Eye Bags Treatment: Q&A
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Lower Bleph Without Fat Removal? (photo)
Hi, I am looking at getting a lower bleph, as excess skin forms under my eyes when I smile. When I am not smiling, I have slight troughs under my eyes. I am worried that with a lower bleph this will excentuate the troughs, but get rid of the excess skin. The skin has just lost its elasticity. Is it possible to get a lower bleph without fat removal. What would be best for my eyes? Thank you
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8 Doctor Answers |
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colleenau2
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Lower Blepharoplasty without fat removal
For blepharoplasty patients with true lower lid skin excess or redundancy, some skin must be removed to restore a youthful appearance. This is performed through a subciliary incision, which is an incision placed immediately below the lower lid lashes. This incision is hidden by the lower lid eyelashes and is almost always imperceptible once it has healed.
As with upper lid, skin excision of the lower lid should be very conservative, amounting to only that amount of skin that is necessary...
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Excess skin on lower lids
It is possible to only remove lower lid skin, and not the fat bags. The decision to remove any excess skin must be made at rest, not upon smiling. The excess skin is removed by a pinch technique and closed with Histocryl tissue glue. No stitches needed
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Lower bleph without fat removal
Yes lower blepharoplasty can be done without fat removal as long as there is no significant fat. You should discuss this with your plastic surgeon in advance so you both are on the same page.
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Blepharoplasty w/o Fat Removal
It looks (from the pictures) like you may benefit from the fat removal portion of the blepharoplasty because you may have some herniating fat pockets beneath the eyes. If you still have problematic troughs, you can use fillers to fill the hollowness. Best of luck, hope this helps!
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Blepharoplasty and skin removal
The way to understand blepharoplasty to is view it as a "facelift" for the thin skin of the eyelids that is properly done to restore what used to be there rather than to change your looks. For the upper lids this is mostly to remove excess upper lid skin and minimally to keep the two upper lid fat pad compartments from bulging. In the lower lids the procedure is almost entirely to solve the problem of bulging fat in the three lower lid compartments and much less to remove excess skin. The...
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Lower blepharoplasty without fat removal
There are many surgical options for lower blepharoplasty and skin removal is one. In your case I would probably recommend starting with a filler to the tear trough area, since the hollow in this region appears to be your main problem. Make sure this is done by a highly experienced doctor, since technique matters!
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Lower Blepharoplasty without fat removal
Looking at your pictures, you appear to have volume loss in your lower eyelids that is exposing your orbital rim. You don't appear to have any bulging fat, which would require a lower lid blepharoplasty to improve. A lower lid blepharoplasty can be performed without removing fat, but I don't think that would be the best treatment for you at this time based on the pictures you have provided. Hyaluronic fillers such as Restylane or Juvederm can be helpful in...
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Lower bleph without fat removal
The answer to your immediate question is that a lower blepharoplasty can be done without fat removal. Skin removal alone is frequently done on the appropriate patient. In regards to you in particular, it's difficult to give you accurate advice without seeing you in person. It appears that you do have tear trough depressions below your eyes. This could be improved with filling the area with hyaluronic acid fillers or fat. It is also possible that you could...
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