Eye Bags Treatment: Q&A
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Age 27- Restylane or Juvederm in Tear Troughs or Blepharoplasty? (photos)
In the last two years, it seems as if my eyes have aged significantly. I have always had some form of eye puffiness, which has gone down significantly through controlling allergies with antihistamines (Claritin).However, now that the puffiness is less of an issue, I still have "tired" looking eyes. In my profession, I am in front of the camera a lot and this is affecting my confidence at work. Am I a better candidate for eyelid surgery, or should I try fillers first in the tear trough area?
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6 Doctor Answers |
Asked by
mickmoi
in Dallas, Texas
+2
Lower Lid Bags Treatment
I would start with Restylane under the eyes. That is the only filler I will put under the eyes. (Other fillers tend to take on water and can cause swelling under the eyes which takes forever to go away). If it is not enough to make you and the camera happy then do a fat bag removal or repositioning through the inside of the eyelid (transconjunctival). There is no reason to cut your skin and give an added scar from what I can see in your pictures.
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+1
Puffiness under eyes
Your pictures show a significant herniation of fat in the lower lids. Fillers will not help with that amount of herniated fat. This is treated best with a transconjunctival lower blepharoplasty. No skin removal recommended. Expect to take 2 weeks away from the camera work to recuperate. It is also helpful to make sure your allergies are well controlled with nasal sprays or antihistamines
+1
A combination of treatments for hollow, puffy, and dark under eyes
Thank you for your question, and for the detailed pictures you sent showing your under eyes from different angles.
I would first determine whether the puffiness of your eyes is a recurring problem or a constant one. If your eyes are relatively modest or low most of the time, then fillers such as Restylane can be a good option. It is important to remember that the use of fillers is often prescribed by doctors who are not surgeons and can’t perform eyelid surgery. As a...
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Transconjunctival blepharoplasty with fat repositioning
Transconjunctival blepharoplasty with fat repostioning [rather than complete removal] would be my recommendation to you. I would be very hesitant to remove any skin on you at this time. You have prominent eyes and relatively flat cheeks [malar region] and this would predispose you to developing lower eyelid retraction [eyelids pulled downwards].
At some point, you may consider fat grafting to the cheek region to contour the eyelid/cheek junction more naturally.
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Injectable Filler in Tear Trough for Eyelid Puffiness
You have two options. A more permanent solutions is lower lid transconjunctival blepharoplasty to surgically remove the lower lid fat bags with external incisions or visible scars. Alternatively, Restylane or the lighter weight Juvederm can be injected into the tear trough to make the bags less noticeable. However, filler treatments will not make the bags entirely go away. Restylane should last 1 to 11/2 years. In my opinion, since you are in the public eye, your would have the most benefit...
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Palm Beach Facial Plastic Surgeon
+1
Treatment for tear troughs
I believe you could get improvement to your tear trough areas either with lower eyelid surgery or with fillers. If you used Restylane or Juvederm (or Belotero), it could be injected under the puffy area to help smooth out the appearance. If you had surgery, some of the fat causing the puffiness can be removed to help. It also appears that you might benefit from removing a small amount of skin on your lower eyelids as well. Of course, the final word would be after...
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