Can a 2nd lower lid blepharoplasty be done?

Question

I had blepharoplasty for lower lids approximately 7 years ago. My undereye bags are now worse than ever at age 60.

Rod J. Rohrich, MD · Answer

Blepharoplasty surgery can last for more than
10 years in most cases and it can be re-done. This should be done in the hands of a Board Certified Plastic Surgeon with expertise
in Oculoplastic surgery.

Jose Perez-Gurri, MD, FACS · Answer

Hi. The answer is yes. However, you it's be very selective as to who performs this surgery. There are a number of issues to take into consideration. Is there any residual fat laterally? How much excess skin is there? Removal of too much will cause an ectropion which is when the lid turns outwards. Do you need lid tightening or shortening? Research rea search and then research some more. Good luck, Dr. PG

Thomas Fiala, MD, FACS, FRCSC · Answer

Yes - a second surgery can be done, but it needs to be done with care and respect to the tissues.  Additional fat can be removed, lid support should be assessed, and extra skin, if present, can be conservatively trimmed.  Best to pick someone with a lot of experience in this area - plastic surgeon or oculoplastic surgeon.

Mark Crispin, MD · Answer

Yes, but cautiously.  The residual fat under the eye and the shroud of tissue that covers it can loosen up and may need to be addressed although pictures would be helpful.  Second time blepharoplasties are more fraught with complication.  See a well qualified, experienced board certified plastic surgeon.

David Tauber, MD · Answer

A blepharoplasty is done to remove or reposition the
tissue around the eyes to improve the way they look. This can involve removing excess eyelid skin, removing or repositioning the underlying
orbital fat, and possibly tightening or repositioning the lid margin. Each patient is different, however, and not all patients will benefit from all of these maneuvers. The results of a blepharoplasty are long lasting, however, they are not permanent because as patients age, the eyes and face continue to age. Tissues become more lax, the face drops, and volume is lost. A second blepharoplasty can often be performed, however, a detailed examination will help delineate the best surgical option.
Consultation with a plastic surgeon would be the next best step.

John J. Martin, Jr., MD · Answer

A second lower lid bleph can be done when needed.  Tough to tell since you didn't put in any photos.  If you have some prominent fat pads they can be moved into the tear trough with a fat repositioning.  If you just have some extra skin, may need to have some of this excised or lasered.  Most important is to make sure you don't have any residual laxity of the lower lid which can result in ectropion post-op.  See an oculoplastic surgeon who can evaluate your eyelid tone and skin.

John Fezza, MD · Answer

Lower lid surgery can be redone. As we age the lids change and may need some revisions after 7 years. tissue becomes slack and a re-freshener is not unreasonable. Secondary surgery can be more challenging, so picking an experienced surgeon is important.

Richard Sadove, MD · Answer

Sure you canI often do lower eyelid surgery on people who did not have a proper correction in the past.If your lids are lax from the first operation you must take care to have an experienced operator who can tighten them if needed. Hopefully, that is not necessary.Best wishes

Frederick G. Weniger, MD, FACS, MBA · Answer

It is not uncommon to redo lower lids. I would be curious, though, whether your lower lids don't now just APPEAR to have new fat bulging because of a loss of fat in your upper cheeks.

Kenneth D. Christman, MD · Answer

Yes, you can have multiple blepharoplasties over the years.  It might be a bit more challenging for the surgeon, but there is no reason why this cannot be done.

Can a 2nd lower lid blepharoplasty be done?

Answers (17)

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