At 20 Years Old, Would a Blepharoplasty Be Possible?

asked 1 year ago by LBourbon in Florida
Latest answer by Steven Wallach, MD
Question viewed 496 times
Tags: age 18-24, lower eyelids

Or should I only consider fillers? I am only 20 years old but I have had under eye bags since I was around 13. I was wondering if I am to young for an under eye blepharoplasty procedure and if that would give me the best long term results considering my age. Also, could just using fillers fix my under eye bags and how long do fillers usually last?

7 answers to At 20 Years Old, Would a Blepharoplasty Be Possible?

Lower lid surgery in a 20 year old

It is difficult to evaluate your concerns with just a photograph. If you have bulging fat this can be treated delicately by removing it from an incision inside the lid( transconjunctival). If it is just a shadow a filler may be helpful, but it would be better evaluated in person.

Steven Wallach, MD
Manhattan Plastic Surgeon

Lower lid blepharoplasty in 20 year olds

It is important to understand what a lower lid blepharoplasty usually involves and what it is being done for. In your case it would be done purely to remove the fat pads below the lower eyelids so that they cannot bulge or bag forward and currently this must be done directly rather than indirectly by suction or some sort of injection. Clearly there is no bagging or excess of the skin, so a lower lid blepharoplasty for you would not involve removal of any skin. There are two options.... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Blepharoplasty, eyelid surgery

Yes, you could have a lower eyelid procedure. I now do less fat removal in that area but more repositioning of the fat so it is less likely that you end up with a hollow look now or in the future.

Edward J. Domanskis, MD
Orange County Plastic Surgeon

Fixing hereditary eyelid bags

Based upon your pictures you provided, I would indeed recommend a lower blepharoplasty done from behind the eyelid called a transconjunctival blepharoplasty. It is a long term and perhaps permanent correction for lower lid bags. I have frequently done the procedure on folks in their twenty's or thirty's that were born with these bags called hereditary fat pseudoherniation in medical jargon. I am not a big fan of fillers for younger folks around the lower eyelids and at most it... more

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon

You have very big eyes increasing your risk for lower eyelid surgery

It is not impossible for you to have lower eyelid surgery. However, I would not recommend it. The risk of you damaging your eyelids permanently is very high. You have very large eyes and this increases the risk for an adverse outcome from lower eyelid surgery. Your best option for many years will be an artful lower eyelid filler treatment with Restylane. The service lasts well over a year. The bad news is that it is an art form. Don't expect... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Lower eyelid problems and age

While most eyelid concerns are related to involutional changes that occur with age, there is no rule as to when a corrective procedure should or should not be done. Some people are born with lower eyelid anatomy that creates puffiness, dark circles, or other cosmetic concens. Therefore your specific problem and not your age should determine the appropriateness of a treatment course. Given that you are 20, there are pros and cons to both surgical and non-surgical interventions. You... more

Richard W. Westreich, MD
Manhattan Facial Plastic Surgeon

Bags under eyes and blepharoplasty

Young patients may exhibit a process termed blepharochalasis. This typically occurs in young females and can sometimes even be associated with inflammation and pain. It can effect both the upper or lower eyelid but typically occurs in the upper eyelid. Lower eyelid fat pseudoherniation causes the bags under the eyes which can be treated with a lower blepharoplasty or eyelid lift. Non-surgical options such as filler injection can lead to moderate improvement in the right... more

Etai Funk, MD
Houston Facial Plastic Surgeon

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