Before & Afters - Upper & Lower Eyelids


This is a 45YO lady who complains of excessive puffiness of her lower lids. She also has dark circles under the lower lids. This puffiness is caused by excessive fat in the lower lids.  On the post op photos, you can see where the fat was removed from the pockets of the lower lids. I then added fat in a lower portion of the lower lid area to help fill in the indentions in the lower lids.  This significantly rejuvenates the appearance of the eyes. This procedure is done in the office with IV sedation.

Photos submitted by Dr. Feagin

This is a 50YO lady from Enterprise, Alabama who desired some cosmetic improvement of her eyelids. Her main problem is the excessive puffiness and dark circles in her lower lids. Also, the lower lids are starting to hollow. She underwent a lower lid blepharoplasty and fat grafting to the lower lids. After she healed from the blepharoplasty and fat grafting, we did a chemical peel. You can see how much smoother the lower lids look and the darkness and fine wrinkling has almost been totally eliminated. Her eyes now appear much more youthful and a lot brighter.

This is a 63-year-old gentleman who presents with problems with his vision. He also complains of excessive puffiness in his upper lids. He also notes that he gets tired in the afternoons and has trouble holding his eyes open. Prior to surgery, he does have some asymmetry of his eyes. His right eye is lower than the left eye. He has a lot of excessive skin and herniated fat in the upper lids. He underwent a bilateral upper lid blepharoplasty. Now he sees better and looks much more vibrant. Insurance paid for his procedure in its entirety.

Photos submitted by Dr. Feagin 

This is a 50YO lady that had scarring in her forehead area.  She had a transverse scar around the upper nose and upper lid area on the right side as well as one vertically on the left side.  She has a transverse one in the right forehead too.  I was able to treat these with fat grafting which eradicated the scars.  


Fat grafting is a procedure where I remove fat from one area of the body and transfer it to another area. This can be done as an outpatient procedure in the hospital.  As you can see in her post op photos, this has greatly improved the scarring on her face. 


Photos submitted by Dr. Feagin

This is a lady that had extreme puffiness in the upper lids with hooding over quite far laterally. In the lower lids, she has puffiness from excessive fat and also had a prominent argus marginalis of the lower lids with a tear trough deformity.  She underwent an upper lid blepharoplasty and a lower lid transconjunctival blepharoplasty with fat grafting.  As you can see, her eyes appear much brighter.  On the lower lids the bags and puffiness are gone as well as the sharp indention that starts about ½ “below the margin of the lower lid.  The fat grafting really helped these areas.


Photos submitted by Dr. Feagin

This is a 50YO lady that has excessive skin and fat in the upper eyelids. In the lower eyelids, she has a lot of excessive fat and marked indentions in this area about 1.5cm below the argus marginalis. This goes all the way to the sides of her eyes. This is due to some of the facial fat inferiorly. Above this is herniated fat around the orbital area. I removed the fat from an incision just inside her lower eyelid. I put fat grafts in her lower eyelid area to help fill in the indentions and argus marginalis. I also injected some fat in the flattened cheek area. By doing the upper and lower lid blepharoplasty with fat grafts, we have significantly improved the orbital area for her. Insurance will often pay to do a portion of the procedure because of the excessive skin in the upper eyelids interfering with the upper field of vision.

Photos submitted by Dr. Feagin

To learn more about our board-certified plastic surgeons and how we can help, please call or email the Feagin & Owen Cosmetic Plastic Surgery Center today.

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4300 West Main Street, Doctors Tower, 4th Floor, Dothan, AL 36305

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Serving patients in Dothan, Enterprise and Troy, Alabama | Destin and Panama City, Florida | and surrounding areas