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Enhance your eyelid surgery result

Posted:4:57 p.m. Friday, Feb. 28, 2014

By Anita Mandal, M.D.

Question: I had a lower eyelid lift by a plastic surgeon who removed the excess skin and fat bags several months ago. My eyes still look hollow and tired and the eyelid wrinkles are still there. What should I do?

Answer: While an eyelid lift can rejuvenate the upper face, eyelid surgery is not a “fix-all” for upper facial aging. Areas not improved by eyelid surgery can be managed with other techniques.
Hollows under the eyes can become worse or more noticeable after eyelid surgery. Treatment with a temporary filler like Restylane or a long term injectable like Bellafill® works well.
Laugh lines or crows feet around the eyes can be improved with Botox or Dysport. One must be careful not to inject Botox too soon after surgery to avoid scarring.
The fine crepey lower eyelid skin remaining after an eyelid lift can respond well to medical grade skin care, lasers and chemical peels.
A thick band of the lower eyelid tissue can sometimes be seen with facial expression after eyelid surgery and is due to overactive eyelid muscle. Botox injections can be helpful.
Additionally, patients may confuse heavy brow skin with heavy upper eyelid skin. A sagging brow should be treated with a browlift and/or Botox rather than an eyelid lift. In severe cases, both a browlift and eyelid surgery may be needed.
Eyelid rejuvenation is not a simple matter of surgical correction with an eyelid lift. Your Facial Plastic Surgeon should recognize all causes and use the variety of corrective measures available for a successful result.
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