Do I Have Prominent Under Eye Bags? Do I Need Blepharoplasty or Other Treatments?

asked 11 months ago by kim0221 in Toronto
Latest answer by Philip Young, MD
Question viewed 329 times
Tags: candidate, dark circles

A surgeon told me that my dark hollow circles were caused by prominent undereye bags which create shadows. I have seen this in others but can't see prominent bags under MY eyes. The doc said although mine aren't visible, they still create shadows & the ONLY solution is blepharoplasty to remove them. How can non-prominent bags cause significant shadows? Since I have hollows, wouldn't removal of tissue(?) make it MORE hollow? Do I have bags/need surgery? What approach would you recommend for me?

6 answers to Do I Have Prominent Under Eye Bags? Do I Need Blepharoplasty or Other Treatments?

Please do not have a lower blepharoplasty for this.

"When you are a hammer, all the world looks like a nail." I have no idea who said that but they are right. If the only thing you know how to do for the lower eyelid is lower blepharoplasty, then guess what, that is what you are going to propose no matter what. The treatment of choice now for your dark circle/under eye hollow is filling with Restylane not lower eyelid surgery. You need to find someone who is very experienced in treating the lower eyelid... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Video on Eye Bag Treatment: Your eye bags are not severe

You situation is part of normal aging. The eyebags are really just related to loss of volume from aging. Removing these eyebags with a lower eyelid lift will lead to a result that you may not like even though this is a standard approach for this situation. I would suggest either fillers in the under eye hollows or fat injections or young volumizer. Thanks for reading, Dr Young see video

Philip Young, MD
Bellevue Facial Plastic Surgeon

Lower eyelid shadow

Given the logic which does not seem clear to you your concerns are valid. Based on only the small narrow slit photo you posted it is impossible to say what would be best in your case. If you shine a direct light on the area you feel is dark and the darkness goes away it is a shadow. Once you are clear it is a shadow then you have to figure out what is causing the shadow and then find out what options are available to address that problem. This should be done by your prospective surgeon... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Lower eyelid bags and eyelid surgery

Your photo is quite small but from what I can see, there does appear to be evidence of lower eyelid bags that would be reduced with a lower eyelid surgery.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Based on your photo, you appear to have lower eyelid grooves that may be improved by an Injectable Filler treatment.

I read your concern and reviewed the photo of your lower eyelids: You have some reddish discoloration of your thin lower eyelid skin that could be due to a number of factors: chronic nasal allergy or possibly dermatitis. Beneath this, you appear to have fairly typical lower eyelid grooves that may be improved by a well-performed Injectable Filler procedure. This would allow your lower lids to blend more harmoniously into your cheeks, and make the "hollow circles" less... more

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

Eyelid hollowness

The lower eyelid subtleties are sometimes difficult to tease out, especially in the photo that you have presented. However, in general, the "dark circles" on the lower eyelids maybe caused by a variety of factors: a. skin pigmentation b. thin skin revealing the underlying muscle and/or vessels c. shadows created by light along irregular contours [either bulginess or hollowness, or a combination of both] In your case [ and again your photo is less than ideal] it... more

A.J. Amadi, MD
Seattle Oculoplastic Surgeon

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