• About the Author
• More Articles

About Dr. Hootan Zandifar

Dr. Hootan Zandifar is board-certified in Otolaryngology and fellowship-trained in Facial Plastics and Reconstructive Surgery. Dr. Zandifar is the director of the Skin Center at the Osborne Head and Neck Institute based at Cedars-Sinai Medical Towers.

• Folded Ear in Newborns: Treatment Options - April 11, 2018
• Newborn Ear Deformity: What Can Be Done? - April 11, 2018
• Ear Molding: An Overview - November 2, 2017
• Otoplasty for Protruding Ears - September 26, 2017
• Basal Cell Carcinoma: Facial Reconstruction Timing - September 26, 2017
• Clinical Considerations of Mohs Reconstruction of Cheek Defect - September 26, 2017
• Basal Cell Carcinoma: Nasal Bridge Reconstruction - September 26, 2017
• Skin Cancers Involving the Eyebrow: Clinical Considerations - October 3, 2016
• Treatment of Multiple Skin Cancer Lesions - June 1, 2016
• Skin Cancer: Nasal Reconstruction and Scar Management - June 1, 2016

View All Posts

Can I have a second upper and lower eyelid surgery?

Question: I was under the impression that once upper and lower eyelid surgery has been performed, you can no longer have another blepharoplasty procedure. Is that true?  I had a blepharoplasty procedure done 20 years ago and lately have noticed that I again have the tired appearance around my eyes.

Discussion:  It is absolutely NOT true that once you have had an eyelid procedure you can no longer have another.  The goal of plastic surgery is to roll back the clock but from the moment you are out of the surgery room aging continues.  As the result after 10-20 years you may again notice stretching of the skin and wrinkling around the eyes.  In these instances a repeat blepharoplasty is indicated.

Luckily in most instances the second go around is not as extensive as the first.  If any fat was removed the first time, there is usually no need for further fat removal.  Most of the surgical focus of the second surgery is around removal of excessive skin and the return of youthful appearance of the eyes

Key Points:

Blepharoplasty addresses aging around the eyes.  Since aging continues after surgery it is possible to find a need for repeat blepharoplasty down the line.

Experience matters the most.  You want your facial plastic surgeon to be especially trained in the care of the cosmetics of the face and a fellowship with the American Academy of Facial Plastic and Reconstructive surgery is a great way to assure that level of training.

To learn more about Dr. Zandifar and other facial plastics procedures offered at the internationally renowned Osborne Head and Neck Institute visit our website at: http://www.ohnifacialplastics.com