I HATE my under eye bags. They are genetic. I want to have them fixed. My aunt had it done but 10 yrs. later she has hollow, sunken orbital area. I don't want that so I am considering having a filler put in my tear troughs, but I've heard horror stories. I've tried every type of cream, home remedy, etc.I'm 39 and I don't want to look like I'm in my 40's. I'm attaching a pic taken with light over my head so you can see the bags well. Suggestions?
Answer: Blepharoplasty better for you overall with the right surgeon I think surgery is the better choice for you and here's why: You have an abundance of fat that can be used to reposition over the hollow areas under your eyes and in your tear troughs. This method avoids the over-hollowing some patients experience. The fillers are fine but do not last very long and have a high risk of bruising (so does surgery but at least it's a one time thing). Just make sure you see a surgeon who is not overly aggressive about fat removal and more conservative in the approach, preferably to reposition the fat.
Helpful 2 people found this helpful
Answer: Blepharoplasty better for you overall with the right surgeon I think surgery is the better choice for you and here's why: You have an abundance of fat that can be used to reposition over the hollow areas under your eyes and in your tear troughs. This method avoids the over-hollowing some patients experience. The fillers are fine but do not last very long and have a high risk of bruising (so does surgery but at least it's a one time thing). Just make sure you see a surgeon who is not overly aggressive about fat removal and more conservative in the approach, preferably to reposition the fat.
Helpful 2 people found this helpful
Answer: The Management Of Tear Trough Deformities It's not unusual for patients with tear trough deformities to request plastic surgical consultation. When this situation arises, a variety of treatment options exist to treat this condition. These include surgical procedures that release the arcus marginalis and the use of injectable hyaluronic acid fillers that minimize tear trough deformities.It's extremely important to individualize the treatment of tear troughs. For this reason, the specific procedure chosen will depend upon the patient's anatomic findings and aesthetic goals.It's important to realize that lower eyelid filler injections are very effective for treating tear trough deformities, but aren't for everyone with this condition. In some cases, the lower eyelid skin is extremely thin and for this reason, injectable fillers aren't always indicated. In this situation, injections may be accompanied by nodules and bluish discoloration. Furthermore, this approach only provides a temporary solution to the problem.It's important for patients with tear trough deformities to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.
Helpful
Answer: The Management Of Tear Trough Deformities It's not unusual for patients with tear trough deformities to request plastic surgical consultation. When this situation arises, a variety of treatment options exist to treat this condition. These include surgical procedures that release the arcus marginalis and the use of injectable hyaluronic acid fillers that minimize tear trough deformities.It's extremely important to individualize the treatment of tear troughs. For this reason, the specific procedure chosen will depend upon the patient's anatomic findings and aesthetic goals.It's important to realize that lower eyelid filler injections are very effective for treating tear trough deformities, but aren't for everyone with this condition. In some cases, the lower eyelid skin is extremely thin and for this reason, injectable fillers aren't always indicated. In this situation, injections may be accompanied by nodules and bluish discoloration. Furthermore, this approach only provides a temporary solution to the problem.It's important for patients with tear trough deformities to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.
Helpful
July 27, 2015
Answer: Blepharoplasty for your problem You have dermatochalasis with too much fat to hide with a filler. The definitive treatment is lower eyelid blepharoplasty. Possibly fat transposition would be appropriate in your case, but it is too difficult to see in the photo. Good luck.
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July 27, 2015
Answer: Blepharoplasty for your problem You have dermatochalasis with too much fat to hide with a filler. The definitive treatment is lower eyelid blepharoplasty. Possibly fat transposition would be appropriate in your case, but it is too difficult to see in the photo. Good luck.
Helpful
May 25, 2015
Answer: Tear trough correction Although you don't have much excess skin, you are a good candidate for lower blepharoplasty with repositioning of the fat pads over your year trough. Fillers can camouflage the tear trough but you would still be left with bags. Surgery would correct both of your problems.
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May 25, 2015
Answer: Tear trough correction Although you don't have much excess skin, you are a good candidate for lower blepharoplasty with repositioning of the fat pads over your year trough. Fillers can camouflage the tear trough but you would still be left with bags. Surgery would correct both of your problems.
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February 6, 2015
Answer: Surgery I suggest you see an experienced board certified plastic surgeon who has performed blepharoplasty many, many times. They can help you determine the best treatment, which would probably be surgery.
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February 6, 2015
Answer: Surgery I suggest you see an experienced board certified plastic surgeon who has performed blepharoplasty many, many times. They can help you determine the best treatment, which would probably be surgery.
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September 1, 2015
Answer: Dark circles under eyes. Fillers or surgery, what is best. Answer from New Jersey
You are asking a very important question that deserve a careful answer. Fillers are a good way to improve the lower lid appearance by filling the dark circles that start by the nose, the so called tear trough area. This can be done safely and effectively by a technique that I describe in a blog on my web site today in response to your question and other questions that I have received recently. In your situation you present with an eyelid bag which is the orbital fat protruding through eyelid soft tissues. The best and most permanent solution is to conservatively remove the excess fat or use the fat to fill in the tear trough during a surgical procedure. Fillers, if done properly could give you an improvement but could not completely resulve the problem. If you didn't have the bulging fat you would have been a perfect candidate for fillers.
Helpful
September 1, 2015
Answer: Dark circles under eyes. Fillers or surgery, what is best. Answer from New Jersey
You are asking a very important question that deserve a careful answer. Fillers are a good way to improve the lower lid appearance by filling the dark circles that start by the nose, the so called tear trough area. This can be done safely and effectively by a technique that I describe in a blog on my web site today in response to your question and other questions that I have received recently. In your situation you present with an eyelid bag which is the orbital fat protruding through eyelid soft tissues. The best and most permanent solution is to conservatively remove the excess fat or use the fat to fill in the tear trough during a surgical procedure. Fillers, if done properly could give you an improvement but could not completely resulve the problem. If you didn't have the bulging fat you would have been a perfect candidate for fillers.
Helpful