Looking for additional opinions to improve appearance of lower eyelids after filler and Vitrase (Photo)
Doctor Answers 3
Filler dissolving and lower eyelid blepharoplasty
The photos that you have provided are quite helpful. I would agree with the recommendation of the surgeon with whom you had consulted. There appears to be fat herniation of the lower eyelid. A careful physical examination will determine the need for pinch excision. Lower eyelid fat repositioning via a transconjunctival blepharoplasty with a conservative pinch excision if necessary is a conservative and extremely effective approach to managing your particular lower eyelid issue. Injection of a little more Vitrase prior to surgery may also be of some benefit.
I agree with your Oculoplastic surgeon
While an evaluation is the best way to advise you, what I see in your pictures is true fat prolapse in each lower eyelid, as well as residual Juvederm at the edge of the cheek just below the tear trough. I would first go further with the Vitrase and continue to dissolve the filler until none is visible, and then go ahead with transconjunctival lower blepharoplasty with fat transposition to correct both the fat prolapse and the tear trough. Best of luck!
Thank you for your question. A lower transconjunctival bleph with fat repositioning and use of the "pinch technique" may be beneficial for your face, however, I suggest that you consult with a board certified facial plastic surgeon. That way, the board certified facial plastic surgeon can review your health profile, concerns and desires during an in-person examination and provide you with recommended options.