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S.O.S - Under Eye Bags - Surgery or Filler?

asked 11 months ago by charb in Havertown, PA
Latest answer by Kenneth D. Steinsapir, MD
Question viewed 472 times
Tags: options, risk, thin skin

Had them most of my life, only in my thirties are they more obvious. The only thing that ever lessened them was a good sweaty work out. Now that doesn't even work. I can't understand how filler would be good option since under eye bags tend to increase/decrease thru-out the day??? My skin is thin, very pale, and I have a boney face. Per your experience with similar patients what r options/potential risks? Advice much appreciated! Eye pix below looking down/up/sideways etc. Thank you!!

4 answers to S.O.S - Under Eye Bags - Surgery or Filler?

+1

A note of caution here.

You have very thin eyelid skin. Without a personal examination it is not possible to predict how you will do with lower eyelid fillers. They can be very problematic in individuals with ultrathin lower eyelids. Sometimes, the only way to know how you will do is to actually do the treatment. Unfortunately you need a fairly large filler treatment to make a difference. I thing you better know that you are seeing one of the best lower eyelid injectors because a well... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+1

Treatment of tear troughs and lower eyelid bags

As you may have already realized if you ask 10 different surgeons you will get 10 different answers. The first photo you posted is out of focus but it appears that you have visible lower eyelid fat protrusion (bags) when looking straight forward, down or up. It is not clear that you have excess lower eyelid skin though. My preferred treatment for that is to surgically suture that protruding fat to the deeper cheek fat and then trim any excess off the superficial surface of that fat. That... more
Aaron Stone, MD

Los Angeles Plastic Surgeon
+1

A well-performed Injectable Filler treatment may improve the appearance of your lower eyelid bags.

I read your concern and reviewed the photos you posted. In my practice, the majority of patients with lower eyelid bags may benefit from an Injectable Filler treatment. Your lower eyelid bags are prominent since you appear to have lower eyelid grooves between your lid bags and your cheeks. Carefully placed filler into your eyelid grooves may improve the appearance of your lower eyelids by allowing the bags to blend into your cheeks. Be sure your physician is experienced in the... more
Eric M. Joseph, MD

West Orange Facial Plastic Surgeon
+1

Under eye bags best treated with lower eyelid surgery

The photo, of your eyes, appears to show excess fat bags in all three of the lower eyelid areas. Lower eyelid surgery (Blepharoplasty) will remove these, I prefer the transconjunctival technique using an incision inside the lower eyelids.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon

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