I Was Looking to Get Lower Blepharolasty? (photo) Doctor Answers, Tips
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I Was Looking to Get Lower Blepharolasty? (photo)

So.. I am just going to post up two pictures from a photo shoot I did for work. 1 with out edit and 1 with. I know that my goal to have flawless not baggy eyes will not be as good as my edited shot but it is the direction I want to head in. So just wondering if this surgery is my best one. I am only 32 and I look tired and rundown all the time.. Lord knows makeup doesn't help and I am tired of it! thanks in advance

18 Doctor Answers | Asked by kellyannek8 in 32935
+2

Improving under eye fullness

Reviewing your pictures indicates some herniation of fat in the lower lid which would best improve with a surgical lower blepharoplasty. In my hands I would approach this through a transconjuctival approach with a skin pinch. I also believe that you can achieve moderate improvement with soft tissue filler injection of the tear troughs.
+2

Hello

In our practice we would recommend that Blepharoplasty for just your lower eyelids would give you a nice refreshed looked. You do have excess skin and removing it would be the only way to get long lasting results.
+1

Lower Blepharoplasty in the Young

You appear to have both congenital and age related changes to your lower eyelids. Because of the congenital component, you are probably one of the few people where removal of some of the fat of the lower eyelids is indicated. You will still need to have the rest of the fat retained but moved to pad the lower bony orbital rim. You appear to also require removal of excess skin. Therefore, you appear to need a full skin/muscle blepharoplasty. You may be able to correct some of this with... more

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+1

Lower blepharoplasty at young age

A lower blepharoplasty at a young age is performed through a transconjunctival approach to remove the herniated fat pads from the lower lids. There are 3 fat pads in the lower lids that are removed during a lower lid transconjunctival blepharoplasty to rejuvenate the area. Over age 50 a small strip of skin is usually removed, but at age 30 a simple transconjunctival approach is often all that is required.
+1

Treatment of Tired Eyes

The eyes can appear tired or aged due to excess skin, protruding fat or malpositioning of the eyelid. In your case the pseudoherniation, or protruding fat, appears to be the primary concern. I would want to see a profile view and get a closer look at your skin texture. A transconjunctival blepharoplasty to remove or reposition the fat would be a good option for you with possible fat transfer or filler to address the contour irregularities. Laser or chemical peel of... more
+1

Refreshing your eyes.

It appears that you have a combination of factors, such as loose, wrinkled skin, fat puffs and muscle fullness, that create your tired look. A lower eyelid lift can contour the fat, muscle, and skin, creating a smoother, more youthful appearance. For any fine lines on the eyelid, a TCA peel will improve the skin texture. Finally, if a slight depression persists along the medial (inner) junction of your eyelid and cheek, the so-called tear trough region, then a judicious... more
+1

Lower eyelid surgery

Your untouched posted photo shows an upper bulge of muscle and a lower bulge of fat in each lower eyelid as well as significant skin wrinkling between 3 and 5 o'clock in the skin surround the eye socket. If you inject a filler or fat between the lower fat bulge and the cheek it will not do anything for the upper bulge. A transconjunctival approach will also not address the upper muscle bulge. If on examination the fat bulge remains prominent during the full range of eyeball motion you may be... more
+1

Lower blepharoplasty vs injections

Dear Kelly, You have premature aging and fatty herniation of your lower eyelids. Blepharoplasty will indeed address both those in addition to transposing fat to your tear troughs. Injectables like Restylane are a temporary, long lasting but less invasive option to soften the bagginess, however, won't address the extra skin. I also noticed that your nasolabial folds were touched up as well. This area can be injected with fillers like Juvederm, or if you are planning a surgical route, your... more
+1

Eyelid bags

You have two options: 1) filling the hollow area underneath the "bags" by injecting filler; 2) lower blepharoplasty with transposition (moving) the fat/bags to lower position. There are pros and cons to both options. See an oculoplastic surgeon.
+1

Lower Blepharoplasty or Restylane Injection in Eye Lid Hollows?

Hi Kellyanne, After examining your eyes in person, a decision would be made as to the best treatment. The choice would be between surgical transconjunctival blepharoplasty with skin pinch versus skin pinch alone versus injection of Restylane in the eye hollows. Most importantly, choose your treating physician most carefully. Good luck and be well. Dr. P
+1

I Am Terrified of Surgery. Will a Non-surgical Option Work for Me

Thanks for the posted photos. I recommend transconjunctival lower lid blepharoplasty as the better option.
+1

I Was Looking to Get Lower Blepharolasty? (photo)

My recommendation, pending personal consultation of course, would be to strongly consider filler placed deeply across your infraorbital rim (area between lower eyelid and cheek) before surgery... and this comes from a surgeon who has done many hundreds of eyelid operations. Filler can last a long time, and is so easy. Much less costly than surgery, and relatively risk free. If you want a more permanent solution now, then lower blepharoplasty is the way to go... The... more
+1

Yes blepharoplasty

You definitely have lower eyelid bags. I have seen some patients who have them as young as 23. You might get a nice improvement from transconj fat removal plus skin pinch or skin-muscle flap, but sometimes a midface lift gives more definitive correction of the lid-cheek junction. That would work especially well for for correcting the depression near your nose, the "tear trough."
+1

Lower blepharoplasty in the 30's

From your photos, it appears that you have given yourself a flawless lower lid blepharoplasty (transconjunctival) and flawless injection of fillers. The real world isn't quite as perfect as the smudge tool on Photoshop, but carefully performed surgery will achieve much of your goal. While most patients would not consider your problem severe, if you are modeling then these small things make a big difference.
+1

I Was Looking to Get Lower Blepharolasty?

Thank you for your question. I think you would definately benefit from have some skin removed from the lower eyelid. A small amount of fat may need to be removed as well. This is best done through a small incision on the inside of the lower eyelid.
+1

I Was Looking to Get Lower Blepharolasty?

Aesthetically speaking the lower eyelids do show some fat bags that could be reduced using a lower eylid surgery (transconjunctival). The cheeks are rather flat and could be augmented with either fillers (I prefer Perlane) or Cheek Implants to make the face more naturally feminine and attractive. Hope this helps.
+1

Lower Blepharoplasty

Sometimes you can get that smooth, refreshed look from filler to the tear trough area. We do a lot here in our practice and get beautiful results. When you consult with your physician they can give you the best options for you.
+1

Lower blepharoplasty for eye bags and or excess skin.

Lower blepharoplasty for eye bags and or excess skin is what would help you achieve the result you want. In the photo you are contracting the eyelid muscles and it looks like you have excess skin. When you are relaxed if there is no excess the surgery can be done thru the inside without a scar to remove the excess fat bags.
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Comments (1)

kellyannek8 20 Sep 2012
Thanks for all the answers I do know that both shots are on opposite ends of the spectrum. It was a late day shoot and the shadows created a lot of work for my photographer that day. I should have put up a regular face shot to with out the arching and contorted face. But so far a lot of your words have been very helpful!..

About the fillers... is that not going to make me look more puffy?

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