Seeking Lower Eyelid Surgical/non-surgical Suggestions?

47 y.o. female ready to do more than botox for my eye area (and cheek area?). My eyes at rest appear youthful (yet with flatter midface) but, when I smile (even just a tiny smile!) horrid, horizontal, rolls of skin bunch beneath my eyes. More so under right eye. Several ~ 1/4" rolls extend about 3/4" under my lower lid. I am slender. Is this likely fat protrusions or excess aging skin? Muscle? Have lower blephs been helpful excising rolls without changing shape of eye too greatly? Other ideas?

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age 45-54 lower eyelids botox alternatives

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8 Doctor Answers | Asked by Lydia in NJ in nj/ny

Doctor Answers (8)
Community Comments (1)

Surgical option for excess skin in lower eyelids

We do not recommend the use of any fillers around the eyes. Botox can certainly be used for crow’s feet laterally around the eyelids. The decision to remove any skin on the lower lids is performed at rest, not upon animation. The reason that excess skin is bunching up upon animation is that the muscle is contracting the thin skin underneath. The primary goal of lower eyelid surgery is to remove fat bags through the transconjunctival approach and a small subciliary... more

Blepharoplasty (eyelid surgery) can remove excess skin and fat from around the eyes

The cause of your excess skin under the eyes could be from a number of factors including hereditary, allergies, fatigue, eye strain, sun exposure, etc. Blepharoplasty (eyelid surgery) can remove excess skin and fat from around your eyes to help restore a more vibrant and youthful appearance. Certain laser skin resurfacing treatments and chemical peels can also be helpful in treating fine lines and wrinkles around the eyes. Sometimes fillers are also used to hide the shadows. ... more

Blepharoplasty (eyelid surgery) can remove excess skin and fat from around your eyes to help restore a more vibrant and youthful

Many treatments for lower lid wrinkles, and fat pads...

Without photos it's difficult to answer you particularly. In general there are many options variations and conbinations for lower lid rejuvenation....In my practice, I will generally combine a lower lid blepharoplasty (removal of fat pad) and Co2 laser resurfacing of the lower lids which tightens the skin beautifully, resulting in a much smoother more youthful appearance.

Lower eyelid rejuvenation

Lower eyelid aging varies among each individual. Your problem can be a combination of the factors you described (excess loose skin, rolling of underlying muscle, and/or protruded fat). Depending on the problem, nonsurgical or surgical option may be best. See an oculoplastic surgeon for evaluation and treatment options.

Post photo

Without photos, its impossible for us to give you an accurate assessment. You would need closeup photos of you without smiling, and then smiling.

A.J. Amadi, MD

14 reviews

Seattle Oculoplastic Surgeon

seattleface.com

Lower lid blepharoplasty will remove sagging skin.

Lower lid blepharoplasty will remove sagging skin but all patients as they start to age get rolls when they smile. I would need to see you in person or photos to give you a good answer otherwise it is just a guess.

Toby Mayer, MD

7 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Lower Blepharoplasty

It is hard to say for sure what is protruding without evaluating you. However, this is usually caused by excess skin or fat. Depending on the cause, this area can be addressed and improved with a lower eyelid blepharoplasty. Please consult with a board certified specialist who can best assist you in achieving the results you seek.

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Comments (1)

Lydia in NJ 11 Sep 2012

I did indeed spend two hours taking pictures of my eyes, both smiling and not smiling. When I tried to upload them, I realized that Real Self cannot accept pics from an ipad. Oops! My PC is presently problematic, so, I just tried to describe the bunching under my eyes, best I could.

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