Patient #1 (Preoperative). This patient complained of heavy upper lids. He also had a brow configuration (with the inner portions pointing downwards) that evoked an expression of anger.
Patient #1 (Postoperative, a few months). He underwent an upper blepharoplasty combined with medial direct brow lifting and medial M-plasty.
Patient #2 (Preoperative). This patient complained of heavy upper lids, eyebrow asymmetry, and some circles beneath the lower lids.
Patient #2 (Postoperative, 2 months). She underwent cosmetic temporal browlifting, right medial internal brow / corrugator release, bilateral upper blepharoplasty and bilateral lower transconjunctival blepharoplasty, with skin pinch removal.
Patient #2 (Postoperative, 5 months).
Patient #3 (Preoperative). This patient has visually significant upper lid droop, as well as cosmetic complaints of eyebrow asymmetry and ‘puffy’ lower lids.
Patient #3 (Postoperative, 3 months). The same patient after upper lid internal ptosis repair, upper blepharoplasty, right brow elevation, and lower blepharoplasty. Insurance covered the internal lid lift portion of the procedure.
Patient #4 (Preoperative). This patient has visually significant upper lid droop, giving her a tired appearance.
Patient #5 (Preoperative). This patient complained of puffy lower lids.
Patient #8 (Preoperative). This patient has visually significant upper lid droop, giving her a tired appearance.
Patient #9 (Preoperative). This patient complained of upper lids obscuring his vision, as well as lower lid bags.
Patient #10 (Preoperative). This patient complained of upper lids obscuring her vision, as well as lower lid bags.
Patient #11 (Preoperative). This patient complained a heaviness of the upper lids and desired Asian blepharoplasty.
Patient #12 (Preoperative). This patient complained a heaviness of the upper lids as well as some age-related changes in her lower lids.
The incisions are 90% healed and barely visible. The next sequence of photos shows a close-up view of the incision, with a marked up photo highlighting the path of the incisions.
Patient #13 (Preoperative). This patient complained a heaviness of the upper lids and also wanted lower blepharoplasty.
Patient #14 (Preoperative). This patient complained of drooping upper lids, and also wanted her lower lids to look more youthful.
Patient #15 (Preoperative). This patient complained of excess tissue on both upper lids, as well as puffy lower lids. Additionally, she had ptosis (true eyelid droop) on the right side, making her eye look a little smaller on that side.
“Cosmetic Reconstruction”
Dr. Walrath operates on a significant number of patients who have endured complications from previous upper and lower lid blepharoplasty. Dr. Walrath has expertise in fixing these complications and has recently written articles on the subject.
Patient #1 (Preoperative). This patient complained of a “small eye” on the right due to improper eyelid anchoring during cosmetic surgery.
Patient #2 (Preoperative). This patient complained of irritation in the left eye preoperatively. The left eye, pictured below, has lost it’s normal attachments to bone. The “white triangle” of the eye can be seen, and it is small compared to the other side. Patient #2 (Postoperative, 1 month). Afterwards, reanchoring the eyelids increases the amount of eye that can be seen from the side view. Not only does sharpening this angle improve the appearance of the eyes, but the eyes can now close properly.
Patient #3 (Postoperative). The same patient after lower lid reconstruction using a drill-hole for eyelid anchoring laterally, as well as a collagen spacer in the lower eyelids. The lower eyelids are now higher centrally, and the anchor position of the lids is lower at the outside edges. He can now close his eyes.
Patient #4 (Preoperative). After repair.
Patient #4 (Preoperative). This patient had prior lower lid surgery with fat injections. That surgery left her with both lids too low. The outer corners of the lids tended to droop as well, leading to a “sad” apperance. There is additional bulk in the right lower lid due to fat injection.
Patient #4 (Postoperative, 1 month). The same patient after release of scarring in both lower lids, placement of lower lid implants, removal of some injected fat on the right, and reanchoring. Notice that there is much less “white” of the eye visible. There is no white visible beneath the colored iris. The outer corners do not droop down.
Direct preoperative and postoperative comparisons for each side are seen below:
Right lower eyelid: pre / post
Left lower eyelid: pre / post
Disclaimer: Please note that each patient heals differently. Note that every single photo on this website is from a patient of Dr. Walrath’s. These represent personal surgical results. Some surgeons have used photos on these webpages in the past without permission, when counseling their patients, for their own benefit. If that has been your experience, kindly contact Dr. Walrath.