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Blepharoplasty for Puffiness Below Under Eye Area?
I have some puffiness not directly underneath my eyes, but a bit lower. Would this be corrected with Blepharoplasty? I can't seem to find before and after pictures of this type of surgery. Am I looking under the wrong procedure?
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13 Doctor Answers |
Asked by
angelica157A
in Orangeburg, NY
+2
Puffiness below the eyes
Puffiness below the eyes can be do to a muscle roll, a fat bulge, or cheek irregularities (or a combination of these). A muscle roll may warrant muscle roll tailoring. A fat bulge may warrant transconjunctival blepharoplasty or fat repositioning surgery. Cheek irregularities may warrant cheeklift procedures, cheek augmentation / volume readjustment procedures. All may benefit from volume addition by various grafting techniques.
Consultations with board certified plastic surgeons can...
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Lower blepharoplasty
A lower blepharoplasty is performed for the fat bags directly underneath the eyelids. The other goal of lower blepharoplasty is to conservatively tighten a small amount of excess skin in the lower lids. The malar fluid bags or festoons are not corrected with a blepharoplasty surgery.
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Sagging of Orbicularis Oculi
Often times the muscle around the eye sags and this forms the crescent shaped swelling below the eyelid crease. Also if you are a smoker you can acquire malar edema in this area. All surgeons have difficulty in correcting this area completely regardless of their training and experience.
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Malar Bags
I agree with the others that it's difficult to tell without a picture but the only logical thing it could be , if truly not the lower lids, is malar bags. Although it's a small picture you seem too young for these. A difficult problem to fix so visit several plastic surgeons in your area.
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Difficult situation.
It is best if you provide a close-up picture of your eyes so we can give you more specific advice. However, there are many conditions that can lead to your concern. These include excess skin, herniated fat, or localized tissue swelling. All three conditions require different approaches. If you visit a qualified surgeon for an evaluation, they most likely will be able to help you. Good luck.
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You probably have malar bags.
Hi! It sounds like your problem is in the upper central cheek just below the lower eyelids. This is difficult and definitely not corrected by blepharoplasty. In fact, blepharoplasty can make malar bags worse.
I usually do a mid facelift through the mouth for this problem.
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Volumizing your face with fat or fillers, lower blepharoplasty
Bags under the eyelid can be from many things including protruding fat from under your eyes, the muscle surrounding your eye could be drooping over your smiling muscles, and it can most likely be a loss of volume under your eyes. As you and everyone ages, you lose volume from your whole face including where your cheeks are under your eyes.
Lower blepharoplasty involves removing fat from under your eyes, and also sometimes involves removal of skin. This procedure can make you look better...
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Consider a personal assessment by a fellowship trained oculoplastic surgeon.
Dear Angelica:
There is really no such thing as an average lower eyelid. Lower eyelid surgery needs to be adapted to the actual issues. You have not provided a close up photo, so it is difficult to know precisely the physical basis for your concerns. Generally, the major change that occurs in the lower eyelid is a descent of the cheek fat.
When we are young, the cheek fat extending into the lower eyelid where it blends into the lower anterior orbital fat pads. This contributes to...
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Lower eyelid and cheek swelling after Blepharoplasty
You may want to look up the term malar bags or malar festoons. Midface lifts or SOOF lifts as well as orbicularis oculi suspension techniques have been described for management of this. Conditions which result in worsening of this are termed Blepaharochalasis. Occasionally, this is aggravated by thyroid conditions.
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Yes, but it could also be a festoon
Puffiness of the lower eyelid is almost always due to fat. This is easily corrected by surgery-lower Blepharoplasty. There are 2 approaches for removing the fat: one is going directly through the eyelid; and second is through the shiny layer inside the lower eyelid. Both approaches are very effective.
On the other hand, if the swelling is below this level, it is due to chronic swelling, or tissue collection, in the soft tissues under the skin. This condition is called festoons. It is...
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Photos not necessarily applicable
You should consult with an experienced plastic surgeon who can make a specific diagnosis and recommendation for your puffiness. Self-diagnosing beased on two-dimensional photos online is not very accurate and can lead you astray. In addition, the proceudre should be slave to the problem. That is, whatever is done should address your specific anatomical problem. What you call it is not important and one blepharoplasty may be different than another. Blepharoplasty by itself is relatively...
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Mid-face festoons
Hello,
What you could be referring to are festoons.These are pockets of fat and skin that get from obvious with time due to a combination of tissue ptosis and swelling.
The best treatment is a combination of lower blepharoplasty with a cheek lift dissection that releases the ligaments.As long as the skin excess is not marked this will be sufficient.
Hope that helps.
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You need to be seen and evaluated.
The reason I do not charge for consultaions is to make it easy for patients to be seen and evaluated. Not all problems can be diagnosed over the internet. It is necessesary to see a pateient and evaluate their problems in person. So come in and let me see what your problem is.
Make sure you are evaluated by a board certified Plastic Surgeon who is experienced in cosmetic surgery.
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