Candidate For Transconjunctival Blepharoplasty or Restylane Filler? Doctor Answers, Tips
Eyelid Surgery: Q&A
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Candidate For Transconjunctival Blepharoplasty or Restylane Filler?

I am 24 years old and suffer from under-eye puffiness. I'm in dire need to correct this situation in order to restore my youth and happiness and not hide behind my glasses as I've been doing for years.

Am I candidate for the less evasive Restylane filler? Or would you recommend full Transconjunctival Blepharoplasty? or im to young for this ? List Pros & Cons, Advice you can offer others.

18 Doctor Answers | Asked by framboiise in washington
+2

Am I a candidate for Transconjunctival Blepharoplasty?

From the photos you do appear to have lower eyelid fat bags. These would be reduced wioth a transconjunctival Blepharoplasty...you may want to have a few consultations to explore your options.
+2

Too Young for Under Eye Bags

All other things being normal on your exam, I would opt for the transconjunctival blepharoplasty. I am usually not so adamant with my answers but from your story and photos it does seem like your under eye bags are more of a hereditary problem rather then aging. If your cheekbones are flat I would consider fat grafting as well. Personally, I do not like the results from filler in this particular situation. Further, you will be potentially be getting... more
+2

Oposite treatment

Your problem is very complex, transconjuctival blepharoplasty will remove volume, filler injection will add volume!!! as you can see, this does not make too much sense. Neither one of these options is the best, you can get partial solutions with either. This is usually a familiar trait, most of the time patients like you also have loose skin in the lower eyelid, this can only be determined with an examination. There are 3 key components on examining your problem, excess fat (bulging... more

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+2

Restylane or Eyelid surgery

Before I decided, I would see an eyelid specialist (oculoplastic surgeon) and a dermatologist or plastic surgeon. The reason is that an oculoplastic surgeon can tell you whether removing the fat pad will provide you with the result you are looking for and also consider some other factors before treating you. A good plastic surgeon can do the same thing. However, a dermatologist usually does not perform this surgery so wont be able to give you the pros and cons for that aspect of your... more
+2

T-c v. restylane

Yes and yes. the bleph is ideal for lowering the fatty bulges. restylane would be useful for your nasojugal creases. so you may benefit from both. start with the bleph though because it is an immediate long term result. good luck.
+2

Take your time making decisions where advice is sketchy.

Age 24 and already hiding behing glasses............sounds like you have a congenital or familial problem and in these cases correction doesn't have to wait any longer than reaching adulthood(say age 19). I'm not sure from the photos (thanks for them by the way as we really need to see photos to be able to answer properly) but it looks like you need fat reduction from the lower eyelids for sure. Padding the lower groove below the fat protrusion with a filler (Restylane or anything... more
+2

You may be a candidate for a well-performed Injectable Filler procedure to minimize the appearance of your lower eyelid bags.

I read your concern and reviewed your photos: You appear to have fairly typical lower eyelid grooves that are between your lid-bags and your cheeks. Artfully placed filler in these grooves may diminish the appearance of your lower eyelid bags. You must be certain that your doctor is familiar with the delicate art of injecting lower eyelid skin, as this area may be unforgiving. I prefer using Silikon-1000, an off-label filler for permanent results, when filling lower eyelid grooves. In my... more
+2

Under Eye fillers or Surgery

It's a little hard to tell from your pictures what would be right for you. I would say there is absoloutely no harm in trying some volume filling under the eyes at this oint. Just be sure to find someone with a lot of experience doing this. If this is unsatisfactory, you can always opt for a surgical correction at a later date. A personal consulation with a cosmetic physician would be best to help with your decision.
+2

Subconjuctival Blepharoplasty for lower eyelid bulges

Age 21 is a bit young to be considering lower lid surgery, however, judging from your photos, you do have signifigantly protruding fat pads. The fat pad bulges are not related to body weight, but are usually a familial trait which becomes more pronounced over time. A subconjunctival blepharoplasty would result in removal of the fat pads without skin incision or scarring. The fat pads generally do not regrow, so results are relatively permanent. In evaluating... more
+2

Transconjunctival Blepharoplasty

Hi, Regardless of age, some patients suffer from congenital or familial lower lid fat herniation. From the pictures below you are good candidate for transconjunctival Blepharoplasty. I don't think that fillers will give you the results that you are looking for. Best, Dr.S.
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