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Lower Blepharoplasty Candidate?

I'm nineteen, in good physical health (not gonna lie I do have some low self esteem issues) and I want to know if it looks like I need it also.

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14 Doctor Answers | Asked by xX_ANGIE_ATROPHY_Xx in florida

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Lower Blepharoplasty

I would say need is too strong of a word. You have some fat pseudoherniation (bulging) which makes a bit of a hollow just under the fat bulging. At this point you may be candidate for a transconjunctival blepharoplasty. Given your age, I would treat you with fillers like restylane just in the tear trough to help blend that transition zone a make it much less obvious. At some point later on, you may consider the transconjuntival blepharoplasty. Hope that helps.

Too young for Lower Blepharoplasty at 19

Dear Angie, No. At age 19 you are way too young to benefit from a Blepharoplasty. The lower lid depressions (tear trough) can be corrected with Restylane/Juvederm injections. May I also recommend you go on a good skin care line that will correct your acne and will give you the great skin a young lady your age deserves. As regards the nose issue you posted on another thread, this picture gives a better idea of the nose. If your nose bothers you (and ONLY you), you can get it narrowed and... more

Fillers to the tear troughs

Aesthetic lower eyelid procedures (blepharoplasty) are best performed on patients with excess skin or bulging fat below their eyes. This is often seen as wrinkly skin or bags beneath the eyes. By tightening the skin and removing the excess fat, the eyes will look refreshed and rejuvenated. Often times, excess skin and fat is not the problem and patients present with hollowing of the upper cheek area. This hollowing can contribute to looking aged and tired. Filling these hollows (tear... more

No evidence that a lower blepharoplasty is needed

Since you are only 19, there is no evidence of any need to perform a lower blepharoplasty. There are no fat pads present in the three compartments of the lower lids that need to be addressed.

Evaluation of Lower Lids for Blepharoplasty

It is very uncommon to have to perform lower lid blepharoplasty on 19 year olds. I appreciate the picture but it's hard to due a full analysis. Using what I have I will say that I see moderately pronounced tear trough deformities. These are the depressions that occur between the nose and the lower lids at superior aspect of the nose. From your picture I think that this is occurring because you have some lower lid pseudoherniation. That is, the fat around the eye globe is pushing... more

Arcus release and fat grafting not blepharoplasty is appropriate for you

A standard blepharoplasty wit fat removal will give you a "hollow eye" appearance. You do not have bags, loose skin and wrinkles so you do not need a standard blepharoplasty. You are very young and pretty. If the dark circle or depression beneath your lower eyelid really troubles you, then a transconjunctival arcus release and fat grafting will plump the depression and improve the look. (see reference below). I avoid injecting fillers beneath the lower eyelid. The skin is so... more

Lower blepharoplasty

At 19 I would say you do not need a blepharoplasty. Yes, you do have some hollowing along the orbital rim, but no a blepharoplasty will not improve this for you. If it really bugs you, you may benefit from a little filler.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Perhps at a later date.

You look just like a 19 year old lady who is interested in a rhinoplasty! I would suggest you look into fillers to plump up your "hollow" orbits rather than surgery at this time. sek

Blepharoplasty

First of all, no one "needs" cosmetic blepharoplasty. If there is something specific that you want changed, then you should discuss it with your surgeon. I agree that at your age, an invasive procedure may be overkill. However, if your exam does show bulging fat pockets, then you may benefit from removal of this fat. Good luck.

Fillers for the under eye circles are what you need

Dear Angie Realself exists because you are looking to get help in a caveat emptor (let the buyer beware) world. If you knock on the doors of enough cosmetic surgeons, someone will do exactly what you are asking for whether it is the right thing or not. In particular, lower eyelid surgery needs to be applied very sparingly. The entire concept behind lower eyelid surgery we now understand is wrong for the majority of patients. Unfortunately many surgeon have a conflict of interest. There you... more

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

Lower lid surgery not necessary

If you came into my office with your present concerns I would offer you some minimally invasive options to help with the depression of the lower eye lids. This could be some commercial soft tissue fillers or fat grafting to help fill in the lower eye lid depressions. Fillers are not permanent but they are easy and convenient to use. Fat grafting can be permanent but it is unpredictable if you will need repeat procedures to get a permanent result. Do some research on these procedures and... more

Marcus L. Peterson, MD

4 reviews

Saint George Plastic Surgeon

You could be a Blepharoplasty candidate based on the picture

But instead of a lower blepharoplasty, I would consider fillers of some sort to the lower eyelid and cheek area. What I see in the pictures is the volume deficiency at the junction between your lower eyelid and cheek area. When you age, you start to lose volume in the cheek area by losing fat and losing skin thickness and tissue within the skin. A lower blepharoplasty could help the transition from your lower lid and cheek area. But a lot of times this procedure can make you look more hollow... more

Philip Young, MD

6 reviews

Bellevue Facial Plastic Surgeon

You do not need a blepharoplasty

The good news is that you have attractive eyes with good structure. You do not need a blepharoplasty. If the appearance of your eyes is a concern to you, the only thing I would consider is lower eyelid fillers. You have a degree of lower eyelid hollowness. That is what gives you the look of circles under your eyes. I would suggest having a consultation with a good cosmetic physician in your area and seeing if lower eyelid Restylane is right for you. Hope this helps.

Lower lids -

You do a lower lid blepharoplasty for bulging fat pockets -- the picture you posted is not the greatest - but it does not look as if you have what would be corrected. Go for a consultaion to be sure.