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Eyebags Since Young Age- Is Surgery A Long-Term Solution?

I have bags under my eyes since I was a child. Now when I'm almost 40 it really makes me look older than I am. I was wondering, if under eye bags are hereditary, can the surgery be a long term solution? How long the effect would may last? Also I am curious if I can drive myself home after an upper and lower eyelid surgery?

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16 Doctor Answers | Asked by A10 in NJ

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Eyebags- long term solution

The bags underneath the eyelids are due to fat pads that have herniated out of 3 fat compartments in the lower lids. This can occur at a younger age and even into the 30s. It is important to make sure that there is no preexisting thyroid or allergy issues that is exacerbating protrusion of the fat bags on the lower lids. Surgery is a long-term solution, which can last approximately 10-15 years. Blepharoplasty surgery is performed under a general anesthesia and the patient... more

Eye bag surgery

First, to answer the question of whether you can drive yourself home, even if you had surgery under straight local anesthesia, it would not be wise to drive yourself home afterwards. You would need an adult to take you home. I know that more and more people live alone these days far from family members and don't want to inconvenience their friends during the work week. In that eventuality, I recommend a limo service to insure that my patient is escorted to his or her door and... more

Surgery to correct eyebags

Genetics and anatomy would be the key playes here. Yunger patients with lower eyelid bags tend to be more likely to have less bone support under the eye area (malar hypoplasia). Removing or transposing the bags could be beneficial, just make sure you are not at a risk of getting hollowed out, and know that the surgery will not last forever in the future you might get more fat to protrude.

Bags under the eye

It is not uncommon to have puffy lower (or upper ) eyelids early on due to heredity. So at age 40 one may well look older, tired. Blepharoplasty isw a good choice. Recovery is relatively fast and almost pain free. Duration of the results varies widely but not uncommon to last 12-15 years. One will have to have someone drive to and from the surgical facility as the anesthesia used (conscious sedation) would not allow full control of faculties for 24 hrs.

Andrew Pichler, MD

1 review

Sacramento Facial Plastic Surgeon

facedr.com

Blepharoplasty (eyelid "tuck") is a long-term solution to lower eyelid "bags"

Blepharoplasty (eyelid "tuck") is a long-term solution to lower eyelid "bags". The specifics of what approach and the surgical technique depends greatly upon the actual cause of the "bags" that you refer to. I prefer to perform lower eyelid surgery under "twilight" anesthesia. Therefore, you would need an adult to pick you up after the procedure and take you home. This is typically a long-term solution (10 years or more). Thank you for your question. Stephen Weber, M.D., Ph.D.... more

Repositioning of the Lower Eyelid Fat Provides Natural Results

Repositioning the bulging fat of the lower eyelid rather than removing the lower eyelid fat is a techniqueI prefer, as removing the orbital fat can eventually cause hollowing under the eye in some people. This technique involves a transconjunctival incision (a hidden incision on the back side of the lower eyelid), and if necessary, a small pinch excision of skin. I have performed this lower eyelid procedure in very young people who have congenital weakness of the membrane... more

Bags Under Lower Lids Since Young Age

Protruding fat bags under your eyes may be hereditary, especially if you have had them since a young age. The eyeball sits on a bed of fat, which is held in place by a membrane called the septum. As this septum becomes lax (which occurs naturallly with age), the fat starts to bulge out (picture someone sitting on a hammock - the septum acts like the hammock, and as it gets worn, it bulges more). There are many strategies to addrssing this. If the bulding is mild, the... more

Eyelid surgery in the forties

The forties is a very normal time to have something like this done. if you look back at the high school yearbook picture of many patients having this operation done at your age you will see the beginning of it. done at your age it should be basically permanent. if you are having this done along with lid surgery it will almost surely be done with some form of sedation you really don't want to be driving yourself.

Eyebags Since Young Age- Is Surgery A Long-Term Solution?

There are patients that have true lower eyelid fat bags in their teens and early twenties. The only permanent solution, IMHO, is the surgical removal of the fat bags through a lower eyelid surgery called Blepharoplasty. I prefer using the transconjunctival approach that hides the incisions on the inside of the lower eyelids.

"Eye Bags" is a vague term.

There are many different eyelid conditions that can be generically referred to as eyebags, whether its increased fat, swelling, skin, pigmentation changes, etc. Photos would be helpful to get more specific advice. But an Oculoplastics surgeon would be a good start. Experienced facial plastic and general plastic surgeons may also be considered. Do your research for an experienced surgeon experienced in both surgery and filler injections. Best of luck

A.J. Amadi, MD

14 reviews

Seattle Oculoplastic Surgeon

seattleface.com

Eyelid bags at a young age are congenital, and can be corrected with surgery.

Hi. 1) This is not a rare problem we sometimes see it in teenagers. It is congenital and hereditary, and is caused by a true localized fat excess. 2) Eyelid surgery for this surgery is straightforward, and the results are permanent. But you cannot drive yourself home after wards! A responsible adult has to pick you up from the accredited surgical facility, take you home, and spend the first night with you. This is an accreditation requirement... more

Lower eyelid surgery may be in your future.

I recommend that you find a highly qualified oculoplastic surgeon in your area. The American Society for Ophthalmic Plastic and Reconstructive Surgery maintains a geographic directory on their website to help you find a surgeon for this (asoprs.org).

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

Eyelidplasty gives a durable result

Bags under the eyes often occur even in young individuals, especially if a number of the people in your family showed bags early also (this is the hereditary component). It gets worse as you age. Lower eyelidplasty can correct this durably, assuming no large weight gain in the future. After many years (often approaching 20 in some patients) some bulging fat can show again. Correction of the hollowing of the lid cheek junction can be performed at the same time using... more

Hereditary Eyebag Surgery

You can certainly have those corrected. Without a photo I can't give too many specifics, however, it's a commonly performed procedure. If you're 40 and your skin tone is good the bags can be removed with no external incision using a laser. If your skin is a little lax, when your remove the fat bags the skin will look a bit more wrinkled so you would need to do a little laser work. The other option for some skin laxity along with eyebags is a... more

Chase Lay, MD

18 reviews

Bay Area Facial Plastic Surgeon

www.chaselaymd.com

Surgery for Under- Eyelid bags

Lower eyelid bags can occur even at a young age and some patients may be more predisposed to this based on their underlying anatomy and/or medical conditions, i.e. prominent eyes, under projecting orbital rims, and a variety of medical conditions. Surgery may in fact be a good long term solution even in younger patients to help reduce eyelid bags. Recent trends in plastic surgery center on providing a smoother eyelid-cheek junction instead of removing larger amounts... more

Treatment of lower eyelid bags

A lower blepharoplasty would be the ideal solution for long term correction of the bags under your eyes. The procedure may be performed through the inside of the eyelid, thus avoiding any scars or it may be performed through an external incision , just below the eyelashes, if there is excess skin that needs to be removed. It is extremely rare for the bags to return. Often times there is a congenital component to the cause, but also aging will make it worse. I would not reccommend driving... more