Eyelid Surgery: Q&A
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Is Lower Blepharoplasty (and or Eyelid Lift) Surgery Right for Me? (photo)
I'm a 34 year old female who has a permanent " tired" look. I don' t know how my appearance could change so much within a year.. I read that if the tired appearance is due to loss of fat causing hollowness of the eye that a blepharoplasty would make it worst. Is this true? It' s difficult to assess from a picture, but do I look like a good candidate for this surgery? If not, What would you recommend? I am seeking a permanent solution. Any well known Surgeons in Montreal for this surgery?
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15 Doctor Answers |
Asked by
Sky34
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Candidate for lower blepharoplasty
A permanent tired look is the result of herniated fat pads in the middle and medial compartments of the lower lids. This is addressed with a lower transconjunctival blepharoplasty whereby all the incisions are placed on the inside of the eyelids. This is done under brief general anesthesia.
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Addressing the whole eyelid-cheek area for a natural look
As a cosmetic eyelid specialist, I’ve encountered a lot of questions about lower eyelid blepharoplasty, and was asked a couple of times if it is an appropriate procedure for my patients who have problems with their eyelids. I usually tell them that a single solution is not enough for people who have more than one issue.
When I communicate with my patients about rejuvenation of the eyes, I always include the cheek. I feel that the eyelid and cheeks always have to be balanced....
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Blepharoplasty Candidate?
Thank you for the picture. It does not appear that you have very much excess skin. I believe that a blepharoplasty with redistribution of your fat to help the hollowness and improve the stark nasojugal groove would be beneficial. A detailed examination is in order for you to get the most accurate recommendation.
Dr. ES
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Lower eyelid surgery
A very common aging change in the lower eyelids is the development of 'bags', which are in most cases due to an outward bulging of the fat pads behind the lower lids. These 'bags' of fat can be improved by conservative removal through an invisible incision on the inside of the lower lid (trans-conjunctival approach) in patients that do not require skin excision, or through the under-eyelash (sub-ciliary approach) in patients that are having some excess lower lid skin removed.
As with...
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Bulging lower lid fat
Your photos certainly show bulging of your lower lid fat pockets. Yes you have slight scleral show but that is not unattractive at your young age. I would keep it simple and recomend transconjuctival (inside) blepharoplasty to remove the fat and avoid any repositioning of the lid itself. The attached video explains transconjunctival lower eyelid blepharoplasty.
see video
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Lower eyelid surgery for tired look.
Every answer discusses the bags or fat herniation which is what gives the tired look. However, only a few address the scleral show or white area showing below the iris and outer aspect of the eye that gives a sad or 'puppy dog' appearance. I think it would be highly advisable to have a canthoplasty which will reposition the lower eyelid and cover this lateral aspect and give a more esthetically pleasing look to your eyes.
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Is Lower Blepharoplasty (and or Eyelid Lift) Surgery Right for Me?
You have some findings of scleral show, herniated peri orbital fat pads, and tear trough deformity. The operation is more than just injecting fat or fillers. A lateral canthopexy/plasty, removal or thinning the herniated fat pads and a filler or fat transposition/graft to troughs. Fee range from $4,000 to $6,000.
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Lower bleph in 34 year old
This site, and the web, are full of suggestions that you may delay (temporarily) surgery by using fillers to treat the under eye hollows. Personally, I think you would be an excellent candidate for transconjunctival lower eyelid blepharoplasty with conservative fat removal and possible fat redraping to the under eye hollows. I would not be afraid of the surgery although I would be very careful when selecting your physician.
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Scarless eye lift
I have had great success with the transconjunctival approach in younger patients with the type of appearance you present. This is sometimes referred to erroneously as "incisionless" eye lift. There is an incision, it's just that it is on the inside and so no one sees the scar. Your skin at your age should have good elasticity, and so I find that fat grafting is rarely needed. I have done fillers instead of surgery in situations similar to yours, but in the long run that...
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Lower eyelid surgery
Dear Sky34,
I do not know of anyone in Montreal, but close by in New Jersey
You would be an excellent candidate for surgery to remove the fat pockets, then use fat grafting to fill the hollows and sculpt the eyelid
This would make for a nice transition so you can't tell where the eyelid stops and the cheek starts
Finally, you can use some volume along the outer rim which is what fat grafting would be great for
Best regards,
Nima Shemirai
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Lower eyelid issues
It looks like you have some loewr eyelid fat hernation as well as hollowing. Removing some fat may be beneficial. Some of the fat can be used for redraping or you can have filler placed in the hollows.
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Can lower eyelid hollowness be corrected with an eyelid lift? Ask Dr Ellen
Hello Sky34.
Thank you for your question and the attached photograph. As a woman and a board certified plastic surgeon, I can completely relate to the 'tired look' all women seem to acquire with aging- myself included. Your photograph displays a combination of findings:
1. lower lid position is low, the 'rim' of your lid sits just below the iris/colored portion of your eye
2. the soft tissue of your lower lid has shifted such that there is a prominent low...
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Lower blepharoplasty is right for you.
It appears that you have pseudoherniation of the fat pads in your lower eyelids and a lower blepharoplasty will be the right procedure for you. Caution should be taken not to remove too much fat buth rather a fat "countouring" is performed so that it won't give you the hollow look in the future. Hope that helps!
Atlanta Facial Plastic Surgeon
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Lower blepharoplasty with fat reposition.
Your tired look would be corrected with a lower blepharoplasty with fat reposition of the fat from the "mountain to the valley".
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Bags under Eyes and Lower Eyelid Surgery
Lower eyelid surgery could dramatically improve your appearance if multiple things are addressed. 1) some fat of the lower eyelid should be removed or transposed into the tear trough (groove below the fat); 2) fat grafting can be used to improve the tear trough further. 3)You may or may not need a canthopexy or plasty (support suture for the lower eyelid) depending upon lid tone and additional cosmetic conerns, which you can discuss with your...
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