How to fix loose skin after blepharoplasty? (Photos)

Question

I had lower blepharoplasty done in June. I still have bruises and can now see that one eye has loose skin and some type of bag. The other eye is nice and tight. I will call my doctor on Monday. I'm so nervous and worried. Please let me know this can be fixed.

Kenneth D. Steinsapir, MD · Answer

This could be improved with a chemical peel rather than more surgery.  Is there a history of prior under eye filler?  These can sometimes contribute to persistent swelling in the wrong planes.  Considering where you started, I think this is the start of a very good result.  Considering posting what your surgeon proposes.

Stephen Prendiville, MD · Answer

The photos show swelling in the malar area, which is neither cheek nor eyelid skin. This area can be addressed with an extended subciliary blepharoplasty, but there is no full proof technique to eliminate this problem.  It is important to understand that this is not skin excess and attempts to address this problem with skin removal will compound your problems and won't work.  It would be best to sit down with your Surgeon to consider strategies. Right now, the best strategy is patience:  It's too early for surgical intervention.

John J. Martin, Jr., MD · Answer

It looks like you have some edema still in the skin/malar fat pad area on that one side.  You may just need some laser resurfacing to try to tighten up the skin.  This sort of edema can occur post-op and at times is tough to completely get rid of.

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your questions and posting your photographs. Speak to your surgeon about having a little touch up of the procedure. This probably will do the trick to make you happy. Good luck.

Edward H. Bedrossian, Jr., MD · Answer

Thanks for the photos. It appears that you have more swelling of the left  than the right side, about 4 months after surgery.  I have seen it take , in some patients, 6-9 months after surgery for the swelling to subside. After that period of time, any loose tissue can be treated with minimal surgery or laser treatment. .In the meantime, it may help if you sleep on the opposite side and avoid salty foods.

Robert Brueck, MD · Answer

I think you will do fine.Your surgeon may want to wait a period of time to be certain that all swelling is down and perhaps a little more skin can be removed.

Sara A. Kaltreider, MD (retired) · Answer

CO2 fractional ablative laser for skin tightening is an excellent way to touch up crepe-like skin of the lower lids and cheeks. Ablative is key to tightening the skin. This may be done very comfortably in an office setting and has social down time of 5-7 days. I would find a specialist in your area that offers CO2 fractional ablative laser. Best wishes.

How to fix loose skin after blepharoplasty? (Photos)

Answers (7)

More Eyelid Surgery Questions

Sunken eyes after blepharoplasty? (Photo)

Would like upper eyelid surgery asap but am currently breastfeeding a 2 month old infant. Is this possible to do now?

One of my eyes is smaller than the other. Can I fix it? Should I? (Photos)

What is the difference between a white eye and a hispanic eye?

WE SEND PRETTY
EMAILS