Solutions for Hypertrophic Eye Muscle Bulge?

asked 3 years ago by RKris in Pittsburgh
Latest answer by William Portuese, MD
Question viewed 3,069 times

I have what has been described to me as a hypertrophic muscle under my left eye. I also have undereye hollows. I've been told that injectables would improve the hollows but not the eye bulge, which is what bothers me the most. Will Blepharoplaty help or are there any other solutions? Thank you!

5 answers to Solutions for Hypertrophic Eye Muscle Bulge?

Eye muscle tailoring

There are no solutions that dissolve muscle without damage to the very delicate surrounding tissues. From your picture, it appears that you are too young to undergo surgery and that these bulges are actually normal in young patients, in my opinion. In older patients who have had previous blepharoplasty by an aggressive subciliary approach, we actually often build a slight muscle roll when we reconstruct the lower eyelid, in conjunction with a superficial cheeklift. The atrophic, overly... more

Brent Moelleken, MD
Beverly Hills Plastic Surgeon

www.drbrent.com

Blepharoplasty will not help muscle hypertrophy

A blepharoplasty is not going to help with eye muscle bulge on the lower lids. The goal of a lower blepharoplasty is to remove herniated fat in the lower lids and remove a small strip of skin as a pinch technique right at the lower lash line. Lower eyelid blepharoplasty is not done to improve muscle hypertrophy.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

You need a thorough evaluation

You have an interesting appearance. Although you are quite young you do have a fullness over the tarsus of the lower lid. The obicularis oculi muscle that closes the eyes is divided into three areas of which one is the pretarsal or muscle over the tarsus. It is interesting that only one eye has this fullness. Although less common, but still possible, is the SOOF fat or fat under the muscle. This is one area of the muscle that is essential for lower lid function and support. I would... more

Christopher L. Hess, MD
Fairfax Plastic Surgeon

Bulge of lower eyelid

Dear RKris Does the fullness get better with slight squinting of the eyelids? is the fullness there all of the time or does it come and go? Do you ever see this in the right side? There are many approaches to softening the appearance of the 'muscle'. As you can see above - there is no one opinion. Botox is an easy solution however it may result in the lower lid dropping a small amount. if you try this- it is reversible thus if you do not like it it will wear off. Filling the hollows may... more

Trevor M. Born, MD
Toronto Plastic Surgeon

Avoid injections for under eye hollows - Eye muscle bulge can be corrected

I do not use filler or fat injetcions under the eyes. Unsightly lumps are common and blindness has been reported in England following filler injection under the eye. The proper procedure to correct under eye hollows or dark circles is an arcus marginalis release and fat grafting or repositioning. If an external icision is used during the arcus release, the L orbicularis occuli muscle can be contoured to reduce the bulge. These are sophisticated plastic eyelid procedures, you need to see an... more

Brooke R. Seckel, MD
Boston Plastic Surgeon

www.drseckel.com

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