Dear Dr. Seckel, I am confused and wondered if you could help. I have seen two plastic surgeons about blepharoplasty, both upper and lower a year ago. I did have the upper blepharoplasty done and am thrilled with the results. At the time, I choose not to have the lower lids done because the surgeon I selected told me that because of my large eyes that ectropion would most likely occur. The other surgeon who is wonderful as well talked about doing lower blepharoplasty with canthoplasty which he said would slightly pull my lower lids up. At the time all I could hear was hound dog eyes from the surgeon I selected. I am so displeased with my lower lids (no surgery) because there is a lot of excess skin which gives the look of deep wrinkles…it continues to get worse and has aged me. I would like to go back and speak to the surgeon that suggested canthoplasty and blepharoplsty and see if this technique is right for me. I wondered what your thoughts were. I am very nervous but want desperately to fix this problem. Mary, Indianapolis, IN
Dear Mary,
The surgeon is right to worry about ectropion and hound dog eyes after a lower eyelid blepharolasty if you have large eyes or your eyes protrude a bit.
For eyelid rejuvenation of the lower eyelids in your situation I recommend a Laser transconjunctival lower blepharoplasty (no skin incision on the outside thus little risk of losing lid support) with a canthopexy. This operation also corrects dark circles under the eyes. If there is eyelid skin excess excess a small pinch blepharoplasty can be done at the corner of the eye to correct this. After the pinch blepharoplasty the eylid muscle can be tightened by an orbiculopexy which tightens the lower eyelid muscle for additional lower eyelid support in addition to the canthopexy.
Check the following links:
Laser Transconjunctival Blepharoplasty
For more information on blepharoplasty, plastic surgery and non-surgical facial rejuvenation read Save Your Face or contact me.