Many of my Houston eyelid surgery patients come to see me 10-15 years after their first upper eyelid surgery or blepharoplasty stating that they now see similar changes to those that drove them to the intitial surgery. Surgery for the aging face does not halt the aging process. The eyelid skin is the thinnest skin in the body and the area that demonstrates aging the soonest. Lower eyelid surgery for lower eyelid bags is not commonly needed to be repeated, but some patients will continue to develop laxity and wrinkles of the lower eyelid, but not the bags.
Repeat eyelid surgery or blepharoplasty needs to take into account the previous scars, any history of dry eye, and what portion of the eyelid has demonstrated signs of aging. A small amount of fat in the upper eyelid by the nose may be protruding and will need to be addressed. Less skin will likely need to be removed compared to the first surgery.
Dr. Funk performs upper eyelid surgery and lower eyelid surgery in Houston.