No wrinkles when my face is expressionless. But, after my lower bleph (transconjectival fat pad removal) there is not as smooth transition from eye muscle and lower eye (tear trough?) to cheek making those eye muscles look like bags. Wrinkling under eye when smiling. Also, wrinkles when sming were not present when bags were there. It seems like there's extra skin. My surgeon said my eyelid quality is good and she wouldn't do a pinch with lower bleph bc wrinkles not visible head on/no smile.
December 14, 2015
Answer: Possible extra lower eyelid skin Thank you for sharing your question. Without an in-person evaluation, it is not possible to judge your situation. It sounds like you may not have extra skin to remove, but in office evaluation is best. Good luck.
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December 14, 2015
Answer: Possible extra lower eyelid skin Thank you for sharing your question. Without an in-person evaluation, it is not possible to judge your situation. It sounds like you may not have extra skin to remove, but in office evaluation is best. Good luck.
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Answer: Extra lower lid skin when smiling Hi. Smiling can make excess lower eyelid skin more obvious. This is because smiling elevates your cheek, which in turn recruits more skin towards you lids. In addition, contraction of the muscles around your eyes can cause the appearance of wrinkles as well. It may or may not be possible to remove lower eyelid skin with a pinch blepharoplasty. If you skin is loose when you are expressionless, then a smallpinch blepharoplasty may be possible. On the other hand, if you skin is tight, then removing skin can cause ectropion of lid retraction. If the excess skin is due to volume loss, then fillers may help. An in person exam is essential to determining your best options. Best regards, Ira Vidor, M.D.
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Answer: Extra lower lid skin when smiling Hi. Smiling can make excess lower eyelid skin more obvious. This is because smiling elevates your cheek, which in turn recruits more skin towards you lids. In addition, contraction of the muscles around your eyes can cause the appearance of wrinkles as well. It may or may not be possible to remove lower eyelid skin with a pinch blepharoplasty. If you skin is loose when you are expressionless, then a smallpinch blepharoplasty may be possible. On the other hand, if you skin is tight, then removing skin can cause ectropion of lid retraction. If the excess skin is due to volume loss, then fillers may help. An in person exam is essential to determining your best options. Best regards, Ira Vidor, M.D.
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