Lower Blepharoplasty for Tear Trough Bags?

I tried fillers for my tear trough bags, and it only made the problem worse! Can a lower blepharoplasty correct this and get rid of the bags?

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16 Doctor Answers | Asked by berykute1 in Encino,Ca

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Lower blepharoplasty can help

The teardrop bags can either be removed through a transconjunctival approach with a lower blepharoplasty, or they can be re-contoured and then the fat used to fill the teardrops. It really depends on the individual anatomy and aesthetic goals that the patient wishes to have performed during the lower blepharoplasty procedure.

Blepharoplasty for bags and tear trough

Lower eyelid lifts or blepharoplasty can improve the appearance of the bags under your eyes and the tear trough as well, depending on the technique used. With modern techniques, there are bascially three methods to treat the lower eyelid bulges: 1) Fat removal - Here the excess fat is removed. This will not affect the tear trough significantly, although it can in select cases. 2) Fat Hernia Repair - Here the fat is placed back where it came from and the lowereyelid tissues are closed... more

Jacob D. Steiger, MD

17 reviews

Boca Raton Facial Plastic Surgeon

www.drsteiger.com

Lower Eyelid Fat Pads or "Bags"

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 skin... more

Michael Law, MD

17 reviews

Raleigh-Durham Plastic Surgeon

michaellawmd.com

That's exactly what lower blepharoplasty does

The lower lid blepharoplasty is designed to do exactly that: remove the bags, along with tightening up the skin. The trend now is to reposition the fat bulges that cause bags, rather than removing them, for more natural and durable result. It's a shame that the injections made it worse though, since when done right that can be very successful. Yours may have been placed too high or too superficially. It is important to consider timing too, it may make the most sense to wait until the filler... more

Fillers can't address what surgery can for lower eyelids

Some patients have a hollowness under their lower eyelids which is commonly termed a tear trough deformity. This is caused my several different issues, it can be due to excess skin, protruding fat or loss of volume which occurs as we age. This needs to be correctly diagnosed before a treatment plan can be formulated. Lots of people think that an injectable such as Restylane or Juvederm can simply be injected into this area for correction. Sometimes that is helpful (in... more

Tear Trough Procedures Very Helpful for "Bags"

The lower eyelid area is challenging, but results can be very rewarding. I am sorry that fillers are not working out. I suspect you had a hyaluronic acid product (Restylane/Juvederm) and would suggest that you have that dissolved using hyaluronidase. That should at least return your lids to pre-treatment condition. You could try having a different doctor re-inject them at a later date if you think it was just poor placement the first time. I recommend using... more

Tear troughs

The approach to the tear troughs is a complex question and is dictated by the patients individual anatomy and characteristics. Common techniques that are approached by themself or in conjunction include: Correction with filler (fat, HA) (See below weblink for just filler) Reposition of fat Removal of fat lower eyelid All of the above are extremely technique sensitive and both the choice and application of the technique are surgeon dependent. ... more

Fillers like Restylane and Radiesse work well for tear trough problems

Fillers may be placed in the tear troughs when there is a depression in the tear trough. Because each individual's anatomy is a little different, it may take a few attempts and a very skilled injector to treat more challenging cases. Depending on the type of filler placed, you may have the filler dissolved (if it is a hyaluronic acid), you may have to wait for it to be absorbed (if it is Radiesse), or you may simply need more filler placed to complete the improvement. (This is the... more

"Tear trough" can be fixed by fat from a lower lid blepharoplasty.

If you indeed have a true tear trough abnormality, there exists a depression in the bone on the side of the nose adjacent to the eyelid. During a lower lid belpharoplasty, fat from the medial compartment can be position to fill the trough. This is a permanent fix with fat that is otherwise removed with the eyelid surgery. The fact that fillers didn't help makes me question your diagnosis of tear trough abnormality. Almost always this is a good, but temporary, fix.... more

Dark circles and lower eyelid bags

The tear trough depression or "dark circles" are often due to more than one variable. Protruding eye socket fat (above) can make the depression more visible. Also, tissue laxity surrounding a structure called the orbitomalar ligament sometimes contributes to the concavity or sunken appearance. Fillers sometimes are enough, but some people benefit more from surgery including fat repositioning and/or release of the orbitomalar ligament.