Still Excess Skin After Upper Bleph? (photo)

Question

Well hello. So i had upper bleph 6 month ago and i had posted here before 3 month after surgery because wasnt happy with the results and now 3 month later I am still very disappointed. when eyes closed there is still skin drooping down especially on the inside of my eye and when my eyes are open there is still not much eyelid visible (open eyelid is what i was going for) I had bleph without muscle or fat removal, so I was wondering if those should have been removed or if i need another bleph...

A.J. Amadi, MD · Answer

You have full eyebrows and eyelid which is a sign of youth! A bit of redundant skin is necessary for you to be able to close your eyes. If you are not happy with the appearance of your eyes at this point, your other option may be a brow lift to elevate the brow away from eyelids.

	I doubt that removing any further skin would achieve the more "open" look you are going for. An in person examination would be required. Removing fat from the upper lid is something we shy away from because we now understand that will lead to hollowing later on in life which is much more difficult to treat.

Kurtis Martin, MD · Answer

It appears from your picture that your brows are elevated appropriately so this is not a problem. It does look like you have some excess skin now versus a swollen scar. I would get other opinions as it is hard to tell just based on pictures.

Sam Speron, MD, FACS · Answer

Hi! Thank you for your question,

	
	I am Dr. Speron, a proud member of both the American Society of Plastic Surgeons (ASPS) and the American Society of Aesthetic Plastic Surgeons (ASAPS).  I am also certified with the American Board of Plastic Surgery.

	
	To answer your question, it is very difficult to tell based on the photograph you have provided. I highly recommend you schedule a follow up appointment with your board certified plastic surgeon and see what options are best for you.

	
	Below are some links for additional information and before and after pictures.

	
	If you have any further questions, please feel free to call us at 847.696.9900.

	
	Best of luck and have a great day!

	
	Regards,

	
	Dr. Speron

Imtiaz A. Chaudhry, MD, PhD, FACS · Answer

Your photos shows that you do have minimal skin fold when your eye is closed. When your eye is open you do have mild lower eyelid retraction which makes your eye fissure appear more wider than it is.

	One may consider removing the upper eyelid skin fold if it causes significant concern. On the other hand you may consider awaiting couple of years before resorting to re-do. In my opinion, you are better off having less skin removal than having too much at one time. I am sure your doctor made the marking based on how much extra skin you had to be removed. In some patients, there is more relaxation of the skin after the procedure and that can be addressed in future. I believe that it is better to remove less and remove more if needed rather than removing too much and then using skin graft to help with complications of eye exposure.

Jeffrey Zwiren, MD · Answer

With your eye open you look perfect.  There will always be a bit of redundant skin of the upper eyelids after surgery after all you wan to be able to close your eye after surgery.

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Still Excess Skin After Upper Bleph? (photo)

Answers (9)

Answer: Limited upper eyelid blepharoplasty but not happy with residual skin folds

Answer: Limited upper eyelid blepharoplasty but not happy with residual skin folds

Answer: Question about upper eyelid surgery

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