Revision eyelid surgery – what are the concerns?
I had eyelid surgery done 15 years ago, and have recently become bothered by pockets of skin above and below my eyes. I believe I need a revision blepharoplasty surgery, but can I have upper and lower blepharoplasty done at the same time?
Yes, you can have both upper and lower eyelid surgery performed at the same time. If you had the upper eyelid surgery performed in the past, I would like to evaluate the position of your eyebrows. If the eyebrow position is low, you may benefit from an endoscopic brow/forehead lift to address the hooding of the upper eyelids. Regarding the lower eyelids, I would like to evaluate the relationship of the lower eyelids to the cheeks. In patients who had previous lower eyelid surgery, they sometimes benefit from addition of volume to area of hollowness between the lower eyelid and cheek. That volume can be achieved with transposing or re-positioning the fat pads of the lower eyelid into areas of hollowness. In patients with previous lower eyelid surgery, there may not be enough fat to re-position. In this case, a non-surgical option is injection of hylauronic acid filler (such as Juvederm) to correct hollowness and create a more youthful contour between the lower eyelid and cheek. Finally, if the skin of the lower eyelid is crepe in appearance, a skin resurfacing procedure, such as fractionated CO2 laser or chemical peel with either Jessner’s solution plus 35% TCA peel or an 88% phenol peel, may be of benefit for you.