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Does upper and lower blepharoplasty make the crows feet worse or add crows feet?

rdkensOct 16, 2024
Hello, I went in for a consultation for an upper and lower blepharoplasty recently. The doctor brought in a staff member who had the procedure done by him and her eyes looked great and very natural. However, she had the longest, deepest crow’s feet I’ve ever seen. It made me wonder if when the eyelid skin is cut and then pulled up and sutured in, does it make the crows feet worse or add crows feet?

Answers (3)

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Dr. Andrew Miller, MD
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Dr. Andrew Miller, MD
Board Certified Facial Plastic Surgeon
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Answered on Oct 28, 2024
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Dr. Ronald J. Edelson, MD
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Dr. Ronald J. Edelson, MD
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Answered on Oct 17, 2024
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Dr. William Portuese, MD
Dr. William Portuese, MD
Board Certified Facial Plastic Surgeon
Answered on Oct 17, 2024
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Donald B. Yoo, MD, FACS

While a scar will also remain when an incision is made through the skin, there are ways to modulate the wound healing process to minimize the appearance of the scar. A variety of modalities exist, though the first-line would typically be Kenalog/5-fluorouracil injections to reduce the...

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Donald B. Yoo, MD, FACS

You had a fairly distinct upper eyelid crease prior to surgery, though a bit low and with some asymmetry. Post-surgery it appears that your eyelid skin has lost its connection with the underlying muscle, therefore giving you the appearance of multiple creases. As you correctly identified, the...

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Kenneth D. Steinsapir, MD

I do not agree with the individuals who have answered you. It is possible to reconstruct these over-resected upper eyelids. The skin you need to have an innie eyelid like your surgery result is about the skin you need to have an outie eyelid like your presurgical eyelid. A detailed, in person...

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Eric M. Joseph, MD

Ptosis is a droopiness of the upper eyelid. Sometimes this can become more noticeable after eyelid surgery. I believe that the asymmetry is slight, so in that regard, it may be best to just live with it. If it is more noticeable than your photographs suggest, consider meeting with a reputable...

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Mehryar (Ray) Taban, MD, FACS

You may benefit from upper eyelid filler injection to create more natural upper eyelid appearance. See an expert.

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