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As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow, eyelid, eye troughs, upper eye hollows, and forehead. I typically combine this with Ultherapy and thread lifting to lift the brow; RF and skin tightening laser treatments to stimulate collagen production and rejuvenate the skin; and laser or superficial RF devices for improvements in texture, color, and any crepey skin around the eyes as needed. In some cases, surgery is the best solution to achieve the desired results. See an expert for a formal consultation. Best, Dr. Emer.
Fluid retention can have many influences. Some include allergies, hydration status, how much sleep you get, and genetics to name a few. Finding a balance in these areas may help, or treating allergies if that is the cause. If what you are noticing is herniated fat and not fluid you may be a candidate for a lower blepharoplasty. If it is malar bags you can consider lasers or Morpheus8 for improvement.
Hello! This could be festooning which often appears similar to what you're describing. It can be a very difficult problem to correct. Morpheus8 RF microneedling has a "festoon" protocol which has helped patients before. A visit with an Ophthalmologist may be warranted to ensure no other eye condition is occurring. Limiting salt within the diet and excess temperature extremes can help. It can be very frustrating as you know. Hope you find some improvement!
I'm sorry to hear of the issues you are having since surgery. If you are unable to reach your surgeon I encourage you to meet with another board certified plastic surgeon near you for a consultation. An exam is needed to determine the best way to address your concerns.
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...
This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry...