No eye baggage for the honeymoon

Dear Eyebaghell,

The treatment of your tear trough hollowing can be approached in several ways. You have correctly fillers and surgery as the primary choices. Both will effectively correct the hollowing. Fillers will of course offer a shorter duration of correction than surgery. And yes, your midface descent is contributing to the hollowing. The midface can also be elevated with fillers or surgery. So, it really boils down to how long do you want it to last, how invasive you want to be and how much you have in your budget. A face to face consultation with a plastic surgeon will better define your goals and alternatives. Good luck!

HI! It"s a difficult decision. The results of surgery are long lasting, but you have tricky anatomy (prominent eyes, flat cheek bones), so surgery on your lower eyelids will not be easy, and you will probably also benefit by having a mid face lift (through the mouth).

So try Restylane first. VERY SMALL amounts of Restylane need to be injected DEEPLY into the tear trough area, more on the right. What Restylane does here is not so much provide volume; rather it masks the bag by filling under the bag.

In looking at your photo, I would do a lower lid blepharoplasty. Although recovery is rapid, you should do the surgery no less than 6-8 weeks before the wedding - best would be to give yourself 3 months for everything to settle down. Usually the lower lids look great after 1 - 2 weeks, but better safe than sorry.

Make sure you see a skilled board certified plastic surgeon.

You really have two options. 1) fill up the deficient volume with a filler such as Juvederm, Evolence or your own fat or 2) undergo surgery for a lower blepharoplasty to remove or replace the bulging fat or 3) a combination of #1 and #2. The risk with fillers is that they may be visible if injected to superficially or if your body reacts and causes swelling. The risk with surgery is nothing more that any other eyelid surgery. My suggestion would be to have the surgery if you can arrange it in the next month or so. This way you will be healed in plenty of time for the wedding. Alternatively, get the filler now and have the surgery after the event. Good luck.