For my under eye bags, should I go with blepharoplasty or fillers? (photo)
Doctor Answers (9)
The permanent solution for the fat that causes eye bags is surgery, but it can be done without a visible trace of surgery
In our practice, for most of our patients who are younger who have good skin quality and skin tone, we perform a procedure called transconjunctival blepharoplasty. Transconjunctival blepharoplasty is a technique and a procedure where we address the fat pockets from the inside of the eyelid, involving reduction, repositioning and whatever else needs to be done. This way we avoid any external scars and there is a real preservation of the overall anatomy of the lower eyelid so that it looks very natural. In fact, once it’s done and you’re healed, it would be difficult for anyone to tell that you had this procedure.
In addition, we perform this procedure under local anesthesia with LITE™ IV sedation which means we avoid general anesthesia. Every procedure in our practice, with exception of rhinoplasties (nose jobs) are done under local anesthesia, including: facelifts, liposuction and tummy tucks.
Transconjunctival blepharoplasty is a very nice, natural and quick recovery method to address the fat pockets permanently and they will not come back. Properly taking care of your health and doing the right things that are good for the skin will certainly enhance the benefit of the procedure.
At this point, it’s best if you meet with qualified and experienced cosmetic surgeons. Meet with somebody who you are comfortable with and you’re comfortable with the way the procedure is done. Look at the results such as the before and after pictures. These are things you need to understand so that you can make a decision about not only the surgery but also how that surgery is done so you can get the best experience you can. I hope that was helpful, I wish you the best of luck, and thank you for your question.
Lower eyelid bags
Lower eyelid bags
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For under eyes, lower bleph or fillers?
Your photo is a bit limited. However, the only permanent solution to removing eye bags is a blepharoplasty. I perform this procedure routinely in my office with an incision inside the eyelid that can never be seen! Alternatively, you can potentially camouflage the under eye bags with filler or fat transfer, but the former will need to be repeated every 6 months or so.I recommend that you see a board certified plastic surgeon in consultation to get more specific answers to your questions which can best be addressed after a thorough history and examination is performed.
Best of luck to you!
Blepharoplasty or fillers?
The best option in any particular patient needs to be individualized based on desired outcome and personal anatomy. If the fat pad fullness is significant, just adding a filler or fat grafts generally does not produce a satisfactory cosmetic improvement.
Following the advice of anyone who would presume to tell you exactly what to do without seeing photos and without taking a full medical history, examining you, feeling and assessing your tissue tone, discussing your desired outcome and fully informing you about the pros and cons of each option would not be in your best interest. Find a plastic surgeon that you are comfortable with and one that you trust and listen to his or her advice. The surgeon should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS). You should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
La Jolla, California
You have a dark tear trough.
The key is in your last sentence...
Both are options
Surgery can remove the fatty bags as well. At your age, you should seek an expert opinion before undergoing any procedures for the best possible result and the lowest risk.