Recommended Treatment for Hereditary Puffy Eyes?
asked 2 years ago by TPrz in NY
Latest answer by Maurice M. Khosh, MD
Question viewed 2,195 times
Tags: age 35-44, eyes, under eyes, female, puffy eyes
The skin under my eyes is always puffy, and I'm wondering what procedure would best remedy it.
I am 40, and my father and aunt also have this puffiness, so I know heredity plays a big factor. Would you recommend fillers or surgery?
4 answers to Recommended Treatment for Hereditary Puffy Eyes?
+1
Best treatment for puffy lower eyelids
In order to answer your question, it may be helpful for you to review some old pictures when you were in your 20s or early 30s. When reviewing those pictures pay attention to the shape of lower eyelids, and also to the contour of soft tissues below the eyelid.
I suspect the fat herniation of the lower eyelid is similar to what it has been. It's probable that the eyelid appearance is bothering you because of the visible depression below the eyelid, which is called a tear trough deformity....
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Maurice M. Khosh, MD
New York Facial Plastic Surgeon
New York Facial Plastic Surgeon
+1
Puffy eyes
From your photo, it lookw like you have herniated lower lid fat, and a "double bubble" look to the lower lid cheek junction. Just looking at the photo and not examining you in person, you may be a candidate for a lower lid blepharoplasty.
+1
Perfect Candidate For Surgery
Dear TPrz,
Patients with hereditary fatty bags under their eyes would reap the benefits of doing a lower eyelid fat transposition procedure. This procedure does not remove the fat but rather moves it inferiorly to fill in the shadow or tear trough below the lid. Preservation of the fat is key to prevent future hollowness to your lower lids as you age.
Leslie H. Stevens, MD
Beverly Hills Plastic Surgeon
Beverly Hills Plastic Surgeon
+1
Puffy eyes
Hi, based on your photo it looks like surgery would be a better option for you. However, you should visit a surgeon to be assessed for any issues such as allergies, history of dry eyes, that might make surgery less of an option. I would recommend seeing either a board-certified plastic surgeon or an oculoplastic surgeon. Good luck, /nsn.
Nina S. Naidu, MD
New York Plastic Surgeon
New York Plastic Surgeon
