March 25, 2010

My eyelids are irregular from surgery. Can fillers help me?

Under normal circumstances, if you have carefully chosen your eyelid surgeon and made responsible decisions regarding your cosmetic treatment, you are likely to have an excellent eyelid surgery result.  However, if you experience a problem after surgery, we recommend you contact your original surgeon, who will probably be eager to help you resolve the issue.  Things do happen that lead to unsatisfactory results.  That is the reason your surgeon spent time reviewing the risks, benefits, and alternatives to surgery and why you read, agreed, and signed an informed consent document for surgery that discussed these possibilities.  Many of these issues can be remedied by your surgeon without the need to get a second opinion.  Many of these issues get better as the surgery heals over time.  However, in cases when the relationship between the patient and doctor has broken down, or in instances when the skill required to correct the eyelid may surpass the expertise of your doctor, it is wise to seek a second opinion.

Whether you consult your original eyelid plastic surgeon or a new physician, if you are experiencing eyelid surgery complications or irregularities such as bumps or hollowness, you should bring up your concerns.  While correcting irregular eyelids is a challenge, eyelid cosmetic surgeons like Dr. Steinsapir who specialize in fixing eyelid surgery can often greatly improve your results.

The solution, of course depends on the specific nature of your problem.  If you’ve been following our blog, then by now you should know that it is our philosophy to completely customize every treatment to the unique surrounding circumstances and the needs of each particular patient.  So it’s a given that exactly what will help your unique case cannot be determined with certainty until your private consultation.  In the meantime, we are happy to give you some informative guidelines.

When are fillers helpful in correcting eyelid surgery?

Here are two examples of when an eyelid filler can help resolve your post-surgery eyelid irregularities:

•    If you have lumps and bumps in the treated area, the filler Restylane may be a great option in smoothing and correcting the area.
•    If you have a volume deficit (perhaps because too much fat was removed), Restylane can fill in this area and restore a healthy, full, youthful appearance.

In the first situation, perhaps you had a procedure like a fat transfer to your lower eyelids.  Fat transfers to the face are an amazing treatment option when the fat is placed somewhere where it can “hide” behind an already-existing layer of fat.  When it is transferred to the eyelids and surrounding areas, however, it can sometimes show up in the form of lumps and bumps because there is not enough tissue here for the fat transfers to hide behind.  Treatment here is difficult because the lumps usually are not in ideal or standard surgical planes, and because using steroids to melt fat is not always predictable.  This is where Restylane comes in.  After the worst of fat deposits are removed, the rest can be filled around with Restylane to give a smooth appearance by using a safe and effective treatment method.  In some cases, Restylane on its own may be sufficient to correct the irregularities and surgery is not needed to remove the larger lumps.  This is great news for those who are apprehensive about undergoing further surgery.  While corrective eyelid surgery is beneficial when performed by a qualified, experienced oculoplastic surgeon who specializes in fixing eyelid surgery, we understand that you may not be ready for surgery.  Nonsurgical Restylane can help.

In the second situation, Restylane can be used to fill the undereye hollow and correct deficits as it is used in other circumstances unrelated to surgery.

Restylane Is Best for Treatments around the Eyes

Restylane and eyelids are so compatible because Restylane is smooth, flexible, safe, and presents itself remarkably naturally around the eye.  Restylane has long-term benefits, but it is also easily adjusted in case the first treatment is not exactly what you want.  These characteristics are essential in the eyelid and surrounding areas.  The skin here is very thin and the tissues are very sensitive, so even small mistakes show up her.  Restylane has proven itself again and again to be the optimum choice here.

Consult with the Best

Very few doctors make undereye and eyelid fillers a major focus of their practice.  Dr. Steinsapir saw a need for specialization here because the eye area is so sensitive to subtleties of treatment yet also crucial to our appearance.  Dr. Steinsapir’s focus on treating the eyelid and undereye hollow led him to innovate Deepfill Restylane, treatment that delivers superior results.

If you have had eyelid surgery and are unhappy with your results, please know that Dr. Steinsapir frequently provides a second opinion and often assists in rebuilding the relationship with your former surgeon.  In cases where this is not the best idea, he helps you to form a treatment plan if treatment is necessary.  Dr. Steinsapir specializes in resolving eyelid surgery issues can help you determine if Restylane in Los Angeles is the best option for resolving your unique needs.  Please call us today for your no-risk consultation, and find out what difference an experienced and caring doctor can make.