Have had lower Blepharoplasty -no stitches or skin removal. Left with hollowness making eyes look sunken and darker. (photos)

Question

Blepharoplasty in April 2015. Aug 2016 was given revision surgery as small still remained. My eyes seem to look very sunken, hollow and dark, instead of a youthful look, it's dull, dark and aged. Online info reads that fat shouldn't be removed it should be re positioned to reduce the appearance of dark circles and give a more fuller look. I'm literally in tears, thinking what the hell have I done, gotten rid of fat when It should be kept. I'm not quite sure what to do now....please help! I'm 43.

Tanveer Janjua, MD · Answer

The hollowness is currently because of the hyperpigmentation effect.  Think of it this way, if somebody put dark makeup under the eyes the eyes and appear hollow even if they were not hollow.Your best option to minimize the darkness by using good-quality skincare along with gentle exfoliate and in bleaching creams.  Some of the lasers can help reduce it as well.I'll like using the ResurFx laser as it does not have any down time.  You should meet with a good make up artist and learn the techniques of camouflage while you are recovering in treating the hyperpigmentation.RegardsDr. J

Philip S. Schoenfeld, MD, FACS · Answer

I am sorry you are so upset. I understand how distressing this can be.  It would be helpful to see the appearance of your eyes prior to blepharoplasty surgery.  From the photos that you have provided you appear to have significant lower eyelid hyperpigmentation and hollowness of the lower eyelids.  If you have had revision surgery I feel that the most effective and safest way to address this issue is with the use of filler to the lower eyelid.  The filler will certainly help with the hollow appearance of your lower eyelids and will decrease the dark circles to some degree as well.  Be certain that you are seeing someone extremely experienced at this procedure as well as very familiar with the anatomy of the lower eyelid in a previously operated eye.

Kenneth D. Steinsapir, MD · Answer

The fillers can last over a year.  While maintenance is needed, this approach is much better that grafting fat into the lower eyelid.  Unfortunately fat causes scaring in a place where things need to slide.  It is essential that you find a surgeon who is very good and placing filler products.  It is a fussy service and how the product is placed makes all the difference.  In my opinion, the only filler for this application is Restylane.  Avoid the so-called smooth fillers in this location such as Juvederm and Belotero.

Eric M. Joseph, MD · Answer

Depending on your examination, lower eye lid hollows may be improved with microdroplet Silikon-1000, an off-label filler for permanent results. Hope this helps. Dr Joseph

John Paul Tutela, MD · Answer

Thanks for reaching out.  I can see what you are describing.  Do you have any photos before your surgery?  Fat repositioning is not something that every surgeon thinks is the right thing to do, so it is hard to determine just from reading online that is what you needed.  Many surgeons think it is better to use a filler to volumize the area of your bony orbit.  At this point that would likely benefit your overall appearance.  Be sure to consult with a board certified plastic surgeon, as this is truly an advanced technique.I hope this helps :)

Have had lower Blepharoplasty -no stitches or skin removal. Left with hollowness making eyes look sunken and darker. (photos)

Answers (8)

Answer: Injectable fillers may be considered for adding volume to lower eye lid hollowing.

Answer: Injectable fillers may be considered for adding volume to lower eye lid hollowing.

Answer: Hollowness after blepharoplasty

Answer: Hollowness after blepharoplasty

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Everything you need to know about Eyelid Surgery

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Have had lower Blepharoplasty -no stitches or skin removal. Left with hollowness making eyes look sunken and darker. (photos)

Answers (8)

Answer: Injectable fillers may be considered for adding volume to lower eye lid hollowing.

Answer: Injectable fillers may be considered for adding volume to lower eye lid hollowing.

Answer: Hollowness after blepharoplasty

Answer: Hollowness 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.