Restore a natural, refreshed appearance with revision blepharoplasty by David Isaacs, MD, a dual-fellowship trained oculofacial plastic surgeon. This procedure addresses complications such as hollow eyes, skin deficiency, eyelid asymmetry, and visible scarring that may occur after previous eyelid surgery. Dr. Isaacs uses advanced techniques to correct unsatisfactory outcomes and help you achieve the results you originally hoped for.
- Revision Blepharoplasty Treats
- Your Private Consultation With Dr. Isaacs
- Advantages of Revision Blepharoplasty
- Dr. Isaacs’ Approach to Hollow Eye Correction
- Undereye Weekend Lift™
- Fat Grafting/Transfer
- Hyaluronic Acid Filler Injections
- Dr. Isaacs’ Approach to Upper Eyelid Crease Correction
- Low Upper Eyelid Crease Correction
- High Upper Eyelid Crease Correction
- Asymmetric Upper Eyelid Crease Correction
- FAQs
- Schedule Your Consultation
Correct Unsatisfactory
Eyelid Surgery Results
Revision blepharoplasty is considered when a previous eyelid surgery results in complications or does not meet a patient’s expectations. Common issues include hollow or sunken eyes, difficulty closing the eyelids due to deficiency, persistent puffiness, asymmetry, visible scarring, or unnatural upper eyelid creases. These problems can significantly affect both the appearance and function of the eyes. Many individuals turn to revision surgery after realizing that their initial procedure failed to address their concerns or created new ones.
Revision blepharoplasty is a highly customized surgical procedure that aims to correct these complications and restore a more natural and balanced eyelid appearance. Dr. Isaacs evaluates the unique anatomy and previous surgical changes, then uses advanced techniques such as fat grafting, fat repositioning, crease reconstruction, or ptosis repair. Every revision is tailored to achieve harmony, symmetry, and long-lasting, aesthetic results.
Revision Blepharoplasty Treats:
- Hollow or sunken upper and lower eyelids
- Inability to fully close the eyes due to skin deficiency
- Persistent under-eye bags or puffiness
- Asymmetric or unnatural upper eyelid creases
- Visible scarring, redness, or lumps
- Residual loose skin or wrinkles after prior surgery
- Eyelid retraction or shape distortion
Your Private Consultation
With Dr. Isaacs
During your 90-minute private consultation with Dr. Isaacs, you’ll receive all the time needed to discuss your concerns and goals. He will examine your eyelids, assess your surgical history, and use detailed photography and anatomical analysis to explain your options. Dr. Isaacs is known for his honesty and may even advise against surgery if he feels it’s unnecessary. You’ll leave your consultation feeling confident in your personalized treatment plan.
Advantages of Revision Blepharoplasty:
- Corrects complications from previous eyelid surgery
- Restores a more natural and youthful eye appearance
- Improves eyelid function and comfort
- Addresses hollowing, asymmetry, and scarring
- Enhances symmetry between both eyes
- Custom-tailored to your unique anatomy and concerns
- Offers long-lasting aesthetic and functional results
Dr. Isaacs’ Approach to Hollow
Eye Correction
Hollow eyes are a common complication after upper or lower blepharoplasty. They can result from excessive fat removal, poor fat repositioning, or inadequate volume preservation during the surgery. This sunken appearance often leaves patients looking older, tired, or even skeletal, despite having undergone a procedure meant to rejuvenate the eyes.
Dr. Isaacs takes a nuanced and customized approach to correcting hollow eyes, drawing from a variety of advanced techniques to restore volume, structure, and a youthful contour.
Undereye Weekend Lift™
The Undereye Weekend Lift is a minimally invasive treatment developed by Dr. Isaacs to address complex cases of hollowing, eyelid retraction, and poor skin quality. Performed in-office, this surgery combines volume restoration, soft tissue repositioning, and skin resurfacing to achieve optimal results. It helps rejuvenate the periocular region from the bone structure outward, and is now also used for cosmetic patients seeking natural rejuvenation.
Fat Grafting/Transfer
As Course Director of the Facial Fat Grafting Course at AAO, Dr. Isaacs is a national leader in fat grafting. This technique involves harvesting fat rich in stem cells from the abdomen, thigh, or buttocks and injecting it into the hollow areas around the eyes. The fat integrates with your own tissues, providing a natural and potentially permanent correction. While outcomes can vary, this method is ideal for patients seeking a surgical yet organic solution to volume loss.
Hyaluronic Acid Filler Injections
For patients seeking a non-surgical option, Dr. Isaacs often uses hyaluronic acid-based dermal fillers to restore volume in the upper or lower eyelids. Hyaluronic acid fillers provide immediate results with little to no downtime and typically last 1 to 2 years. The procedure is performed with meticulous precision to avoid irregularities and overcorrection, making it a safe and effective choice for those wanting subtle yet impactful rejuvenation.
Dr. Isaacs’ Approach to Upper Eyelid Crease Correction
Upper eyelid crease issues are among the most frustrating outcomes of blepharoplasty. A crease that is too high, too low, or asymmetric can significantly affect the aesthetics of the eyes and impact eyelid function. These problems often stem from technical missteps during previous surgery, such as excessive fat removal, incorrect suture placement, or failure to address underlying ptosis. Dr. Isaacs uses an individualized approach to correct these issues.
Low Upper Eyelid Crease Correction
A low upper eyelid crease can give the eyes a heavy, tired look and may be caused by excessive fat grafting or poor surgical technique. To correct this, Dr. Isaacs first releases the existing low crease and allows the tissue to reset.
He creates a new crease at the appropriate height using carefully placed sutures, ensuring it complements your facial features. In some cases, laser resurfacing may be used to refine the skin and improve the outcome.
High Upper Eyelid Crease Correction
A high upper eyelid crease can create a hollow, overly sculpted appearance that looks unnatural and prematurely aged. Dr. Isaacs addresses this problem by restoring volume through the use of hyaluronic acid fillers or fat transfer, repositioning any remaining fat, correcting ptosis when necessary, and precisely placing new crease-forming sutures to lower and redefine the eyelid fold. The goal is a softer, more youthful contour that aligns with your natural anatomy.
Asymmetric Upper Eyelid
Crease Correction
Asymmetric creases can result from uneven fat removal, inconsistent incision placement, or disruption of the levator muscle during prior surgery. Dr. Isaacs begins by identifying which eyelid crease is more favorable and works to match the other side accordingly. He may use fat transfer, crease reconstruction, and ptosis repair as needed. Every adjustment is made with careful respect for your natural anatomy to restore facial harmony.
Revision Blepharoplasty FAQs
How Soon After My Initial Eyelid Surgery Can I Undergo Revision Blepharoplasty?
Dr. Isaacs typically recommends waiting 6 to 12 months after your initial blepharoplasty before considering revision. This allows the tissues to fully heal and the final results to settle. Operating too soon can interfere with healing and make revision surgery more difficult.
Is Revision Blepharoplasty More Complex Than the Original Surgery?
Yes, revision surgery is often more technically challenging. Scar tissue, altered anatomy, and previous surgical changes can make dissection and correction more difficult. Dr. Isaacs’s dual-fellowship training and extensive experience with complex eyelid cases make him uniquely qualified to address these challenges with precision.
Will Revision Blepharoplasty Leave Additional Scars?
In most cases, Dr. Isaacs uses your existing incision lines to avoid new scars. If new incisions are necessary, they are strategically placed and meticulously closed to minimize visibility. Scarring is generally minimal when the procedure is performed by a specialist.
Schedule Your Consultation
David Isaacs, MD, is a dual-fellowship trained oculofacial plastic surgeon known for his expertise in revision eyelid surgery. He devotes 90 minutes to each consultation to evaluate your concerns, review your surgical history, and develop a personalized treatment plan. Dr. Isaacs is widely respected for his honesty and commitment to natural, balanced results. If you’re experiencing complications from a previous eyelid procedure, schedule your consultation today for expert revision blepharoplasty in Beverly Hills.
