Eyelid Surgery: Q&A

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Can Eye Bags and Fat Be Removed Without Blepharoplasty?

I have had two eyelifts on the lower lid and there is not a lot of elasticity left. However, I have fat under one eye and would like to if possible have it removed. Is this possible?

18 Doctor Answers | Asked by kentkitty in 44136
+3

Nonsurgical Eyelift for Lower Lid Bags

Lately, an increasing number of lower eyelid bags, crinkles and crepeyness, dark circles, and tear trough derformities are being treated without surgery, i.e. a nonsurgical lower eyelid "blepharoplasty." Before explaining how the treatment works, it is important to understand how many of the above problems come about. In youth, a robust, heart-shaped fat pad sits squarely a couple of millimeters under the lower lid. This fat pad is convex, and extends in the direction of... more
+2

Eyelid surgery with minimal trauma

After two eyelid surgeries you must have a great deal of scare tissue.  If you worrisome fat pocket is confined to localized are, I would suggest a transconjunctival  approach to your problem.  This type of surgery doesnot require a skin incision in your lower eyelid but one on the backside of the lid.  A small incision is made and the offending fat can be removed without leaving a trace that the procedure was ever performed.  This is you easiest and direct... more
+2

Eyelid bags correction without surgery

There are no ideal ways to remove eyelid bags without surgery.  But most important question is whether the deformity of your eyelids in fact is caused by the bags.  Only a skilled and talented surgeon can determine that, so choose wisely if you should undergo yet another surgery. Nevertheless answer your question, one can try to dissolve the fat with mesotherapy.  This has been to shown to work, although inconsistently and unpredictably.  Another method is not to... more

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+2

Lower eyelid revision

Skin and fat removal really isn't the best way to treat lower eyelids.  If you have had this done twice you may have a hollow skeletonized lower eyelid that pulls or is rounded.  Lower eyelid improvement is about two things, the shape of the underlying tissue and the quality (not quantity) of the overlying skin.  Extra skin is almost never the cause of lower eyelid problems and taking skin out rarely results in improvement and is risky for complication... more
+2

Careful transconjunctival blepharoplasty with fat repositioning best option

Revisional lower eyelid blepharoplasty is always complex and more risky than a first time blepharoplasty. The biggest risk of revisional blepharoplasty of the lower eyelid is weakening of the lower eyelid support by the incision on the outside of the lower eyelid which can lead to ectropion and change in eyelid shape. The transconjunctival lower blepharoplasty uses an incision on the inside of the lower eyelid, thus lower eyelid support is preserved. Persistant eye bags after two previous... more
+1

Eyebag Removal With or Without Surgery

Thank you for the great question. Sometimes after a lower eyelid surgery, a small amount of fat can be left behind. This can cause an uneven contour to the lower eyelid. In the immediate post-operative period, tiny injections of a steroid to the area can help. However, if the problem persists months or years later, the fat bag would need to be removed. This can be accomplished from inside the eyelid, without making an incision in the external eyelid skin.
+1

Eye Bags and Fat Be Removed Without Blepharoplasty

There is no way to address your question reasonablly without an in person exam and consultation. Consult with 3 - 4 board certified plastic surgeons to explore your options.
+1

Transconjunctival lower lid surgery may be best option

Transconjunctival blepharoplasty is a procedure which uses a small incision inside the lower eyelid to remove any excess fat. No skin is removed and this is generally a good technique especially for revision blepharoplasty. I would suggest a few consultation appointments with some skilled physicians whom upon examination will advise you of your best alternatives. You want this to be your last and final! Best regards!
+1

Revision Blepharoplasty with Remaining Fat

It is in fact possible to conservatively remove a small amount of remaining fat, without needing to do a lot of surgery.
+1

Blepharoplasty-surgical changes to the eyelid area

The term blepharoplasty refers to surgical modification to the eyelid area. The surgeon may remove skin or fat, or even add fat. All of these procedures are considered blepharoplasty.  Since the eye floats in the bony socket on thick fibrous fat, as the membranes relax the fat drifts forward. It is not unusual for some fat pockets to be stubborn. if the doctor takes out too much, the eye can look hollow, so being conservative is a good thing. Persistent fat pads can be removed... more
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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