Should I have blepharoplasty or is there a less invasive opinion? (Photo)

I appreciate you asking the question and showing the pictures, Dear @HereSheGoes2021. There are always two options, but each one has a different solution capacity. Blepharoplasty and nonsurgical treatments could be combined since the lines/crepiness and hollow look that have been mentioned are treated differently. The bags under the eyes can be treated either with a transconjunctival lower blepharoplasty or attenuated with low density hyaluronic acid and the wrinkles around the eyes can be addressed with botulinum toxin. The best course of action is to consult one or several board certified plastic surgeons for more information and recommendations. Best wishes! Alan Gonzalez MD FACS

There are a few options to consider to address under eye concerns. A lower blepharoplasty is certainly one of them. This surgically addresses eye bags and excess skin. Another option is fillers to address volume loss. Another is AccuTite. This nonsurgical procedure uses RF technology to tighten skin and improve eye bags. You can optimize your results by adding Morpheus8 treatments.

Most expert experienced artistic plastic surgeons have a variety of procedures, both non-surgical and surgical, at their disposal to produce excellent cosmetic results in the appropriately selected patient: Botox or Dysport, temporary fillers, micro-fat grafts, blepharoplasties and combination of procedures. Each has benefits and drawbacks and depends on desired outcome and individual anatomy.

In a patient with your inherited anatomy, a blepharoplasty and micro-fat grafts to the tear trough depressions will produce the best and longest lasting cosmetic result.

Following the advice of anyone who would presume to tell you what to do without seeing photos and without taking a full medical history, examining you, feeling and assessing your tissue tone, discussing your desired outcome and fully informing you about the pros and cons of each option would not be in your best interest. Find a plastic surgeon that you are comfortable with and one that you trust and listen to his or her advice. The surgeon should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) . You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California