I’m hoping that someone can offer advice on suitability for lower eye bag surgery and what type? (Photo)
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Lower eyelid bags and dark circles
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Lower Eyelid Bag Correction
Traditionally surgery was recommended for this problem but today, fillers work very nicely. Some of my happiest patients are those that have had fillers for this problem. I like the long term filler Artefill for this area because it creates a very natural looking result that will last a minimum of 5 years.
Your eye bags are too large to be camouflaged with fillers. I advise surgery type that has no impact on anatomical structure
The typical solution that I offer my patients who come to my practice is to try to maximize all medical therapy to try to optimize the surgical procedure that we intend to do. Surgery naturally causes swelling and when people have issues with swelling prior to surgery, it has a significant role in how fast the swelling clears after surgery. That said, you should go to the ophthalmologist to manage any eye allergies issue and staying in touch with your ear, nose, and throat doctor. You could also go to your allergen doctor to treat allergies and sinuses to make sure everything is stable.
There are also options on how to address the lower eyelid fat prolapse which are surgical options: transconjunctival blepharoplasty which is a procedure where the fat pockets are addressed from the inside of the eyelids, or the transcutaneous blepharoplasty where the incision is made underneath the eyelashes from an external approach. From my experience, when people have issues with swelling, our goal is to minimize the trauma and respect the natural anatomy of the lower eyelid to optimize the circulation. The external approach tends to be more disruptive to the drainage system whether it’s the venous system or the lymphatic system. That leads to a more long-term swelling after surgery. So in my practice, I would perform a transconjunctival lower eyelid blepharoplasty. In so many ways, this is such an elegant approach going from behind the eyelid, not disrupting any of the support structure of the lower eyelid and strategically reducing and repositioning the fat appropriately.
In addition, there are other options to help with the skin quality and any other changes that have occurred with the skin, but doing that all in the context of the existing issue with swelling. Sometimes, this has to be a step-wise approach. We would even consider doing anti-inflammatory management prior surgery, during surgery and even after surgery to try to minimize the swelling afterwards.
Before strategically addressing lower eyelid fat prolapse, it requires a proper physical examination. I would suggest that you meet with qualified experience cosmetic surgeons who have extensive experience with lower eyelid surgery and discuss the plan and options on how to deal with issues that could come up afterwards. You have already done a lot of the baseline work to manage the sinus and allergies. These tend to be chronic conditions so it’s not like you can resolve the entire sinus and allergy completely. Meet with doctors with this level of experience and expertise to make a decision to proceed in a way that you feel comfortable. I hope that was helpful, I wish you the best of luck, and thank you for your question.