Eyelid Surgery: Q&A

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Am I an Eligible Candidate for Eyelid Surgery?

I am only 21 years old. I have always had eye bags and droopy eyelids. When I was 17 I noticed the bags had started filling with fat. I do not have allergies or any thyroid problems. My mother has huge puffy bags under her eyes and her upper eyelids are extremely droopy. I am certain that it is hereditary. People constantly say how tired I look and I often feel like my eyes are heavy, sore and sometimes hard to open. I just want to look my age and look rested. Please help!

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6 Doctor Answers | Asked by anon

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Eyelid Surgery

You sound like an ideal candidate for eyelid surgery. See a Board Certified Plastic Surgeon in your area and determine if they are right for you.

Keep it safe and simple, consider hyaluronic acid as filler first!

Your situation is very common in my practice, that of an oculoplastic surgeon. This is due to a congenital flat malar eminence, "that means you were born with flat cheeks that runs in your family"! Hyaluronic acid fillers, such as Juvederm or Restylane, can easily correct this problem. This procedure is great because it is performed in the office with topical anesthetic, takes 10-15 minutes, and works immediately. What makes this procedure the best is that it can easily be reversed... more

Appropriate Candidate for Blepharoplasty

There is nothing wrong with having a blepharoplasty at 18, 19 , 20 years old so long as there is a real need and real pathology (bags not allergy) present. You may consider a trans-conjuntival blepharoplasty if the problem is bags and very little extra skin. This avoids the external incision.

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Improving bags under eyes

Given your age and photo I suspect that improving the volume loss of your lower eyelid/cheek area would help with the problems you describe. It's quite common to have congenital underprojection of the bone in the area which allows the underlying orbital fat to be seen. In my practice facial fat grafting or skin filler (e.g. restylane) injection can be done to improve the appearance of the area without performing any eyelid surgery at all. I would suggest consulting with a surgeon... more

Blepharoplasty and Age.

Blepharoplasty can be performed at any age as long as the indications for such are present. By looking at your picture and by your family history I would say that you are a good candidate. The procedure is done generally under IV sedation (twilight sedation) and you can go home right after. The downtime is about 5 days. The lower eyelid Blepharoplasty is done with an incision on the inside of the lid (trans-conjunctival). If skin needs to be removed from the lower eyelids, I usually... more

Eyelid surgery for puffy lower eyelids

Although you are young, given your photos and family history of puffy lower eyelids, I believe you would be a good candidate for a lower eyelid blepharoplasty. Depending on whether or not you have an excess amount of lower eyelid skin, the procedure could be done via an incision inside the eyelid (transconjunctival) or in the skin just below the eyelashes. This procedure could be performed under local anesthesia with IV sedation and would take about 45 minutes. You could... more

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