1 month after upper and lower blepharoplasty and it looks like the bags are pretty much gone but only when i dont Smile ... When I smile it's still folding up and baggy . Will eventually settle ? And how long do I need to wait ? Thank you .
Answer: Bags under eyes Dear Ginigirica, This is a very common question and an excellent one to address on RealSelf. If in repose you have nice smooth lids with an excellent aesthetic surgical result then good results have been achieved. It’s very important prior to undergoing a blepharoplasty to realize that on animation when you smile your cheeks must necessarily move upwards which compresses and accordions the skin under the eyelid. This will not be improved with excisional or laser based blepharoplasty as your cheeks must move and in order to move there must be some compression of skin under the lower lid. Some individuals with full cheeks and who are very dynamic can never achieve full dynamic smoothness that is smooth skin when smiling. Short of not smiling your best option is to talk to your physician about ancillary treatment such as lower lid Botox and accepting dynamic wrinkles and active smile wrinkles under the eyes that, as you age, lower lid skin pinch blepharoplasty may be able to provide some improvement. I hope this information has been of some assistance and best of luck. For more information, please review the link below. R. Stephen Mulholland, M.D. Certified Plastic Surgeon Yorkville, Toronto
Helpful 1 person found this helpful
Answer: Bags under eyes Dear Ginigirica, This is a very common question and an excellent one to address on RealSelf. If in repose you have nice smooth lids with an excellent aesthetic surgical result then good results have been achieved. It’s very important prior to undergoing a blepharoplasty to realize that on animation when you smile your cheeks must necessarily move upwards which compresses and accordions the skin under the eyelid. This will not be improved with excisional or laser based blepharoplasty as your cheeks must move and in order to move there must be some compression of skin under the lower lid. Some individuals with full cheeks and who are very dynamic can never achieve full dynamic smoothness that is smooth skin when smiling. Short of not smiling your best option is to talk to your physician about ancillary treatment such as lower lid Botox and accepting dynamic wrinkles and active smile wrinkles under the eyes that, as you age, lower lid skin pinch blepharoplasty may be able to provide some improvement. I hope this information has been of some assistance and best of luck. For more information, please review the link below. R. Stephen Mulholland, M.D. Certified Plastic Surgeon Yorkville, Toronto
Helpful 1 person found this helpful