4 min read

How to treat crepey skin and under eye hollows after eyelid surgery

03 Nov

Crepey skin and under eye hollows are common post eyelid surgery concerns. Lower eyelid surgery, also known as lower blepharoplasty, is great for reducing the bulging, baggy appearance in the lower eyelids. However, it involves removing the fat pads below the eyes and often a hollow, sunken look can occur if too much fat is removed. Over time, the cheek fat pad descends lower in the face and this adds to a hollow, sunken appearance. The skin over this area may appear thin and wrinkly which is often the result of a loss of elasticity in the lower eyelid skin due to ageing and a previous surgery. In this blog I’ll explore what surgical and non-surgical options are available after eyelid surgery to improve the appearance of crepey skin and under eye hollows.


Options for treating crepey skin and under eye hollows


There are various surgical techniques that can improve the look of crepey skin and under eye hollows. Procedures include:

  • Transconjunctival arcus release and fat grafting. In this procedure a small opening is made with a laser on the inside pink part of your lower eyelid. A small piece of fat is then taken from around your belly button and placed or grafted into the sunken or hollow area beneath the lower eyelid. Results can be excellent. In some cases, more skin may need to be removed, which can be done safely, only if you also tighten the corner of the eyelids and support the eyelids using a procedure called canthopexy.
  • Canthopexy along with laser resurfacing. This procedure creates smoother, tighter skin.
  • A mid-facelift (not a regular facelift). This procedure, coupled with lower eyelid surgery, can lift the cheeks as well as blend the lower lids and cheeks seamlessly.

Non surgical

Some experts recommend avoiding surgery, in particular any additional lower eyelid skin removal, since it can result in a pulled down eyelid appearance or create rounding to the lower eyelid area. Since deflation of the soft tissue causes the face to appear older, replenishing volume is recommended.

One option is using fat injections or filler such as Restylane or Juvederm. Injections are placed in the hollow rim eye area or mid-face. Fat injections are a permanent solution and fillers last from three to nine months. It’s important to note that there are some surgeons who advise against having filler injections or fat injections beneath the lower eyes, as they believe they are risky and frequently leave lumps and permanent discoloration. 

Another possible remedy is hyaluronic acid augmentation to the tear trough regions. The crepey appearance of the skin can be improved with a light chemical skin peel such as Obagi Blue Peel or laser treatment. This will tighten the skin and improve its texture.

Consultation with a specialist in facial plastic surgery will enable you to determine the procedure that is best for your particular concerns and objectives. Given the availability of different options and the varying thoughts on their effectiveness, it’s also advisable to get more than one opinion.


There has never been a better time to have cosmetic eyelid surgery

With modern techniques and recent technological advancements, eyelid surgery has become safe, effective and capable of delivering results that you always wanted with minimal pain, discomfort and downtime. A skilled and capable plastic surgeon who uses modern techniques can offer you better and longer lasting results while the specialist anaesthetist ensures your safety and comfort in a modern hospital.

As with any medical procedure, it is important to seek the advice of a skilled professional capable of addressing your concern. Since each person's anatomy and response to surgery and healing is different, an evaluation by a plastic surgeon can help you explore all options and determine the appropriate approach that addresses your concerns.


Tips on how to choose the right plastic surgeon for eyelid surgery

In Australia you should seek out a FRACS Plastic Surgeon. The FRACS Plastic Surgeon has 5 key attributes amongst others:

  1. Is fully qualified in Plastic Surgery including Cosmetic and Reconstructive Surgery
  2. Is trained by the Royal Australasian College of Surgeons (RACS) which is the only College in Australia authorised by the Australian Medical Council (AMC) to train Surgeons
  3. Is registered as a Specialist Plastic Surgeon with the National Medical Board of Australia
  4. Is recognised as a ‘Specialist in his or her field’ by Medicare Australia
  5. Is a member of the Australian Society of Plastic Surgeons (ASPS) and the Australian Society of Aesthetic Plastic Surgeons (ASAPS)

If you need additional information to assist you in deciding whether cosmetic surgery is the right option for you, send me a quick email at info@naveensomia.com.au and I will happily assist you.

Want to receive articles like this one on helpful topics related to cosmetic surgery as well as how nutrition, skincare and exercise play a part in helping you look your best? Subscribe to my blog, The Cosmetic Surgery Insider, for free and receive the articles straight to your inbox. Rest assured your email address will remain confidential and you can unsubscribe at any time.

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Topics: Face Eyelids
Dr Naveen Somia MBBS, PhD, FRACS

Written by Dr Naveen Somia MBBS, PhD, FRACS

Dr. Naveen Somia is a Sydney Plastic Surgeon who listens to his patients, understands their problems and works alongside them to help achieve their aesthetic goals by applying his skills and years of experience in Plastic and Cosmetic Surgery. A published author on Plastic and Cosmetic Surgery, Naveen’s blog is aimed at helping you make the right choices and stay safe in your quest to look your personal best.