Should I Get a Blepharoplasty for my Eye Bags? (photo) Doctor Answers, Tips
Eye Bags Treatment: Q&A
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Should I Get a Blepharoplasty for my Eye Bags? (photo)

I am 27 years old and have had bags under my left eye since I was a child. Since it is only under my left eye it gives me a very asymmetrical look and is most pronounced when I smile. Makeup does not cover it because of all the deep lines and bulges. I have been wanting a lower lid blepharoplasty for a while, but am unsure whether I would be a good candidate. What is the best/right treatment option for my situation?

11 Doctor Answers | Asked by reezah123 in Vancouver
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Eye bag blepharoplasty

The photos show herniation of the fat pads in the lower lids. A transconjunctival approach places the incision on the inside of the eyelid. The fat bags are removed and this will rejuvenate the lower lid. Make sure any allergies are addressed as well since they can make your eyes puffy
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What options are available for the treatment of under-eye "bags"?

A transconjunctival lower blepharoplasty would permanently reduce the lower eyelid bag and can be performed safely under twilight anesthesia. Your best non-surgical option would be to use an hyaluronic acid filler such as Juvederm to fill the area and camouflage the herniated fat. This can be performed in the office with a small amount of numbing cream for comfort. Stephen Weber, M.D., Ph.D. Colorado Facial Plastic Surgeon
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Herniated orbital fat

Depending on your preference, this could be addressed with either a surgical approach [transconjunctival blepharoplasty with conservative fat excision or transposition] which will give a permanent result, vs a non-surgical approach with fillers [Juvederm or Restylane] which will give a temporary solution [6-12 months].

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+1

Eyelid bags

It appears that you have mild fat herniation under that left eye. A blepharoplasty (with the incision on the back of your lower eyelid) to remove fat only would likely solve your problem.
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Should I Get a Blepharoplasty for my Eye Bags?

Yes these are lower eyelid fat bags and a lower Blepharoplasty (Eyelid Surgery) would remove these.
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Unilateral lower Blepharoplasty

The fat herniation of the lower eyelid can sometimes be more pronounced on one side only. It is worthwhile to get one side done and achieve symmetry. If you were to wait for some reason on surgery, then you can get Restylane or Juvederm injections in the tear trough area to hold you over for a while. In terms of your age, it is still appropriate to get the surgery done. Regards Dr. J Disclaimer: This answer is not intended as and does not substitute for medical... more
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Lower Eyelid Bag Removal

The bags you see on your left lower eyelid are fat that came in during puberty and are normally held back by a piece of tissue known as the septum orbitale. For whatever reason, you have protrusion of this fat only on one side. Your orbit may be smaller on this side, or there may be excessive fat, or your septum orbitale be weaker genetically. At any rate, since you have no excess skin, the appropriate treatment would be to go through your lower eyelid conjunctiva (inside... more
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Palm beach blepharoplasty

Based on the photos, it appears that you have pseudoherniation of periorbital fat. This problem can be treated with a transconjunctival blepharoplasty in which there are no external visible incisions. The surgery is done from the inside of the eyelid to avoid visible incisions and scars. The surgery itself should typically take no more than 20 -25 minutes. Postoperative swelling and bruising can be expected but mostly resolves within a week.
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Lower Eyelid Fat Removal

Since this is a fullness under just one eye, it may be herniated fat. At your age no skin needs to be removed, so a transconjunctical lower blepharoplasty with just fat removal is a consideration for you.
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The I's

Cosmetic Laser Surgery may be an excellent approach for many cosmetic issues in or around the periorbital region: especially for young people! Consult your trusted Cosmetic Surgeons and discuss what's best for you.
+1

These bags are small.

You might do very well with a carefully performed, conservative, transconjunctival arcus marginalis release lower blepharoplasty. A non-surgical alternative would be under eye fillers. Only a personal consultation could confirm which option is best for you.
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