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However, the technique is not widely available. I am the only surgeon I know of who regularly performs this work in the United States. Generally we encourage patients to come early for consultation to learn what is possible for their particular situation (surgical success varies based on what has been left in the eyelid by the prior surgeon). It is best to schedule reconstruction after the eyelids have healed for about 6 months from the original surgery. The goal is to lower the prior crease. In some cases the old scar can be removed. Some of these eyelids develop upper eyelid ptosis, crepey upper eyelid platform skin, and lash ptosis. Internal scaring can mat down anterior orbital fat and prevent it from contributing volume to the upper eyelid fold. I attaching a reference to an article I wrote on Post Upper Blepharoplasty Syndrome. There is help for you.
Yes, this scar can be lowered providing that there is sufficient amount of skin to be removed. Lowering scar to average distance of 8-11 mm from eyelid edge should be delayed at least for one year after initial eyelid surgery. Good luck.
Hi Regret2022,Thanks for asking your question and uploading your photo. From your photo review, it appears you had surgery recently and your skin is healing. Once fully healed, I recommend consulting with a surgeon to see where your crease is and if another follow up procedure can be performed. It is possible to create a new crease (lower) by making an incision in the desired crease, removing the the intervening skin, and stitching the new crease. It also depends on how much skin you have left behind. I hope this helps answer your question.All the best,Dr. Sanan, MDAkshay Sanan MD Facial Plastic SurgeryLos Angeles, CA
Your photos suggest a widened scar above the medial canthus with retraction of the dermis. If this is the case, volume (filler or fat) would not correct the problem. A scar revision is most likely what you need. It will be difficult given the proximity of the lower edge of the scar to your...
Hello. The lower eyelid fat pads can be repositioned or debulked (or both) to correct a complication from prior surgery. This needs to be weighed against the risk of complications. An in-person evaluation would be essential.
As we age, our eyelids naturally sag and droop. A combination approach would be best to see visible improvement. In terms of non-surgical treatment options, I would recommend a Chemical Brow Lift (using Botox, Dysport, Xeomin, or Jeuveau) and filler injections to rejuvenate the temples, eyebrow,...