Get the real deal on beauty treatments—real doctors, real reviews, and real photos with real results.Here's how we earn your trust.

Lower Bleph with Fat Repositioning and Laser Resurfacing - St. Louis, MO

ORIGINAL POST

As some of you know this was my 2nd lower bleph. ...

User Avatar
TerriKB
WORTH IT$4,400

As some of you know this was my 2nd lower bleph. The first one was two years ago and the results weren't that good. I still had the indentation in the tear trough on both eyes. I should have had fat repositioning under my eyes at the time. It was never mentioned as an option to me. The last thing I wanted was to do another surgery. I also had a great deal of wrinkling due to the fat bag removal. When I asked about these things with the first doctor it was more or less "after the fact" and would require more surgery.

Fast forward two years, I started researching tear trough injections. I saw Dr. Nayak on the local news and was intrigued at how he performed this procedure. He was different from other doctors. He used a cannula and the results were amazing. I had the first procedure done in June. It requires two appointments. So a few weeks later I went back for a second session. After lengthy conversations with Dr. Nayak and his nurses we discussed that laser resurfacing would be about the only thing to rid my eyes of the added wrinkles. Also, he said that he would be able to do the fat repositioning for the tear trough indention all at the same time. I hadn't really even thought about doing surgery again, so I went home to think about it some more before committing. I came back to Real Self to do some more research and found all positive feedback on Dr. Nayak. Financially I hadn't wanted to invest in another surgery, however, I knew I had to do something more permanent.

I took pictures before the surgery, but realize that they are a little blurry. I will get copies of the doctors pictures to use as well. The surgery was 4 days ago. It went very smoothly. No pain at all. Took all the medications and followed all of the doctors instructions. The 'after' pictures are a little different than my first time since there is redness due to the laser resurfacing. The black marks are from the sharpie the doctor used to mark the areas under my eyes. I have to clean with water under my eyes 3 to 4 times a day and reapply the Vaniply (similar to Vaseline). I have iced and slept in a recliner for the last three days. Everything seems to be going well. I have a little tummy tenderness due to the fat removal in that area. Makes me wished I had liposuction now, LOL!

TerriKB's provider

Laxmeesh Mike Nayak, MD

Laxmeesh Mike Nayak, MD

Board Certified Facial Plastic Surgeon

TerriKB

TerriKB rating for Dr. Mike Nayak:

Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
Time spent with me
Phone or email responsiveness
Staff professionalism & courtesy
Payment process
Wait times

Replies (5)

User Avatar
July 20, 2015
I was thinking about having laser under my eyes as well. It looks so red under your eyes. Does it hurt? How long did the Doc say before you could see results?
User Avatar
July 21, 2015
No, it doesn't hurt. The doctor said it could be pink for a few months. Make up will cover the pink/redness. The new skin will appear in 7 to 14 days.
July 20, 2015
would u consider sharing your photos? I have heavy under eye bags & am scheduled for the procedure in the fall. Am researching a lot. Since I do suffer from seasonal dry eye, am not doing the inner eye incision. I do agree...many not so great comments about this surgery.
User Avatar
July 21, 2015
I've posted a few pictures. I will post more as the healing progresses.
July 20, 2015
Looks amazing already. Going in tomorrow for follow up restalyne injections. Will discuss the blepharoplasty with him. So happy I cancelled with my initial surgeon!!
User Avatar
July 21, 2015
Good luck and keep me posted!
July 20, 2015
I think you've got a great result so far! Your eyes are beautiful! Thanks for sharing.
User Avatar
July 21, 2015
Thank you!
July 21, 2015
Can you explain what you mean "He used a cannula and the results were amazing" I have been researching this and have never heard of that before.
User Avatar
July 21, 2015
Here is a video of him doing the procedure -
https://www.youtube.com/watch?v=LaOX8rKWiSg
UPDATED FROM TerriKB
6 days post

Progressing very well!

User Avatar
TerriKB
So this has been a fairly easy recovery. My main complaint is that I have needed a nap these last few days. Basically, I slept in the recliner the first 4 nights. The last 2 nights I have slept propped up so I won't roll over. I'm a stomach sleeper, so this isn't ideal.

I am so impressed that I haven't really seen any swelling. This is way different from my surgery 2 years ago. I've followed the same post-op directions too. Yes, I have redness, but it doesn't bother me too much. As soon as the peel is complete (another day or 2) I can cover the pinkness with makeup. Last time I had swelling and lumps. That is not easy to cover with make up.

I had my follow up with the doctor today. Everything is going well. He said I will see 80% overall improvement with wrinkles and bags. Right now I see a lot more than that, but as we all know things take time. I'm adding a 'before' picture that they took prior to my surgery. I am SO glad I decided to go see Dr. Nayak and have him do the surgery. I will keep updating.

Replies (0)

UPDATED FROM TerriKB
15 days post

Day 14

User Avatar
TerriKB
Wanted to share pictures 14 days post-op. One is with makeup and one is without. I really like what I'm seeing so far. I did notice that my left eye is still slightly swollen as you can see in the picture. The doctor's office said not to worry, it will continue to go down. I've also included a picture comparison of before surgery and after surgery. I know the lighting is always different, but I took them both in my bathroom so it could be as close as possible.

Replies (4)

User Avatar
August 1, 2015
Hi you look great, so glad it came out well. I wanted to just say, in case you were thinking of it, please please dont have an upper bleph! your eyes look fantastic, and if you were thinking about it, look at my review and think again. Having that extra skin is so soft and feminine, and makes you who you are. Thanks for posting your photos. I hope my revision comes out as well when I can get it. Sadley, I will need revision for my uppers AND lowers, my Dr managed to do a terrible job all over.
User Avatar
August 3, 2015
Thank you! I just read your review. I really feel bad for you. You have been through so much. Hang in there. I hope that you can get a revision soon. I know it's hard to be patient, especially after you have spent so much time and money this first time. Time will help.
August 4, 2015
How are you doing? Hope all is well!
August 4, 2015
Looks great. A little botox in your 11's and above your brow would lift your upper eyelids and look great
June 3, 2018
Amazing! You look fabulous. I think I am going to see Dr. Nayak as well for lower bleph fat repositioning.