Female, 30s, thin, what should I do if I have sunken eyes after lower eyelid surgery? (Photos)

Question

I had lower eyelid surgery 1.5 years ago to remove bags under my eyes. The outer area of my eyes near my upper cheek bones seems sunken in as if too much fat was removed. In certain lighting this makes me look tired. I’m a woman in my early 30’s. I’m quite thin and have low body fat. I’m unsure what happened and how best to resolve this. I have dark circles under my eyes too but I’ve been told it’s due to my very light skin. Not my concern here.

Metin Temel, MD · Answer

This problem can be solved by applying soft filling to the hollows under your eyes. The permanence period of the filler is approximately 1 year.

Mats Hagstrom, MD (license on probation) · Answer

This response was dictated using Word recognition.
My apologies for grammatical errors.
The anatomic area of concern is one of the most difficult areas to assess, understand, and also properly treat.
There are a number of variables that can affect the aesthetics of this area and simply isolating. The problem itself can be.
In a useful face, the contour of the lower eyelid should generally be snugging and tight.
The area just below the lower eyelid should ideally be plump and full.
With facial aging, we sometimes get reversal of these contours that an aged or tired appearance.
 The membrane that holds the fat pats to the lower eyelids becomes weak and the lower eyelid, fat pads, protrude forward, creating fullness.
Upper midface volume loss often happens, and this is the classic sites of facial aging that people are trying to prevent and avoid.
On top of this there are other variables that are more complex and more difficult to understand and treat like the development of malar edema or festoons.Certain facial, skeletal characteristics, leave people predisposed to development of facial premature aging.
This is often related to those who have insufficient projection and fullness of their maxilla.
Volume restoration with fillers is probably your best option.
Fillers have a lot of very significant advantages.
Fillers compared to all other options tend to be the most precise, predictable, and forgiving if patience are unhappy with the outcome.
Finding providers who excel in our exceptional at this kind of work is very difficult.
Only a small percentage of providers offering these treatments have this skills to do Masterful work.
Taking a look at some of the results from the work of Dr. David Mabrie MD in San Francisco. This website doesn’t allow me to include website links so you’ll have to look up his website on your own.
It should not be difficult if you enter his name and the word San Francisco.
David is a facial plastic surgeon who focuses exclusively on working only with facial fillers.
His work is the best I’ve ever seen.
I’m not suggesting people flight to San Francisco to get fillers twice a year.
The reason I recommend people look at his work is that it gives an understanding of what this fairly simple treatment can accomplish in the hands of the right provider.
 Because The area is complex, and there are no simple, straightforward solutions that work consistently expect different providers to have different opinions.
People have tried to improve this in atomic area by removing tissue, adding tissue, using facial implants and with the use of a midface lift.
 midface lift may be a very realistic option, but the procedure does come with some drawbacks.
The procedure was very popular 20 years ago. With the availability of quality fillers that surgery has lost favor, but it is still a very good option to consider for some people.
In the end, provider selection is almost always the most important variable.
Sometimes finding the right provider is more important than what procedure you choose.
Finding the right provider to work with is not at all easy or straightforward.
I suggest patience approach the processhaving multiple in person consultations with a lot of providers.
Bring a complete set of proper before and after pictures and a copy of your operative report and ask providers to open up their portfolio and show you their entire collection of before and after pictures of previous patients who had the recommended procedure and had very similar facial characteristics to your own.
Always bring a complete set of facial pictures to use as reference during consultations.
Best,
Mats Hagström MD

Female, 30s, thin, what should I do if I have sunken eyes after lower eyelid surgery? (Photos)

Answers (2)

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