Crepey upper eyelid after blepharoplasty - what is the best option to treat this without the risk of ectropion? (photos)

Question

I had upper blepharoplasty in September -22. Post surgery, I struggled for a while to properly close my left eyelid at night. After the residual swelling subsided around January this year, I noticed the arrival of crepey or wrinkly, thin skin on my eyelids that wasn’t present before (see pre op pic). I’ve read that lasers or peels can help to tighten the skin, but I’m also worried that this might cause ectropion? What would be the best method to address the wrinkles without risk of ectropion?

Mansher Singh, MD, FACS · Answer

Co2 laser would be helpful for you. You should consider consulting your primary plastic surgeon. Typically, Ectropion is indicated by lower eyelid pulling outward. So, Co2 laser should not affect it in any way

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Brian K. Machida, MD, FACS · Answer

If you have skin not to your liking after upper blepharoplasty, your best option is fractional laser resurfacing.  Your risk of poor eye closure is minimal with laser resurfacing.

C. Blake Perry, MD · Answer

Thoughtful skin tightening around the eyes can be achieved with CO2 laser and chemical peels. If done incorrectly it can certainly shorten the skin and cause difficulty closing. Would need to see you in person to come up with the best strategy to improve the skin quality.

Lexie Wang, MD · Answer

Hello Cute! Lasers and peels, if done correctly and monitored, should not cause ectropion because they are not physically removing any skin that could lead to scarring of the eyelids outward (compared to something like skin excision). I think you are certianly fine to consider those options, and they should definitely help gently tighten that delicate skin in your eye area. I would also make sure you're on a really great skincare regimen to keep that skin nice, plump, and youthful. Good luck!

Crepey upper eyelid after blepharoplasty - what is the best option to treat this without the risk of ectropion? (photos)

Answers (5)

Answer: Eyelid skin

Answer: Eyelid skin

Answer: Eyes

Answer: Eyes

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Crepey upper eyelid after blepharoplasty - what is the best option to treat this without the risk of ectropion? (photos)

Answers (5)

Answer: Eyelid skin

Answer: Eyelid skin

Answer: Eyes

Answer: Eyes

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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.