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What is This Red Area Below my Eye...also...Restylane or Lower Blepharoplasty for my Undereye Puffiness?

asked 1 year ago by All Smiles in California
Latest answer by Guy Massry, MD
Question viewed 1,808 times
Tags: options, puffiness, red spot

I have a red area below my eye(thought was broken capillaries) but visited a Dermatologist and a Ophthalmic Plast Surg and they are unclear what it is or how to treat it. The surgeon suggested cutting it out. He said an IPL would not likely give results. Also, I want to treat my undereye puffiness, but I would like to know if Restylane would work for the condition of my eyes. This Surgeon suggested the blepharoplasty, but I would like an unbiased opinion/approach from others in the field.

6 answers to What is This Red Area Below my Eye...also...Restylane or Lower Blepharoplasty for my Undereye Puffiness?

+1

Under eye bags

You need an evaluation by an oculoplastic specialist or dermatologist who has experience with this area first. They will ask questions regarding the history of the redness, how it changes, etc. The cause of this (can be something simple) must be identified first before considering treatment to the fat prominence. As far as the prominent lids go there is associated depressions under the prominence. If and when treatment is planned it must address both issues so that... more
Guy Massry, MD

Los Angeles Oculoplastic Surgeon
+1

What is This Red Area Below my Eye...also...Restylane or Lower Blepharoplasty for my Undereye Puffiness?

Does this blanch on pressure? If it does, then it is vascular in nature which looks like one. Recommend seeking more consultation until you have at least two or more similar opinions. Fillers will help reduce the tear trough deformity (hollowness), but will not use this until definitive diagnosis is made about the nature of the lesion.
Mohsen Tavoussi, MD, DO

Huntington Beach Facial Plastic Surgeon
+1

The red spot on your right lower eyelid may be treated with a well-performed Hyfrecator treatment.

I read your concern and reviewed your photo. It would be helpful to know the duration and history involving your right lower eyelid red lesion. If it's been there for some time, it may represent a cluster of superficial capillaries. In my practice, a benign-appearing lesion like this may be treated with a Hyfrecator using a needle tip. This works by delivering electric energy through your skin to cauterize and collapse the vessels. Procedures are performed with topical, or no... more
Eric M. Joseph, MD

West Orange Facial Plastic Surgeon
+1

I think it is fabulous that some doctors are happy to diagnose you by photograph.

Rather than get care from doctors who have not examined you, I recommend that you get appropriate medical care. You have seen two specialists and presumably you do not like their recommendations. I suggest that you see other specialists. I would also counsel you against transconjunctival lower belpharoplasty. You do have the classic indication for this which is apparent fullness of the lower eyelid from herniated fat. However, removal of this fat will accentuate... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+1

Treatment of tear troughs and lower eyelid bags

In order to tell you what this is more information is requied that is given in your post. How long has it been there? Was its onset associated with trauma, infection etc.? Does it blanch on finger pressure and if so how rapidly does it refill? Does the surface have a sandpaper like feel? Does it itch? Based on the answers to these and other questions- a face physical examination it could be anything from benign superficial blood vessels to actinic keratosis to a few other things. You... more
Aaron Stone, MD

Los Angeles Plastic Surgeon
+1

Red spot and lower eyelid bags, what now?

The red spot, on your right lower eyelid appears to be a stellate angioma, which is a collection of capillaries. You do have lower eyelid fat bags that could be removed with a lower Blepharoplasty (I prefer the transconjunctival technique with incision on inside of the lower eyelid) or lower eyelid surgery in about 30 minutes. IMHO, this should be done first and by itself and once the lower eyelids are healed, at around 2-3 months you could have a pulsed dye Laser... more
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon

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