I had an upper eyelid lift nine months ago. I'm very unhappy with the results and I wonder what I need to get a better result. Do I need a brow lift or another eye lift? Dr. actually redid the right eye because of extra skin. He said removal of the excess skin would make my eyes look hallow. There was zero improvement. Initially my quote was $2,800 but Dr. Delgado encouraged me to pay an extra $500 to remove a muscle above my eyebrow. He claimed it would make the fold in my eyelid look better.
Answer: Eyelids Eyelid surgery, particularly upper eyelid surgery, seems deceptively simple and seemingly straightforward but there are nuances that require attention and precision. Despite well executed eyelid surgery, revisional eyelid surgery is necessary in a percentage of eyelid procedures, particularly to remove more skin; this is preferable to removing too much skin and having dry eye concerns. Anatomically in evaluating the eyelids, there are the lower and upper eyelids but also the brow and midface as well as peri-orbital volume considerations and skin quality. From your pictures, there needs to be more skin removed from the upper eyelid. I would consider a temporal brow lift also, as there appears to be hooding of the lateral brow. This will open up the eye. Lastly, peri-orbital laser skin resurfacing and possibly fillers would improve the fine lines and provide volume concerns. These can be done serially or combined, as desired to provide an optimum result. Good results can be achieved however with less procedures depending on the goals and expectations of the patient.
Helpful 2 people found this helpful
Answer: Eyelids Eyelid surgery, particularly upper eyelid surgery, seems deceptively simple and seemingly straightforward but there are nuances that require attention and precision. Despite well executed eyelid surgery, revisional eyelid surgery is necessary in a percentage of eyelid procedures, particularly to remove more skin; this is preferable to removing too much skin and having dry eye concerns. Anatomically in evaluating the eyelids, there are the lower and upper eyelids but also the brow and midface as well as peri-orbital volume considerations and skin quality. From your pictures, there needs to be more skin removed from the upper eyelid. I would consider a temporal brow lift also, as there appears to be hooding of the lateral brow. This will open up the eye. Lastly, peri-orbital laser skin resurfacing and possibly fillers would improve the fine lines and provide volume concerns. These can be done serially or combined, as desired to provide an optimum result. Good results can be achieved however with less procedures depending on the goals and expectations of the patient.
Helpful 2 people found this helpful
Answer: Aging upper eyelids It is best to get in person consultation. What exactly is bothering you? Is it the tired appearance? Is it the loose appearing skin?I see two main problems: ptosis (droopy upper eyelids) and hollowness (which gives the deflated balloon appearance with loose skin/tissue). You would likely benefit from ptosis surgery and filling of the upper eyelids with fat or filler. See an oculoplastic specialist.
Helpful 1 person found this helpful
Answer: Aging upper eyelids It is best to get in person consultation. What exactly is bothering you? Is it the tired appearance? Is it the loose appearing skin?I see two main problems: ptosis (droopy upper eyelids) and hollowness (which gives the deflated balloon appearance with loose skin/tissue). You would likely benefit from ptosis surgery and filling of the upper eyelids with fat or filler. See an oculoplastic specialist.
Helpful 1 person found this helpful
July 7, 2014
Answer: Excess skin after upper lid bleph You do have some extra skin still present. Your brow looks to be at a good height, but you don't have much of an arch. A temporal browlift, where just the outer part of the brow is lifted may help with this extra skin. When you see your surgeon, they can elevate the brow temporally and you can decide if you like that. You also have a ptosis , worse on the right. When extra skin is removed you may want to fix that too. See an oculoplastic surgeon for this.
Helpful 2 people found this helpful
July 7, 2014
Answer: Excess skin after upper lid bleph You do have some extra skin still present. Your brow looks to be at a good height, but you don't have much of an arch. A temporal browlift, where just the outer part of the brow is lifted may help with this extra skin. When you see your surgeon, they can elevate the brow temporally and you can decide if you like that. You also have a ptosis , worse on the right. When extra skin is removed you may want to fix that too. See an oculoplastic surgeon for this.
Helpful 2 people found this helpful
August 9, 2014
Answer: Revision upper blepharoplasty. Revision upper blepharoplasty is what you need since your brow position looks good. Of course an exam would be best. Choose an experienced surgeon who does good natural work and not because he has membership in a certain group.
Helpful 2 people found this helpful
August 9, 2014
Answer: Revision upper blepharoplasty. Revision upper blepharoplasty is what you need since your brow position looks good. Of course an exam would be best. Choose an experienced surgeon who does good natural work and not because he has membership in a certain group.
Helpful 2 people found this helpful
July 7, 2014
Answer: Your upper eyelid is ptotic in both the before and after photos. I think you would do well to have revisional eyelid surgery. Sometimes bargain price surgery is not always the bargin it appears to be. I would recommend an aesthetic oculoplastic surgeon when you are ready. The American Society for Opthalmic Plastic and Reconstructive Surgery maintains a regional directory that can help you find a well qualified surgeon (ASOPRS dot org).
Helpful 1 person found this helpful
July 7, 2014
Answer: Your upper eyelid is ptotic in both the before and after photos. I think you would do well to have revisional eyelid surgery. Sometimes bargain price surgery is not always the bargin it appears to be. I would recommend an aesthetic oculoplastic surgeon when you are ready. The American Society for Opthalmic Plastic and Reconstructive Surgery maintains a regional directory that can help you find a well qualified surgeon (ASOPRS dot org).
Helpful 1 person found this helpful
