What's the best treatment for dents on the side of my eyes after lower eyelid surgery with canthopexy? (photos)

Will this get worse: no.  However, it is also not getting better on its own.  The simplest treatment for this is having fillers placed into the divot.  I recommend Restylane for this not juvederm or Belotero.  Restylane is firmer and more likely to stay in place.  This is important because there is scar tissue where the divots are.  Runny fillers do not hold in these places.  Don't get talked into fat grafting in these area.  This requires a surgery and the survival of fat grafted into scar tissue is not ideal

I do see what you are concerned about in the photos.  If 9 months have passed this most likely will not go away on its own.  I would suggest some filler such as restylane to correct the indentation.  Good Luck.

Thanks for the pictures.  I believe that this contour irregularity can be treated nicely with fat grafting. 

The dents are likely due to scarring around the sutures used in canthopexy. Elevating the areas of adherence with a needle (subcsion) combined with filler or fat would have a very good chance of softening the indentations, but may not completely correct them.

I cannot say for sure, but it appears that there is scarring that is causing tethering.  This leads to a divot where it is tethered down.  If this is the case, then fillers alone may not improve the appearance.  You may need subscision (freeing of the tethering) along with fillers.  You should see someone in person who can examine the areas of concern, palpate any scarring and give your eyelids a thorough exam.  The good news is that this should be repairable.

I really do not know what caused the dents in your temple areas. As far as correction I would definitely start with a filler to see how you like it. Eventually you might try for a more permanent correction with fat.

Without an exam it is difficult to say. I would not start with fat --better to use Juvederm or your own tissue. Fat grafting is difficult to assess the final amount that stays and u can have bumps, See a very experienced surgeon.

Thank you for your question and photos. I agree with the colleague that without having the details of the surgical technique used it is inappropriate to comment. Unfortunately it is not unusual to notice slight areas of asymmetry and irregularities in dim light following blepharoplasty, even more if the excision of skin / muscle has been significant. I would have an open conversation with your surgeon to see if he understands your concerns and if he can assist you. Dermal fillers are often a good temporary solution and the tightness of the lower eyelid, in my professional opinion, will reduce in time.All the best.Andrea Marando

It is difficult to ascertain what can be done to fix your situation without an examination.The easiest way could be the injection of a filler such as Juvederm.  This would be temporary, but could give you an idea of what a fat graft would do.  If there is significant scarring or possibly a suture that is causing tethering of the skin, this would need to be released surgically to allow filling of the area.  Without knowing what procedure was and how it was done, it is impossible to tell what happened.  It is unlikely that it will change with time. 

I would try a filler like Restylane or Juvederm first. If you don't like it, it can be dissolved.  Fat would be the permanent option once you know you'll like the results of a filler in that area.  The scar tissue would need to be released first--this is often done by using a needle to break up the scar tissue and allow the filler to go where it needs to go to correct the indention.