What treatment would you recommend for eye bags, lost volume in apples of cheeks after weight loss? (photos)
Doctor Answers 4
Options in treating puffy eye bags and addressing facial volume loss
Bags under the eyes are the result of lower eyelid fat prolapse. Lower eyelid prolapse means that the fat that is normally around your eyes has pushed forward and results in puffiness under the eyes. Under eye bags or the fat around your eyes is the last fat in the body to go away when someone loses weight. This is common in people in malnourished situations where much of their body’s natural tissue in addition to muscle is broken down, so losing more weight will not help in under eye fat pockets going away.
The approach to lower eyelid fat prolapse is to perform lower eyelid blepharoplasty. This can be done in two different approaches: one is from the outside called a transcutaneous approach and another is from the inside called the transconjunctival approach. For most of our patients, we perform from the inside of the eyelid called transconjunctival blepharoplasty to avoid an external incision. The decision on the approach is based on physical examinations. The lower eyelids are deceptively complex and many plastic surgeons end up having the lower eyelid pulled down or retracted and sometimes even everted. The lower eyelid has a lot of critical important anatomic structures that need to be in balance in order to get good results.
When we evaluate the lower eyelids, we also look at skin quality and texture. We would consider procedures such as fractional CO2 laser as well as the use of platelet-rich plasma derived from your own blood in order to stimulate new collagen and to improve the skin quality.
The apples of your cheeks are an area which we refer to as the malar fat pads or the submalar space. When someone has lost volume in this area, I also perform a lot of facial rejuvenation surgeries such as face lifting, cheek implants, etc. I try to decide how much volume was lost from your weight loss and from sagging or descent. When the face descends when one gets older, plumping it out might not look so good because the skin doesn’t have the tone or the resilience to hold that volume. So in the mid facial area, augmentation can be performed with a facial implant such as a submalar implant or a filler such as Radiesse and Restylane. I also tend to use platelet-rich plasma to further enhance the volume in this area. I would also do fat grafting which is taking fat from one area of the body and place it into this area to augment it further.
In terms of affordability, I come up with different scenarios for my patients. As long as the patient understands what those scenarios and what the costs are, I try to come up with a structure that is affordable but is also satisfactory. A lot of people buy lower priced options and they end up wasting a lot of money. High quality and cost do often go hand-in-hand. This is an investment where you will reap the benefits after a long time. As long as you communicate with your doctor, you should be satisfied. I hope that was helpful, I wish you the best of luck, and thank you for your question.
This personalized video answer to your question is posted on RealSelf and on YouTube. To provide you with a personal and expert response, we use the image(s) you submitted on RealSelf in the video, but with respect to your privacy, we only show the body feature in question so you are not personally identifiable. If you prefer not to have your video question visible on YouTube, please contact us.
Have a question? Ask a doctor
Treatment of eye bags
Lower Eyelid Blepharoplasty
When your weight stabilizes, you would likely enjoy the benefits of a lower eyelid blepharoplasty with fat repositioning.
To be sure, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery.
I hope this helps.
You might also like...
What treatment would you recommend for eye bags, lost volume in apples of cheeks after weight loss?
Additionally, combining the blepharoplasty with fat augmentation to the cheeks and the surrounding peri-orbital area would further enhance the results. The link below provides more information.
I hope this helps.