I had an upper and lower Blepharoplasty on Jan 15, 2009, performed with a CO2 Laser and the area below my eyes is still extremely red. Is this normal?
As an Ocular Plastic Surgeon in Sterling Heights, Michigan, Laser Blepharoplasty is one of my favorite procedures. I am not clear from your question whether you are asking about the skin or the eye itself being red. So I will answer both!
In regard to the skin: Laser eyelid surgery caused a controlled thermal injury to the skin like a sunburn. It can take weeks, up to months, for the rosiness to improve - we've seen everything in between over the past decade+ that I've performed this procedure. Every patient is entirely unique! This said, any rosiness to the skin should be easily covered by mineral make up. Your cosmetic surgeon should have you on an after care skin care regimen to hasten this redness and improve texture as well. If the skin is extremely red or purple after 6 weeks you need to speak to your physician as it is possbile that you may have an infection.
In regard to your eyes: redness after blepharoplasty ( 6 weeks post op) is most likely related to dry eyes. This is especially true this winter in Michigan with the heat on so much. Your eyes are more open after the surgery and more air is hitting against them drying them out. If artificial tear drops 4x per day and a humidifer at bedside do not improve the problem you should speak with your ophthalmologist and make sure there is not an infection. It is also important to have your cosmetic surgeon make sure that your eyes fully close after the surgery and this is not leading to dry eyes at night.
I hope this is helpful... I assure you these are common concerns!
What is the best treatment for crow's feet and wrinkles around the eyes?
It truly depends upon how fine those lines are and where they are located. If you are speaking of Crow's feet at the outside corner of the eyes, these can be treated by Botox Cosmetic.
If they are deeper wrinkles, fractional resurfacing will help to further reduce them. If you are referring to the lines on the lower lids that cause crepiness to the skin, the same regimen may work.
Many clients, though, may need traditional resurfacing to this skin as well. If Botox is used prior, there are some clients who can obtain nice tightening from the inclusion of Thermage around the eyelids.
The majority of patients that I treat, as an Ocular Plastic Surgeon in Michigan, benefit from a combination of Botox and Mixto fractional laser resurfacing. This treatment takes approximately 15 minutes time and is performed with or without topical (gel) anesthesia
