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Would I benefit more with a Blepharoplasty or fillers for my eyebags? (photos)

Same story - I'm tired of being asked if I got any sleep, why do I look so tired, etc. I'm almost 50 yrs old & so full of energy but my eyes tell a different story. I've had fillers before but of course, it wears out after awhile. I'm interested in blepharoplasty but since I have Asian eyes, I'm scared of looking "surprised". Please help

Doctor Answers 19

When fillers have failed

and if you have adequate and overly generous fat pads, a lower lid blepharoplasty would be much more beneficial for you.  They are usually done through the inside of the lid and do not make you look surprise in any way.

Redding Plastic Surgeon
4.5 out of 5 stars 18 reviews

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Eyelid bags

It may be tempting to try fillers instead of undergoing surgery. However, I am not a fan of fillers for the lower lids. I would perform eyelid surgery to remove the excess fat which us causing the bags.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 14 reviews

Asian blepharoplasty

Blepharoplasty would give a more dramatic and longer lasting result. It important to consult with a plastic surgeon that is experienced in Asian blepharoplasty, because the anatomy of the Asian eyelid differs from other races and it is important to preserve a “natural” appearance after surgery.

Neal Handel, MD
Santa Barbara Plastic Surgeon
5.0 out of 5 stars 16 reviews


Judging by your photos, I believe that upper and lower blepharoplasties would be a much better choice than fillers to the eyelids. 

Shahin Javaheri, MD
San Francisco Plastic Surgeon
3.5 out of 5 stars 2 reviews

Lower blepharoplasty or fillers

It appears that you would be best served by a lower blepharoplasty with fat repositioning. Although fillers could make some improvement you would most likely achieve a better result with surgery. Of course, this depends on in office consultation.

David F. LaPatka, MD
Santa Barbara Facial Plastic Surgeon

Would I benefit more with a Blepharoplasty or fillers for my eyebags?

It is hard to give you a good recommendation without seeing you.  It is certainly worth your while to get personal consultations from experienced eyelid surgeons. 

Sam Goldberger, MD
Beverly Hills Oculoplastic Surgeon
4.5 out of 5 stars 16 reviews

Lower blepharoplasty vs fillers for lower eyelids

Some would benefit from fillers more and others would benefit from surgery more  Fillers are good option to fill the hollow lower eyelid area but a better option for you maybe lower blepharoplasty with fat repositioning, where the existing "bags" or fat is repositioned to fill the hollow area underneath it.

Mehryar (Ray) Taban, MD, FACS
Los Angeles Oculoplastic Surgeon
4.5 out of 5 stars 15 reviews

Would I benefit more with a Blepharoplasty or fillers for my eyebags? (photos)

Generally speaking, fillers are temporary. Surgery tends to give longer lasting results.
Looking at your picture, you have excess skin along with fat pockets in your lower lids.
You are best served with a standard blepharoplasty with conservative skin excision to your upper eyelids, pending thorough clinical evaluation.

Maan Kattash, MD, FRCS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 22 reviews

Blepharoplasty or Fillers

Thank you for your question. Looking at your pictures, you have both loos skin crinkling up under your eyes and you have baggy lower kids from fat herniation. Furthermore, you have a hollowing of your infra orbital rim. For your situation, I would recommend a blepharoplasty procedure where the excess lower lid skin is removed and the extra lower lid fat also removed, followed by using this eyelid fatty tissue to fill in your orbital rim depression. Fillers alone may correct the orbital rim depression, but will not solve the extra skin and fatty tissue. 

Perry Liu, MD
Beverly Hills Plastic Surgeon

Would I benefit more with a Blepharoplasty or fillers for my eyebags?

You would probably get more benefit from a blepharoplasty, but it would take an exam to be sure. Get a consultation and your questions will be answered.

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 15 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.