lot of fat behind it.   When that skin is removed, you will usually look a little bit more hollow. However it does not look like they took too much skin.  You have a nice crease and platform, with some skin still there.  Everything will eventually drop again!

Akshay Sanan, MD, FACS · Answer

Dear Debbie W,
Thanks for uploading your photos. In your before photo, you do have eyelid hooding and extra skin. In your after photo you have an improved eyelid platform show. This is youthful. I agree, it is a dramatic change and improvement from your before photo and you are adjusting to your "new" eyes. Your eyelid skin will drop and become redundant with time. You cannot reverse surgery. If you were desiring more volume added to the upper eyelid area, you can consider hyaluronic acid injections to add volume. I hope this helps answer your question.
All the best,Dr. Sanan, MDAkshay Sanan MD Facial Plastic SurgeryLos Angeles, CA

Robert T. Buchanan, MD (retired) · Answer

I am afraid you got exactly what you requested. Although I would not have operated on you, whoever did did an absolutely excellent job. What you need now is not a plastic surgeon (or any surgeon). You need someone who can help you feel good about yourself. Until you do, nothing will ever make you happy.

Did surgeon remove too much skin from my eyelids? (Photos)

Answers (5)

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