Eye Bags Treatment: Q&A
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I Am Having Surgery to Remove Bags from Under my Eyes in April. Can I Have Fillers Injected There? (photo)
I have under eye bags which I have booked to have removed in April 2013, but I was wondering if I could have filler injected in to the hollow areas until then or will this be a contra-indication?
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7 Doctor Answers |
Asked by
FUNDA
in London United Kingdom
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Eye bags and fillers
There is no need to perform fillers in that eyelids prior to surgery. It will give the surgeon an artificial anatomy which is not in your best interest. Best to wait until after the surgery to see if you even need fillers there
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Blepharoplasty for Eye Bags and Fillers to Improve Volume in Eyelid-Cheek Area
Eye bags are caused by fat and that fat prolapses forward called Lower Eyelid Fat Prolapse. This means that it is like a hernia where fat is pushed forward. By pushing forward, it may create a trough or a valley. The hollow area looks deeper like a valley because the fat pocket adjacent to it is high.
To reduce that fat pocket, I suggest doing a procedure called lower eyelid blepharoplasty. For patients who do not need any skin reduction, I suggest another procedure called...
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Fillers Before Surgery
In most cases it's possible to have fillers before surgery, usually because these fillers will not be going directly in the area manipulated during the operation. However, I would suggest checking with your physician, and having the same physician inject them so they know exactly where they have placed the product. Best of luck!
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I think it would be a mistake to have fillers now.
You are just muddying the water. Hopefully, your surgeon will perform a tailored surgery based on your issues. If you change things with the fillers, you are basically asking the surgery to adjust surgery to your lower eyelids with fillers on board. Ultimately, your surgeon is the person to ask about having this service before surgery. If you were my patient, I would advise against having this before the April surgery.
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In most cases, "bags" under the eyes are better treated with fillers than with surgery
While there are some times, when the fat under the eyes must be removed to adequately treated under eye bags, 90% of the patients I see in San Francisco benefit more from having fillers placed in the transition area between the eyes and the cheeks.
It's probably worth trying fillers first to make sure you need the surgery. I would recommend using Restylane under the eyes and going to someone who specializes in under the eye treatments.
see video
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Are fillers okay under eyes before surgery?
It may or may not be possible to have fillers injected under your eyes now, before your surgery in April. The type of filler used would be important to know. I would check with the surgeon who will be performing your eyelid surgery to see what his or her preference is. If there is any question, I would err of the side of not using the filler now.
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Lower Eyelid Bags
It is very important to preserve (or restore) soft tissue volume in the lower lid. When I review with eyelid surgery patients some photographs from their twenties, in most cases we find that years ago there was no visible demarcation between lid and cheek, but instead a smooth, gently convex curve extending downward from the lower lid margin.
In patients who have developed deep 'tear troughs' at the junction of the lower lid and cheek, adjacent to the side of the nose, the meticulous...
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