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POSTED UNDER Eyelid Surgery REVIEWS

Sunken Right Eye After Lower Transconjunctival Blepharoplasty - Northern California

ORIGINAL POST

I am in my mid thirties and my lower eye bags had...

JessieR
$4,800

I am in my mid thirties and my lower eye bags had become more pronounced in the last couple of years. I consulted with a few doctors in my area to fix the problem. One doctor suggested fillers, but I didn't want to do the costly and frequent upkeep. The doctor I chose for my surgery recommended lower transconjunctival blepharoplasty. This seemed like a good option to me because the results would be lasting. This doctor is well regarded and I felt comfortable with his advice. I also viewed before and after photos. During my consultation he explained that hollow, sunken eyes could be a complication of overcorrection.

I thought he would avoid aggressive fat removal since he seemed to understand the problem of overcorrection. However, at 3 weeks post-op my results are really uneven. With the proper overhead lighting my eyes look ok. But with dim lighting or lighting from the side (such as a lamp next to the sofa) my right eye looks horrible. It appears he was too aggressive and a large crater has formed in the right eye corner (left in photos). When I smile there is a black shadow around my eye. My left eye still looks ok. I'm very upset about my results. I am already researching ways to correct the corner of my right eye.

At 3 weeks post op it is so sunken in. I'm afraid it could sink even more over the next few weeks. I'm hoping the left eye doesn't sink in as well. My doc is out of town right now and I won't have another follow up for a few weeks. I'm hoping the eye crater can be temporarily treated with filler while I find a more lasting treatment. I'm feeling discouraged because fat grafting seems to get mixed results and I'm not even sure if it can be used in the outer eye corners. At this point I'm just praying that my eyes can be fixed and that this surgery wasn't the biggest mistake of my life. Has anyone had filler or successful fat grafting in the outer eye corners?

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Doctor is well regarded and was very attentive during consultation, before/after surgery and at one week follow up. I hope he can suggest ways to correct my eyes at my next follow up. I wrote the above comments while I was still trying to have some regard for my doctor. Now I think he is a quack who destroyed my eyes.

Replies (6)

November 6, 2014
I fail to understand why people post these worthless reviews and not post the Dr's. name for the folks out here like me that are trying to decide what we should/should not do for our possible procedures.
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November 6, 2014
I disagree completely with your opinion that this is a worthless review. This review clearly details his experience in turn helping folks like you decide whether surgery and the risks are worth it. I believe that learning about the fact that this surgery can have very negative results for many people and what those results are is extremely valuable for anyone trying to decide what they should or should not do. This review, and all other reviews detailing a persons experience is exactly why I came on here. I used this website to research the pros and cons of this surgery and to read about the experiences of others who've been through the surgery I was considering. I got many answers and this review is certainly one that answers my question exactly. There are many reasons a person decides not to divulge the surgeons name openly, if they are in the process of a lawsuit for example. Personal messaging is available for people who would like to know the name of the doctor if the reviewer, Jessie R in this case, chooses not to post it. The doctor's name has nothing to do with your query. Maybe you were looking for a surgeon in the same area as JessieR, and you meant to say that it did not help you in choosing a surgeon. I don't know, but I found his review very helpful, and now JessieR and I are sharing valuable information.
November 6, 2014
Actually, the review is informative, however, still not helpful without knowing the mystery DR's. name because he caused a priceless mistake by over correcting and causing a poor outcome. I do think it is definately somewhat worthless in helping new folks avoiding Dr's. that don't do a good job. There are 81% satisfied folks with this procedure on this website. Obviously I wish to know which doctors are the ones to avoid. And actually it does not help in emailing folks to find out the Dr's. name. I have yet to find one person I have emailed to even respond to me when I asked the Dr's. name so I gave up emailing the reviewer any more to find out. The review is NOT nearly as valuable if you don't mention the Dr's. name so we can avoid the not-so-good-ones.
August 28, 2016
i have to agree with you, without the dr name review is not helpful
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November 6, 2014
JessieR, I just read your entire experience, and reviewed your photos. I agree the doctor over-corrected by taking out too much fat causing the under eye hollowness. Our eyes were very similar before blepharoplasty with minimal fat "bags", and we should have just left it be as looking back, neither of us looked "bad", and I did have friends tell me that I didn't need the surgery, but I thought they were just being kind and trying to make me feel better about my looks as friends often do. I've looked into my options and recourse and it is extremely discouraging at the difficulty in going up against a cosmetic surgeon if your face is not actually maimed for example: the tear trough being pulled away from the eye causing constant dry eye or something to that extent. I've done some research on my city's government/court website and I watched a video of how court claims work and it scared me because I didn't want to lose and end up paying all the court and attorney fees for everyone. I keep thinking about signing the waiver that states I am aware I may not be satisfied with the outcome of surgery; however, I was not given information about the possibility of severe wrinkling due to left over loose skin, and I believe the doctor should have warned me about that. When I asked questions about the waiver the surgeon simply said that was just a precaution and not to worry that after the thousands of bleph surgeries over 20 years he's never had a severe complication. At this point, I am exhausted and just trying to find inner peace and take a break from this perilous journey. I am still coming on here though and reading all comments; taking any suggestions into consideration; and trying to be supportive of others in similar situations who've commented on my reviews such as yourself giving any information I can to aid them in their process. That leads me to my comment for you, as I believe I had fat grafting (my surgeon called it repositioning fat) as my surgeon took the fat that he removed from under my eyes and positioned it along my orbital bone under each eye to give me a smooth under eye appearance (it did not happen that way, but that was the intention). As you can see in my photos and read in my review, the fat newly positioned on the bone under both eyes formed “bags” (lumps) so I was told to massage the fat daily to flatten it out and it did on one eye but not the other giving me a fat lump (new bag). But, in your case I would look into fat grafting as a permanent fix for the hollowness under your eyes as having a thin strip of fat placed along the orbital bone did fill in my tear troughs (the crease from the inner corner of the eye diagonally down between the eye and the nose) as my tear troughs were very deep (it just left me with a bag like I said on one side). My surgeon was positive that I would end up with a hollow appearance if he did not graft the fat into the tear trough. My surgeon was also aware of the possibility of over-correction, but, in my case, my surgeon may have been too conservative leaving me with severe wrinkling due to the loose skin that remained after the fat had been removed (the opposite of your result). Although I am glad he did not remove too much fat, I wish he would have warned me that I was facing the possibility of wrinkling, as I would have reconsidered having the bleph and definitely spent time researching that outcome. I most likely would have found that wrinkling from too much skin under the eye is somewhat common, but I was completely unaware of this possibility. In your case, you doctor was also fully aware of the importance of over-correction and yet he did it anyway so I believe you have a fairly good chance at getting a judge to award you your money back. You said you wanted to PM me so please feel free to do so if you have any information that you do not feel comfortable sharing via commentary that may be useful to me.
April 11, 2017
I agree with workalltheyime. The pictures are not helpful either. Boo!
UPDATED FROM JessieR

In the last few days my right eye has sunken even...

JessieR
In the last few days my right eye has sunken even more. It literally looks like a bloodhound eye.

I am so depressed about this surgery. I don't recommend this surgery to anyone.

Replies (11)

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February 8, 2012

I'm so sorry to hear about your results, Jessie. :( Please keep us posted and let us know what your doc says when you get back in to see him.

February 11, 2012
At 3 weeks the shadows are probably just blood and will disappear in a month. The eyes heal at different rates so you can expect some assymetry and uneveness until about the 4th or 5th month. As for the crater - what happens when they take out the fat is that the area where the upper cheek meets the under eye area looks different. Sometimes they recommend a cheek lift but I don't think you need one. Overall I think your eyes look pretty good for 3 weeks. I had upper and lower one year ago and it took five months for me to feel normal (no dry eye or aching). At one year I am happy with the results although I do think he could have taken a tiny bit more fat off my under right eye towards the ear. I'm just happy he wasn't over agressive. Please be patient and wait for a couple of months (I know it is hard!!) and don't jump in to something too quickly. It takes months to heal and a full year to see your final result...
February 16, 2012
It looks like some bruising to me. Try not to panic just yet, Jessie.
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February 16, 2012
Dear Jessie,
I had my uppers and lowers done 13 weeks ago, and they change dramatically from one month out, to three months out. Be careful about having anything "fixed", read Dr. Meronk's website, and all the posts here before you have more done. I can NOT go very long without ointment in my eyes and/or drops. My eyes ache and are so dry, it is so painful. I sleep with saran wrap, mask or tape every night to keep the eye lenses moist, and the eye lids. I massage them with vaseline or vitamin E oil many times a day. I couldnt drive for 6 weeks due to amount of ointment that HAD to be in my eyes so that I could even OPEN them without pain. Seek 3-4 opinions before you do ANYTHING to them....This was the WORST thing medically that has ever happened to me. A car accident that left me in hospital for ONE week and almost dead at age 23 was NOT as bad as NOT being able to SEE and being in pain 24/7 for 13 weeks. I dont't know if it was the LASER, the Doctor, or BOTH.
February 20, 2012
Dear Problems, Problems,
My heart goes out to you. I'm am so saddened that so many of us are dealing with these horror stories - and we thought we would end up looking better! I wish I could take away the pain you are going through.

Thank you for your advice to be cautious before doing any revisions. I have two consultations set up and plan to make a few more. It has been a little over five weeks now since my surgery - so it is probably too early for additional treatments. I have been reading RealSelf comments and doing research non-stop.

My right eye is a disaster. It is so sunken in that I can practically put my finger underneath my eyesocket bone. I've been experiencing serve panic, regret and despair. I had to make an emergency mental health appointment and was prescribed anxiety and depression medication. I am also going to find a therapist to help me through this. I pray for all of us who are suffering this pain.

Again, my heart goes out to you. You are in my thoughts and prayers.
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February 20, 2012
Thanks JessieR!
February 20, 2012
dear Jessie, although it is at the up-most important to be happy with your results, i have to be honest when i look at your before and after pictures i do see quite an improvement,especially when i see your 2.5 week mark compared to your before surgery view 1, and just remember two things one being that when your in dim or dull light that capture shadow it always makes things appear worse then they are in other lights, and although we all wish they could..plastic surgeons cant make miracle happen. remember this is just what i see in your pics but in the pictures that u posted some are blurry, so maybe im just not able in the pics see what u see..can u post a few different pictures?
UPDATED FROM JessieR

Well, at 5.5 weeks post op, things are only...

JessieR
Well, at 5.5 weeks post op, things are only getting worse. I have already set up 5 consultations - 3 with oculoplastic surgeons and 2 with other board certified surgeons. I just want to get well rounded opinions.

The asymmetry between the right and left eyes is painfully obvious. The right eye (left in pictures) is still sunken worse than the left.

Emotionally, the pain I feel is beyond words. I had to seek emergency mental health care. I now take anti-anxiety medication daily. I actually wouldn't mind getting a drug addiction out of this ordeal - at least it would give me something else to focus on :(

Here is my advice to any prospective eye surgery patients:

1. The average cost of this surgery is between 4 and 5k. Instead of using that money on surgery, use it on therapy. Work with someone who will help ease you through the aging process.

2. Please be warned - it is much easier to live with God given flaws than flaws you inflicted upon yourself with a ridiculous surgery. It is so much easier to say, "God, why do I have these puffy eyes?" than to say, "I hate myself for this stupid decision that has destroyed my looks".

3. If you do opt for surgery, don't do it in secret. I had some downtime and thought I would get a "little work done" and no one would ever know. They would just think I looked refreshed after my downtime. It is much less embarrassing to tell friends and family beforehand, "Hey, I'm thinking of getting some work done" than to tell them after the fact, "My face has been maimed because I had a stupid and unnecessary cosmetic procedure". If you discuss it beforehand, they will probably reassure you that you look fine. We tend to exaggerate our own flaws and sometimes the negative perception is all in our heads.

4. It is much easier to use concealer on dark circles under puffy eyes than it is to use concealer on sunken eyes.

I have posted new pictures showing where I'm at 5.5 weeks after surgery. Each second of each day I wish I could wake up from this nightmare. I pray for each of you who is suffering this pain as well.

Replies (2)

December 12, 2015
how are you doing now?
April 7, 2021
I did the same thing only worse! I got a botched facelift too. I agree completely with everything that you're saying. I wish every day to wake up and this expensive disfiguring nightmare would be over and I would look like I did before.