Laser Eyelid Surgery for Puffy Eyes?

asked 2 years ago by puffy eyes in ventura,ca
Latest answer by William Portuese, MD
Question viewed 2,799 times
Tags: age 25-34, eyelids, eyes, puffy eyes

Hi, I am 27 and I wake up with puffy eyes almost every day. Some days are good but as I get older it seems like it's getting worse. I've tried gels, creams, cold compress, everything--you name it, but nothing worked. Would laser eyelid surgery help for puffiness caused by fluid retention? Also, I stay away from eating salty food. Please help.

10 answers to Laser Eyelid Surgery for Puffy Eyes?

Surgical options for puffy eyes

There are three fat compartments in the lower lids, which make the eyelids look puffy and swollen. This is made worse from allergies and fluid retention. Make sure those are under good control prior to embarking on a lower blepharoplasty. Lower blepharoplasty addresses removal of the portion of the lower lid fat bags to give natural contour to the eyelids. A transconjunctival incision on the inside of the lower lids will remove the excess fat bags. This is done with traditional... more

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Consider a consultation with an eye plastic surgeon

Dear Puffy Eyes It definitely sounds like you may have an issue. Dr. Gear is correct that what you are describing may be blepharochalasis, an intermittent inflammatory process that takes its toll on the eyelid skin. However, there are other potential issues. So the best option is to be assessed by an oculoplastic surgeon. This is a board certified ophthalmologist who has done an ASOPRS approve fellowship in oculofacial surgery. The American Society for Ophthalmic Plastic and Reconstructive... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Puffy eyes

I would like to see a photo of you in the morning, to better localize and differentiate among different culprits (fat, fluid). It sounds like you are describing festoons, which can be difficult to treat. Decreasing salt intake, sleeping on your back, and trial of water pill may help. There are also some procedures that may improve the situation or at least camouflage it (using fillers to fill around it). Laser doesn't usually address it, unless if perhaps done aggressively.... more

Mehryar (Ray) Taban, MD, FACS
Los Angeles Oculoplastic Surgeon

Puffy eyes

If puffy eyes are due to fat herniation, then a blepharoplasty would be reasonable. If you have puffy eyes due to edema then very little if anything can be done to improve it.

Steven Wallach, MD
Manhattan Plastic Surgeon

Eyelid puffiness treatment

Lasers are good to treat the wrinkles underneath the eyes, not necessarily excess skin. You may want to consider getting blepharoplasties as this will help with the excess skin and any "herniated" fat underneath the eyes to improve their appearance. This can be done as an outpatient and is very well tolerated. Good luck!

Jeffrey E. Schreiber, MD
Baltimore Plastic Surgeon

Puffy Eyes in the Morning

Hi Puffy, Even Preparation H didn't help? In addtion to the other answers here, have your internal medicine physician check on your thyroid hormone levels. Some times this is an easy non-surgical fix to the problem. Fraxel repair laser may help selected patients with malar bags, and it will tighten lax eyelid skin. Send photos for more complete answer. Good luck and be well. Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

It depends...

First of all, I am not sure what "laser eyelid surgery" means. The term may relate to laser resurfacing around the eyes. I doubt that this will provide you with meaningful improvements. On the other hand, some doctors use a laser to make an incision for lower blepharoplasty. To me, it does not matter how an incision is made; rather performing a good eyelid lift is important. Lastly and most important, an examination is in order to determine if the puffiness is due to fat or... more

Frank P. Fechner, MD
Worcester Facial Plastic Surgeon

Puffy eyes

Unless you have allergies, it sounds as if you have excess fat aorund the eyeball that can be removed. Whether or not your surgeon uses a laser to assist in excising or vaporizing the fat is up to your surgeon. It is an individual choice. Laser resurfacing on the skin itself is psrobably not the answer. Sometimes simply fat removal will not cure the puffy eyelids and your surgeon should analyze your anatomy carefully.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon

Laser eyelid surgery not for you

Without a picture, my answer is a bit of conjecture. However, lasers treat wrinkled skin, not puffiness. More than likely, a straightforward blepharoplasty will fix your problem. It is usually a simple outpatient procedure with predictably good results.