Facial paralysis (such as Bell’s palsy) often leads to many problems with the eyes and eyelids such as: dry eye, ectropion, eyelid retraction, eyelid paralysis and ocular irritation. Fixing paralyzed eyelids is a complex surgical process that requires an eyelid specialist (oculoplastic surgeon or ophthalmic plastic surgeon). More importantly making the eyelids look and work correctly and appear normal aesthetically is the real challenge. This requires a surgeon with significant experience with facial paralysis and eyelid paralysis and one who has extensive cosmetic surgical experience.
To properly rejuvenate the lower lids, the midface (cheeks) must often be addressed. This is because the lower lids and midface (cheeks) are a continuous structure. As there is typically a depression between the lower lid and the midface (referred to as the tear trough), combining lower lid and midface lifting can smooth this transition (get rid of depression or dark circle).
The patient below had puffy lower lids (marked as fat by arrow) and a depression at the lid cheek interface (tear rough). She had fat transposed to the depression (tear trough) and the midface (cheek) lifted. Note the significant improvement in lower lid/cheek contour and cheek prominence (on longer sagging). This is a typical outcome to expect from Dr. Guy Massry’s http://drmassry.commidface lifts.