Timing of Lower Blepharoplasty Following Fractional CO2 Laser Treatment?

Thank you for your photo. The small residual fat pocket that you have can easily be revised under local anesthesia using the original incision from your upper blepharoplasty. Only a small amount of residual fat would need to be trimmed and your old incision would be as well camouflage as it is...

Part of the asymmetry is secondary to the asymmetric upper lid creases. Surgery on the left upper lid to create an eyelid crease and fix any ptosis would help improve your symmetry. This is a particularly challenging surgery. Best to see an eyelid expert.

You would be a candidate for fat grafting and/or lower lid blepharoplasty. Prior to any lower lid surgery you would need all the filler dissolved in your tear trough and anterior/medial cheek in order to determine the best course of action.

There are surgical techniques to improve the medial canthal folds. However, these are technically challenging surgeries and often have significant scarring if not performed properly. Best to see an eyelid expert in your area to discuss. My personal opinion judging from your photos would be to...

It is possible to lower the upper eyelid crease. This can also be done on the side with the ptosis surgery but most eyelid surgeons do not understand the mechanics of this. A physicial examination is needed to determine what resources you have for this type of work. Also such an examination may...

I recommend you wear sunscreen every day and avoid excessive sun exposure. This won’t make the sun damage look better, but it will prevent it from looking worse. I think it’s going to be difficult to remove wrinkles of the lower eyelid due to sun damage. There’s no shortage of people willi...