I Am 33year Old with Allergic Conjuctivitis. Whats Suitable for my Case Blephoroplasty or Facial Fillers? (photo)

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4 Doctor Answers | Asked by coki

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Important to address allergies first, and have transconjunctival blepharoplasty only if puffiness remains

As a cosmetic oculofacial plastic surgeon, I deal with many patients who have an allergic conjunctivitis history. The first thing I recommend before considering any surgical procedure is the management of the allergies because allergic conjunctivitis will cause swelling and puffiness to the eye area even with the reduction of fat. If there’s puffiness that’s related to fat prolapse, which is fat that’s normally behind the eye pushing forward also called fat herniation, then that can be... more

Blepharoplasty vs fillers

There should not be a difference between the two with regards to your allergic conjunctivitis. Your allergy is to environmental allergens and there should be no issue with fillers with that regard. However, when ever your do a procedure, surgical or otherwise, swelling will occur, and if you are suffering from the allergies at the same time, it could prolong healing time. Your best bet is to have the procedure during a time [season] where your allergies are not acting up, and use... more

A.J. Amadi, MD

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Seattle Oculoplastic Surgeon

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Tear trough and upper cheek fillers

Yes, I think that you would be best with a very small amount of Restylane into the area just between the cheek and the tear trough where the bone is quite flat and there is not much soft tissue. I would start with just 1 ml Restylane done by canula. That is the least invasive and also enables deep delivery of the filler where it will build up the volume but not "show". The idea is to gently build up the cheek below the eyes and in the nasojugal line (an oblique depression on the cheek... more

Under eye bags

I would recommend treating the allergic conjunctivitis completely and evaluating your eyes again when the allergies are not active. I like to start with over-the-counter allergy eye drops such as Zaditor, as well as an oral antihistamine such as Claritin. It is difficult to recommend a procedure without examining you in person, but it looks like there is severe hollowing in the lower eyelids and upper cheeks. I suspect you could benefit from filler injections in this area. more