Lower Eyelid Blepharoplasty or Volumization are options

Philip Young, MD answers: Tired eyes - how do I get rid of them?

I have puffy eyes with dark circles under them, and everyone always says I look tired. What can I do?


Philip Young, MD
6 months ago

I refined a volumizing technique that entails replacing the volume in the lower eyelid and upper cheek area to reduce the appearance of lower eyelid dark circles and bags. This creates a more natural and younger look without looking like you had something done. 

People age like a how a grape turns into a raisin. Surgeons are used to making the raisin smaller but it doesn't look anything like how the person looked like when they were a grape at a younger age. This principle of making a smaller raisin is done when surgeons employ the lower eyelid blepharoplasty. Although volumization with the YoungLift can markedly improve the lower eyelid dark circles and bags there are times when removing fat can help the bags but it is less needed when volumization is done first.

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A: The most common questions my patients are concerned...

William Portuese, MD
27 months ago

The most common questions my patients are concerned about are their tired look, and sometimes that tired look to the patients is their upper eyelids and sometimes it can be in the lower eyelids. They often seek eyelid surgery (blepharoplasty) to reduce the under-eye puffiness and skin hooding of their eyes.

During the blepharoplasty consultation we talk about removal of primarily excess skin on the upper lids and primarily fat or bags under the lower lids. That's the blepharoplasty goal: to clean up and freshen up both the upper and lower lids.

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