Can lower eyelid skin "tighten up" after lower blepharoplasty with fat repositioning?

After a lower blepharoplasty where fat repositioning was performed, it is possible for the skin to tighten up or retract over time. This is because the surgery involves repositioning or removing fat pockets that can contribute to under-eye bags and puffiness. However, it's important to note that every patient is different, and the extent of skin tightening or retraction can vary based on factors such as age, skin elasticity, and overall health.
In some cases, patients may notice that the skin around their eyes appears slightly looser after surgery, particularly in the initial healing period. This is normal and typically resolves as the tissues heal and the skin adjusts to its new position. However, in rare cases, the skin may not retract as fully as desired, leading to a slightly saggy appearance.
While this may be a concern, it's important to keep in mind that the primary goal of lower blepharoplasty is to address under-eye bags and puffiness, not to eliminate wrinkles or fine lines. While sagging skin can contribute to the appearance of wrinkles, it is not necessarily the sole cause. There are many factors that can contribute to the formation of wrinkles, including genetics, sun exposure, and lifestyle habits.
If you are concerned about the appearance of your under-eye area after a lower blepharoplasty, it's best to consult with your surgeon to discuss your options. In some cases, additional procedures such as skin resurfacing or fillers may be recommended to help address any remaining wrinkles or fine lines. Your surgeon can provide you with a personalized treatment plan that takes into account your unique needs and goals.

In the hands of a skilled surgeon, this is absolutely not supposed to occur.

Blepharoplasty can be divided into 3 categories : The conventional approach for addressing excess skin and fat under the eyes due to aging is through traditional lower blepharoplasty. This involves making an incision along the lower lash line and, if necessary, behind the lower eyelid to remove excess fat. In some cases, this fat can be repositioned to create a smooth transition between the lower eyelid and upper cheek. About 30% of patients require fat reduction. The incisions heal invisibly, and the procedure is effective for most patients.

For patients with only excess skin, a lower lid pinch blepharoplasty is a more suitable option. This procedure involves removing excess skin through an incision along the lower lash line, requiring only one stitch for quick healing.

On the other hand, younger patients with congenital puffy under-eye bags and thicker skin may benefit from a transconjunctival blepharoplasty. This approach involves removing under-eye fat pockets through an incision inside the lower eyelid, without removing any skin.