Eye Bags Treatment: Q&A
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Filler Under Eyes VS Lower Blepharoplasty? (photo)
I am a 32 year old female and looking for the best treatment for under eye hollows/wrinkles. I went to a derm to discuss fillers. To my surprise, she recommended a lower blepharoplasty instead of fillers. With work, surgery really isn't an option. Is there ANY filler that will treat under eye hollows/wrinkles? If so, is it better to inject them into the cheeks or tear troughs?
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12 Doctor Answers |
Asked by
JRFemale
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Fillers NO byVillar
A thorough physical examination (touch and feel) is essential to determine the appropriate technique suited for each individual patient. Poorly lit photos will generate a lot of bad advice. Do not waste your time with fillers. It is always better to do the best procedure that deals with the problem and get it right the first time.
In skilled hands you could reasonably return to work in one week. Full unrestricted activity is typically at three...
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Details about fillers and consideration for quick recovery eyelid surgery
I’m impressed that the dermatologist recommended blepharoplasty. In my area in Upper East Side Manhattan and in Garden City, Long Island, there are lots of non-surgical physicians who try to address under eye bags by adding volume. Unfortunately, a lot of these efforts are very misguided.
Anatomically, facial aging, which I actually wrote in my book “The Fine Art of Looking Younger”, is a couple of different processes that includes volume loss. When I do an evaluation of the eye...
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Facial Filler vs. Lower Eyelid Surgery for Bags
A common question to lower eyelid area cosmetic improvement. Generally, there are a few options to improve the appearance of the lower eyelids, eye bags, or dark circles. First option includes basic skin care, tretinoin, and/or chemical peels. This nonsurgical method helps improve the skin quality, reduce pigmentary changes, and improves overall appearance of the lower eyelid & cheek areas.
Second more advanced option is an injectable filler or fat to plump up the area. Fillers...
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Dark Circles and Tear Troughs - New York, NY
I have never had dark circles or tear troughs. Over the corse of three years my face has...
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Filler Under Eyes vs Lower Blepharoplasty
The cheek begins to drop and the smooth fat under the skin begins to thin with age. Restoring volume to the cheek area is a good way to rejuvenate the upper face.
Sculptra is a filler which promotes new collagen to form, and lasts longer than gel fillers. I have seen gel fillers cause puffiness in the under eye area, so I recommend being conservative around the eyes with gel fillers.
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Minneapolis Facial Plastic Surgeon
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Fillers vs fat repositioning
Both fillers to the tear trough/cheek and lower lid blepharoplasty with fat repositioning are valid options. If taking 1-2 weeks off from work is not an option for you, then fillers are the way to go. Juvederm, Restylane, or Boletero can be used in this area. A combination of injection to the tear trough and the upper cheek would give you the best outcome.
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Surgery vs filler
Both a lower eyelid surgery and fillers could be helpful in improving the appearance of your lower eyelids. The fillers, such as Restylane or Belotero are temporary lasting 6 months to a year. Filler injections to the tear trough area and along the orbital rim would soften the appearance of hollowness around your eyes. A lower eyelid surgery or blepharoplasty would be helpful to smooth the eyelid "bags" or fat that is appears to be protruding in the lower eyelid area....
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Transconjunctival Blepharoplasty or Fillers
Both surgery and fillers are options. A transconjunctival blepharoplasty...an incision on the inside of the eyelid to remove the fat pocket would work well for you. Your recovery should not be too bad. Alternatively, a filler such as Radiesse to the cheeks and Restylane to the lid cheek junction and tear trough would help significantly. All the best.
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Lower Lid Blepharoplasty
Based on your photos, I think you would do best with a blepharoplasty. It will give you a better result and ultimately be more cost effective. Find a surgeon who will do a fat transferring technique which will transpose fat into your tear trough. Hope this helps.
Steven Covici, MD
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Both filler and lower blepharoplasty are reasonable options to improve your lower eyelids
Both filler and lower blepharoplasty are reasonable options to improve your lower eyelids. Surgery will require about 7 days of downtime to recover from any swelling or bruising but will give you a long-term improvement in the lower eyelid bags. Filler, on the other hand, has minimal downtime (any bruising can be covered up immediately with makeup) but is temporary lasting from 6-12 months. Both options will work well for you. I hope this information is helpful.
Stephen Weber, M.D., F.A...
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Best procedure for lower lid bags
If you want something more permanent, then a surgical lower lid blepharoplasty would be best approaching this from inside the eyelid with the bag transposed over the orbital rim. If you're okay with temporary treatments, you can consider filler in the troughs. As an alternative, you could consider fat grafting if you're willing to accept the risks of fat grafting. The answer all depends on what you are wanting to do and what costs and risks you are willing to accept.
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