Lower blepharoplasty for bags from muscle?

I am scheduled for an upper and lower eyelid lift for bags under my eyes. The bags are not fat. My doctor says it is muscle, and although he cannot remove the bag, he can make it less noticeable by removing skin. Does this sound accurate?

Lower blepharoplasty for bags from muscle?
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15 answers to “Lower blepharoplasty for bags from...”

A: A lower eyelid blepharoplasty is not done for muscle

William Portuese, MD

A lower eyelid blepharoplasty is not done for muscle. Normal lower blepharoplasty is performed primarily for removal of fat bags in the lower lids and a very minimal pinch of excess skin on the lower lids, if necessary. No muscle is removed from the lower lids. If that is done, the lower lid can retract and... more

A: Several options for your under eye bags

Kamran Khoobehi, MD

You may need lower blephoplasty and cheek lift with tear trough implant. You have weakness of the cheek bone under the eye, and not enough support for the eye fat pockets. You will benefit from injectable that will last 1-11/2 years. The other option is lomer eyelid with the use of tear trough implant. Please... more

A: Midface dermal fillers would help you considerably

David Shafer, MD

Looking at your picture, I think you could benefit from midface injections of fat or dermal fillers. These injections can also help smooth out the cheek-lid junction and improve your lower lids problems. This is just a thought and may be less drastic that the other procedures you are considering.

A: Surgery may not always be the answer for eye area rejuvenation

Lawrence Scott Ennis, MD

There are both surgical and non-surgical options to rejuvenate the area around the eyes.  Non-surgical treatments such as Botox Cosmetic, Restylane, and Juvederm can help in the early stages of the aging process.  Although these treatments are not permanent, Crow’s feet, Furrows and Dark... more

A: Lower Blepharoplasty not recommended for you

Daniel Reichner, MD

Daisy, I don't recommend a lower blepharoplasty in your case. You have a negative vector, which means that your lower orbital rim and cheek are posterior to your lower eyelid. A standard lower blepharoplasty would create a greater depression below the eye and might even cause your lower eyelid to retract... more

A: Muscle bulge causing eye bags usually requires modification of the muscle during blepharoplasty.

Brooke R. Seckel, MD

From the side view photograph you provided you look very young to e considering blepharoplasty. If you send me a frontal face view photograph which is a close up that includes your eyes, nose and forehead, i can give you a better opinion. Just send as an email attachment to my website listed above. Lower... more

A: Lower blepharoplasty may be an option

Kenneth D. Steinsapir, MD

Hi Daisy, From the single profile view you have forwarded with you question, it is difficult to fully answer your question. However, what are you looking to accomplish with eyelid surgery? Do you have a clear understanding of what your doctor is looking to accomplish ( i.e are the two of you on the same... more

A: Lower eyelid muscle bags can be helped

Benjamin Schlechter, MD

Yes, this is possible. I have seen quite a few patients over the years whose muscle of the lower eyelid is thickened. During the lower eyelid procedure this muscle can be trimmed to render it less prominent. There are different opinions about lower eyelid surgery with one being that the muscle should not be... more

A: Removing the lower eyelid bag that is not fat

Lenore Sikorski, MD

There is a procedure where you can remove a small amount of muscle, which can reduce the fullness under the eyes caused by muscle hypertrophy. Muscle hypertrophy occurs when people use the lower eyelid muscle to squint, and thereby causing an increased thickness of the lower eyelid muscle.  Some people... more

A: I would consider volume enhancement

Frank P. Fechner, MD

Looking at your photo, I would consider fat grafting for volume enhancement of the under-eye hollows. Alternative, injectable fillers represent a viable non-surgical option. Personally, I am not sure that skin removal will be very effective in improving the "bags". In fact, it is the volume... more

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