Eye Bags Treatment: Q&A
Ask a QuestionTear Trough Treatment? (photo)
Please have a look at my awful eyebags. I am 31 years old and quite unhappy about my look. What would you say is the best treatment? I had Restylane about 6 months ago and it helped a bit but its certainly depleted now. Do you recommend implants, fillers or lower lid blepharoplasty? I am keen to get something long lasting done asap.
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10 Doctor Answers |
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DCpatient
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Tear trough
Your tear troughs appear to be worse due to the herniated fat bags. A transconjunctival lower blepharoplasty would be the best approach. This will remove the bags and create a smooth contour in that area of the eyelid. In addition a canthopexy may be needed for the significant amount of scleral show that is present.
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Fat Repositioning in Lower Blepharoplasty: A Long-Lasting Option
This is a great question and a truly frustrating problem. From your photos, it appears that you have some prominent lower eyelid fat pads. The reason that this is so noticeable, however, is the hollow area underneath (often called the "tear trough" region). There are many available options: trying to camouflage the deep area with fillers, removing the fat pads, placing an implant... and, in my opinion, the best option -- repositioning the lower eyelid fat pads to fill in the tear...
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Lower eyelid bags, blepharoplasty
When one is not satified with the longevity or degree of correction of lower eyelid bag correction fat grafting, Artefill or Sculptra may be of benefit.
Lower eyelid blepharoplasty with fat transposition will address more sever cases and last longer.
Please consult with an experienced Board Certified Plastic Surgeon in person prior to making treatment decisions.
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Tear Trough and Eye Bag Treatment
It appears as though you have lower eyelid bags as well as a loss of volume directly below the bags, known as a "tear trough" deformity.
I would recommend that you visit a plastic surgeon for a consultation regarding removal of a small amount of the fat that pooches out through the lower eyelid. This fat can then potentially be repositioned to treat the tear trough below. OR fat can be transferred from your abdomen to fill this area. This is known as "fat grafting". Lastly, fillers ie....
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Lower Eye Bags
A very common aging change in the lower eyelids is the development of 'bags', which are in most cases due to an outward bulging of the fat pads behind the lower lids. These 'bags' of fat can be improved by conservative removal through an invisible incision on the inside of the lower lid (trans-conjunctival approach) in patients that do not require skin excision, or through the under-eyelash (sub-ciliary approach) in patients that are having some excess lower lid skin removed.
As with...
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Treating Hollow Tear Troughs
It looks like you've got fat herniations below your eyes. I personally think your best bet would be to address this problem surgically. Being that there are two "lines" under each eye, it's going to make getting desired results with fillers alone difficult. Seek the help of a skilled and experienced plastic surgeon for a lower blepharoplasty.
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Treating deep and enlarged tear troughs
Thank you for your question about tear trough treatment and providing pictures of your condition. Judging from your pictures alone, your tear troughs look deep, but it is not uncommon and can be resolved. Understanding the reason behind this will help you determine what treatment is best for you.
Your condition may be caused by the elevation of the fat pockets adjacent to the tear troughs. These fat pockets create bulges that make them look deep. It can be hereditary, but this...
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Treating early lower eyelid bags
Early lower eyelid bags can be common in younger patients with loose tissue of the lower lids and under-development of the cheekbones.
Fillers can help, but only to a point.
A combination of repositioning of the lower eyelid fat to "fill in" the hollow areas and de-emphasize the prominent areas is a great option. Combining this with a cheek implant can make the effect even more powerful and long-lasting.
A consultation with a board-certified plastic surgeon in your...
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Tear Trough Treatment in a younger patient.
It appears that you have a hereditary predisposition towards early tear trough formation from pseudofat herniation of the lower eyelids. A conservative transconjunctival/inner eyelid blehaproplasty would bring the plane of the lower eyelid closer to the orbital rim making the transition smoother. Too much reduction would not be a good thing as it could lead to hollowing. One must always think not only about the short term effect of surgery but also the long...
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Tear trough treatment
It does appear that you have some bagginess of your lower eyelids due to fat. Your option would be to either have surgery to remove some of the excess fat or to use a filler, such as Restylane (as you previously had). The surgical option will be longer lasting. I do not think you need an implant in your lower eyelid area.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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