27 year old male with pretty big under eye bags. Am I a good candidate for surgery? (Photo)
Doctor Answers (4)
You can get your eye bags removed with a completely natural look and no trace of surgery with a transconjunctival blepharoplasty
Do-it-yourself remedies such as cucumber slices, tea bags and topical creams don’t work. The definitive procedure is a surgical procedure called lower eyelid blepharoplasty. For most of our younger patients, I perform a transconjuctival blepharoplasty where I address the fat pockets under the eyes from the inside of the eyelid. This way we avoid an external scar, and maintain and preserve the anatomy of the eyelid. At times we combine it with other procedures such as platelet-rich plasma to help with skin quality under the eyes.
It is my opinion that these procedures be performed under local anesthesia with LITE™ sedation which we do in our practice. We actually trademarked a name called LITE™ anesthesia. This helps in quick recovery and minimizes the trauma and stress to your body and adds to the safety and natural appearance of the eyelid.
The quest for natural appearance basically should look as if you never had the bags. When people look at you, they shouldn’t know that you had surgery. They should say that you look good or that there’s something that’s changed but can't figure out what it is. Meeting with qualified and experienced cosmetic surgeons is an appropriate next step for you. Look at the doctor’s before and after pictures and then move forward with the procedure. I hope that was helpful, I wish you the best of luck, and thank you for your question.
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Good candidate for lower eyelid surgery?
You appear to be a great candidate for a lower eyelid blepharoplasty to remove the fat pads under your eyes. I routinely perform this procedure with amazing results by making an incision inside the eyelid that no one can ever see! I recommend that you see a board certified plastic surgeon in consultation to get more specific answers to your questions which can best be addressed after a thorough history and examination is performed.
Best of luck to you!
27 year old with under eye bags
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Lower lid bags?
Fillers can help improve the cosmetic appearance but you will get only a temporary and limited improvement with them. A better and long standing correction would be achieved with a blepharoplasty of the lower lids: Conservatively contouring the bulging fat pads, which are generally inherited, unrelated to weight, and tend to protrude more with time, and smoothing the tear troughs with micro-fat grafts or fat repositioning.
Following the advice of anyone who would presume to tell you what to do without seeing photos and without taking a full medical history, examining you, feeling and assessing your tissue tone, discussing your desired outcome and fully informing you about the pros and cons of each option would not be in your best interest. Find a plastic surgeon that you are comfortable with and one that you trust and listen to his or her advice. The surgeon should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS). You should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
La Jolla, California
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.