Second Upper and Lower Eyelid Surgery Recommended?

Your upper eyelids are sunken.  This can occur over time but removal of the upper eyelid fold at the time of blepharoplasty can certainly contribute to the process.  There is essentially not a drop of spare skin in your upper eyelids.  However your upper eyelids are droopy or ptotic with the upper eyelid margin encroaching into the pupillary axis.  The hollow upper eyelids are consistent with a particular type of upper eyelid ptosis known as levator dehisence ptosis.  Will you benefit from ptosis surgery?  The answer yes must be also weighed against how dry your eyes are.  Right now the heavy upper eyelids protect the corneal surfaces. When the upper eyelid margin is lifted with ptosis surgery, more of your cornea will be exposed to the air which can contribute to drying.  A detailed consultation is really needed to accurately address this question to be certain that performing this type of surgery will not cause excessive eye dryness.  Regarding the lower eyelid, again from the photo I suspect that a chemical peel rather than surgery might be a better approach for you.  Can eyelids benefit from more than one surgery, The answer is yes, but it is wise to have things done right the second time around.

It is perfectly safe to do revision surgery on the eye's. More care and attention needs to be taken however as it depends on an individual skin muscle and fat components that need to be addressed either independently or together to achieve the desired resultDiscuss with your plastic surgeon and ask of the experience of doing revision eye lid surgery.

Eyelid ptosis and volume loss is the problem most obvious in the photo you have posted. The eyelids are droopy. You are obviously compensating on the left eyelid with your brow elevation.

Addressing the eyelid ptosis may also improve the hollowness of the upper eyelids, but certainly fillers or fat grafting [done appropriately] would also improve this hollowness.

 



If you decide to explore this further, I would recommend consultation with an ASOPRS trained Oculoplastics surgeon. You can find one close to you on the ASOPRS dot org website.