Eyelid Surgery: Q&A
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Which is my Best Option Fillers or Lower Bleph? (photo)
I am 27 and have always suffered from puffy eyes since highschool. Makeup helps but does not heal! I went for s consultation and it was about 8 minutes so I did not feel comfortable enough to do it the cost was about $2800. He suggested a transconjunc... I just want to know what direction I should be going in. Please help I would like to get this done asap.
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15 Doctor Answers |
Asked by
Puffy_eyes_blues
in New York
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Lower bleph will remove fat pads causing puffiness.
Fillers will not remove the puffiness and fat in the lower lids. A transconjunctival blepharoplasty involves an incision completely hidden on the inside of the eyelids to remove the herniated fat pads in the lower lids. This takes approximately a half an hour under a general anesthesia. Consultations with the physician take 30 minutes and an additional 30 minutes is spent with the office staff to completely educate patients and to answer all their questions about eyelid surgery. The cost of...
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Treatments for puffy eyes and pigmentation, and the importance of communication with your doctor
Based on your photos, I can assess that there is puffiness under your eyes. Since you're young, your condition would do well with a transconjunctival blepharoplasty. However, there are some related procedures that can be considered when you’re having a procedure like this.
In my practice, we have a lot of patients who have pigmented skin, for example people from, Inida, Arab countries or African-Americans. To make the eyes look good, you not only want to reduce the puffiness, but you...
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Dark Circles, Tear Troughs and Hollows Respond Well To A Combination of Belotero Balance & Radiesse
Tear troughs, hollows, and dark circles are common problems of the lower lids. It has become standard practice to treat this region with lighter weight fillers, like Juvederm or Restylane, to lift, straighten, and contour this region.
Occasionally, if fillers are inadvertently placed too superficially, a bluish discoloration related to light scattering (a phenomenon known as the Tyndall effect) can occur, which can actually make the dark circles more prominent. Belotero, a new hyaluronic...
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Fat Transposition Blepharoplasty
I would not waste your money on a temporary procedure. In a situation like yours, with prominent fat protrusion and moderately deep tear troughs, I would usually recommend a fat transposition lower eyelid blepharoplasty. In this operation an incision is made inside the eyelid, and the protruding fat is moved down to fill the tear trough. Also, injections around the eyes can be more risky than surgery. Follow the link below for some photos:
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Lower eyelid surgery/ filler
From the posted photographs, it appears that you have " tear trough " deformity. A conservative approach would be to have HA filler injection and re assess after few month. You can always have some modification of eyelid syrgery if you were not satisfied with the fillers.
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Which is my Best Option Fillers or Lower Bleph?
Always best to seek MORE in person opinions. BUT not in only eight minutes!!! I might try a filler first to the tear trough depression. But a Transconj. approach with fat re positioning and removal is optimal.
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Blepharoplasty or Filler
I would not recommend a filler for your issue. I agree that a transconjunctival approach for fat removal is a good option based on your pictures. Seek out several other opinions by BC PS.
Dr. ES
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Lower lid issues
I think that it is best to be seen in person to be properly evaluated for your lower lids. Sometimes fat removal is recommended for fat herniation, and sometimes fillers are god to camouflage the area.
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Treatment for lower lids
I do not think you need a blepharoplasty at this point. You should consider fillers and not rush into surgery, which has its own consequences. Get another opinion and don't rush into anything. Take time to research and consider the alternatives.
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Trans conj with fat reposition
While the pictures do not tell the whole story I do think you have some fat there. I agree in that the problem is the tight crease. If you were my patient I would suggest going transconj - you have no skin to remove and don't need an external scar - and reposition the fat to soften the crease. No removal just repositioning. Good luck, Dr. Schuster in Boca Raton.
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Restylane, Belotero for lower eyelid filling
While you're a good candidate for lower eyelid blepharoplasty, you can achieve approximately 70 - 80% results with fillers. Restylane an Belotero Are both very good products routinely used in this area with great results. They typically last approximately one year in this region.
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Either works
At your young age and looking at the photos you could benefit from either filler or transconjuctival blepharoplasty with fat repositioning. If you want something that is cheaper and a temporary solution then you could get a good result with filler. If you want a permanent option consider surgery. However, make sure you a comfortable with your surgeon, that they take the time to answer all your questions and that they are board certified.
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You Have Tear Troughs
Your problem is not puffy eyes, it is the groove under the "puffiness". This situation should be addressed by filling the groove and taking some of the fat that is producing the puffiness and allowing it to blend down into your cheek. You certainly do not need skin removed from your lower eyelids. You are only in your 20's and you do not have extra stretched-out skin. Furthermore, removal of skin can put you at risk of a pulled or outward turned lower eyelid....
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Puffy Eyes
I would recommend that you consider a transconjunctival blepharoplasty for the lower lids to reduce the volume of the three fat pads in that area. The addition of a filler such as Belotero along the infraorbital rim would also enhance the result.
Raleigh-Durham Plastic Surgeon
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Fillers or Lower Bleph?
I would offer a transcutaneous blepharoplasty rather than transconj as you can have some skin removed as well.
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