Wrinkled upper eyelids 10 months after upper blepharoplasty, what can I do? (photos)

Question

I have wrinkled upper eyelids after blepharoplasty kids didn't have them before) What can I do?

Joseph Walrath, MD · Answer

Simplest thing to do is remove more skin.  You are young and should have adequate volume.  It is clear that you have a reservoir of skin that would permit safe revision surgery that would not impact your lid closure in a negative way.  I wouldn't inject filler in your lids for this condition.
I wouldn't wait.  It is not going to get better, and I doubt it has changed in the last 6 months.

Best of luck
JDW

Mehryar (Ray) Taban, MD, FACS · Answer

The main reason for the wrinkles in upper eyelids is fat loss from the upper eyelids, giving deflated balloon effect, which can be improved with upper eyelid, brow filler injection. See following video and website link. Upper blepharoplasty address skin quantity issue, not skin quality issue or volume issues. Skype consult available.

Rohit Jaiswal, MD · Answer

Thanks for your question and posting photos. 
Generally, revisions on procedures are avoided for roughly 12 months. This is to allow time for all tissues to settle and the scars to mature. 
Given that you are near that point, you may wish to discuss your results with your surgeon. It does appear as if you still have redundant skin on your upper lids. Your surgeon may have performed a conservative resection of skin during your surgery for various reasons- consider asking him or her if this is the case. You likely can get a revision procedure to remove the remaining excess skin and smooth out some of the wrinkles. This may be able to be performed in the office under local anesthesia. 
Best wishes, 
Rohit Jaiswal, MD   Plastic Surgeon

Kenneth D. Steinsapir, MD · Answer

In you pictures, you are looking down and not straight ahead.  Generally the fix is revisional eyelid surgery by an aesthetic eyelid specialist.  I encourage you to repost with better photographs.

Edward H. Bedrossian, Jr., MD · Answer

It is frustrating , but it is not totally unusual  to have ' wrinkled" lids after blepharoplasty, that were not seen before surgery. My advice is to discuss  pre and post op photos ,and other  concerns you have , with your surgeon . Additional surgery, fillers or other forms of treatment my be advised that are safest for the overall health of your eyes.

John S. Alspaugh, MD, FACS · Answer

The skin folds are running up and down reflecting skin excess in side to side direction. Further skin reduction may help but more applicable when the folds run from side to side. A judicially applied filler can inflate the area and take up the extra skin. It can also make the eye look fuller which is a more yourthful appearance.

Paul Nazemi, MD · Answer

Revisional blepharoplasty can be considered to carefully remove some of the residual excess upper eyelid skin.  When indicated, judicious application of dermal filler would increase the volume and may improve the area.  The underlying cause can best be determined with a consultation and thorough exam.

Wrinkled upper eyelids 10 months after upper blepharoplasty, what can I do? (photos)

Answers (7)

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