I have huge, ugly under eye bags that exacerbate my already unattractive looks. Will surgery help me? (Photo)

Question

If it will help, how much of a difference will I see? Will I look normal, with no signs of bags, or is this too much to hope for? I already know that creams and make-up do not help. I've tried everything. I am 42, have been cursed with bags my whole life, and they only get worse.

John J. Martin, Jr., MD · Answer

You would do well with a fat repositioning blepharoplasty.  From the inside of the lid the fat is moved down into the sunken area.   This makes for a smooth transition from cheek to lid.   See an oculoplastic surgeon to discuss.

Robert Singer, MD · Answer

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,
or a combination of procedures. Each has benefits and drawbacks and depends on
desired outcome and individual anatomy.

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

Jason J. Hall, MD, FACS · Answer

In addition to the protruding fat in your lower eyelids, you have flat cheeks which makes the problem worse.  A combination of repositioning (not removing) the fat in your lower eyelids and augmenting your cheeks (again, with your own fat) will help blend your lower eyelid and cheek and create a soft, smooth appearance.

Brooke R. Seckel, MD, FACS (retired) · Answer

A special procedure called fat repositioning or fat grafting associated with arcus marginalis release can plump the depression beneath your lower eyelids and remove some of the protruding fat.  In addition adding volume to the mid face or cheek region by using dermal filler injections would also help.For more information read the following link on trans-conjunctival blepharoplasty with arcus marginalis release and fat grafting.

Gregory Park, MD - Account Suspended · Answer

Lower eyelid bags are due to excess fat and or skin. In your case it is extra fat. Surgery can remove some fat in the lower eyelids providing your lower eyelids with a smoother appearance. Thank you for sharing your photo and question. Best wishes.

I have huge, ugly under eye bags that exacerbate my already unattractive looks. Will surgery help me? (Photo)

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