Chronic unresolving Lymphedema following Lower Blepharoplasty (Photo)

Thank you for your question regarding chronic unresolved lymphedema following a lower blepharoplasty. Your detailed history and the provided picture have been instrumental in understanding your condition. Given that your symptoms have persisted for 12 months, surgical intervention appears necessary. There are two primary options for the placement of the lower eyelid incision:
Internal Lower Eyelid Incision: An incision can be made inside the lower eyelid, allowing for the respectful treatment of the tissue. The main advantage of this approach is the concealment of the scar, which typically heals very well. However, a potential drawback is the limited amount of tissue that can be removed through this method.
External Lower Eyelid Incision: Alternatively, an incision can be made on the outside of the lower eyelid, specifically at the juncture where your lower eyelid fat meets your cheek. While this approach might result in more visible scarring compared to an internal incision, its advantage lies in the potential for removing a greater amount of tissue, potentially leading to a better cosmetic outcome.
I hope this response addresses your concerns regarding the treatment of chronic lymphedema following a lower blepharoplasty.
Good luck.
Sincerely,
Dr. Katzen

You have excess fat and skin if your lower lids. I have no idea why someone would have put more fat there. Your lids could be improved substantially with a standard lower eyelid blepharoplasty which could be done under oval anesthesia. It’s not lymphedema