Upper Eyelid Hollowness 6 Years After Surgery

I do see what you mean. The uppers near the inside of your eyelids do look hollow. I have no idea what to do to correct that, but go to a PS for eyes only and get a recommendation. I wonder if they could inject something in there? Not sure, b/c the eye is a tricky area. I'd go to the TOP people you can find and get at least two opinions before you do anything about it. You don't want to do something that will make the situation worse.

Hello, I see what you are saying and this is a common problem with aggressive upper eye lid surgery. I too had same results from a surgery done 9 years ago. It aged me as well instead of giving me the younger promised appearance. I was talked into the upper lids, and really did not need them done. Surgeons are marketing there practice like anything else.Cosmetic surgery is BIG BUSINESS. I have read medical issues on marketing techniques provided to them for increasing there profits and selling you the goods. It is a big money deal with plastic surgery. Mate that with enormous ego's, faithful staff and you have a recipe for a fine plastic surgery business. Unfortunately, not all surgeons are equipped to perform these surgeries. This is an area that requires much skill.Not just paper and certificates hanging on there walls. Time does not help with a botched eye job, only add to the aging. Skin and tissue recede with age, so the hollowed sunken look only gets worse over time. As far as reversions, well I've spent most of the past nine years researching this area. There are many surgeons out here that claim they can do the job. Be careful, there ego's are bigger than there skills in most cases. Everyone with this problem may have some similarities, but with different degree's of issues. Depending on your original surgical outcome. Our skin,age and degree of hollowness are all factors. What works for one may not work for you. None of the procedures for reversion are permanent. All need some kind of reversion, or second, third application. As sad as it is,it is much easier to remove fat and tissue than replace it with any permanency. Also know, you will "NEVER" look the same as you once did. Keep your expectations low, and for me some fullness, and more softer appearance is all i could ever hope for. My once model appearance went into the hazardous waste container. Whats available? Fat strip grafting. This is where a strip of fat is taken from donor area and planted into your upper lids for volume and fullness with the hopes it will transplant into your lid and with the aid of fat injections,takes off and grow cells and tissue. This is a skilled procedure with only one surgeon to my knowledge that does it on a regular basis. Dr. Meronk in California. However, even his reviews are hit and miss. Long Term results are not available and second and third procedures have had to be done with more than one patient. If done without skill you can end up with a worm like piece of tissue implanted in upper lids that are visible and not natural looking to others. With little volume restored and it is an invasive procedure so more scaring. By the way, his charge is $8-10,000 per pop,via last inquirery. Fat pearl grafting is a similar procedure. Results again are not long term. Then there is fat grafting or injections. To me this is the best way to go, but again a skilled surgeon needs to be found. Good luck with that without travel. Micro fat injections is when small amounts of fat are injected back into the lid for volume and hope the cells will take on blood flow and survive, growing new fat and tissue. Even with skilled surgeons whom perform and know the best methods of harvest and injection, keeping as many cells viable as possible, you need more than one procedure. I personally think you need as many as it will take. In this case less is more. You do not want allot of fat injected into an area that is already lacking fat, thinner skinned and can lump making your percent situation worse. Small amounts at each procedure. Then wait and see how much remains and how much absorbs into your body. Generally 20% remains. Then have it done a second time, even third if necessary. You can be put under with local antithetic for this but the cost still may very. I have read where oxygen is the best source of getting blood flow, circulation to the cells and maintaining viability for life with those that survive. I would ask about using oxygen before and after this procedure. It can't hurt. This is what I would choose to go with, but again finding the skilled surgeon is the tricky part. I will post the information i have on micro fat grafting. Although it states only few needed a second try, I had it done 6 years after original surgery and only 10% remained. I would need another additional 1-2 tries, and travel is necessary. Cost for reversion can become more costly than original surgery. For lower lids, filler can help, also mid face lift. Again you are working in a delicate area so you must use caution.Blindness has been know to result in this area of surgery. None of these methods are guaranteed and can actually make you look worse if not done with the up most care, experience and skill. Good Luck

Abstract Purpose: The purpose of this study is to present an alternative procedure for rehabilitation of the volume deficient anophthalmic or enophthalmic socket. Methods: A retrospective review of clinical and photographic records of 12 patients with either an anophthalmic or enophthalmic orbit (14 orbits) undergoing volume augmentation by micro-fat grafting, or lipostructure, as initially described by Coleman. Patients with orbital volume deficiency seen in the oculoplastic clinic at Chelsea and Westminster Hospital, London, UK, were invited to participate in the study. The technique is discussed in detail. Results: The volume of fat injected ranged from 0.8mL to 4.5mL (median, 3.05mL) per orbit, with a median increase in exophthalmometry measurements (available in 9 patients) of 2mm (range, 0–7.5mm). Subjective improvement in cosmetic outcome was experienced in all patients. Repeat grafting was required in 1 patient, and will be required in another patient. There were no embolic complications. The procedure was well tolerated in all patients. Median follow-up was 14.5 months (range, 12–30 months). Conclusions: Micro-fat grafting to the anophthalmic or enophthalmic socket appears to be a safe alternative technique for orbital volume enhancement. It has the advantages of avoiding alloplastic infectious complications, ease of technique, minimal donor site morbidity, acceptable graft take rate, low embolic complication rate, and good cosmetic outcom

OMG! You look fantastic! I would not have noticed the "hollow" area or the scar if you didn't mention them. You look 20 years younger... seriously.

OMG! You look fantastic! I would have never noticed the "hollow" area or the scar if you didn't mention it. Trust me, leave it alone. You look 20 years younger. It was worth it, your lucky.