Am I a lower blepharoplasty candidate? 20 y/o male with genetic eyebags (photos)

Question

Hello everyone, I am a 20 y/o male that genetically has eyebags since a young age. I have a negative vector with puffiness under my eyes and some redness. My tear trough lines also appear. I have researched about procedures such as a lower blepharoplasty. I want to know if im a good candidate for this procedure? And also, is a fat transposition recommended in my case because of my negative vector or is a lower bleph alone enough to fix my issue? Thank you very much

C. Blake Perry, MD · Answer

Yes you are a candidate for lower lid blepharoplasty with fat transposition. Because of your negative vector, simply removing fat without adding volume to your midface would not be as effective. Best to see an eyelid expert.

Alan Gonzalez, MD, FACS · Answer

Hello @ok30, thank you for your question. Yes you would definitely benefit from transconjunctival lower eyelid surgery to remove the excess of fat in the area. The best course of action is to consult one or several board certified plastic surgeons for more information and options tailored specifically to your needs. Best wishes!

Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science”  Member (IFATS),  Colombian Society of Plastic Surgery member (SCCP)

Andrew Miller, MD · Answer

Based on your photos, lower eyelid surgery would work well for you. You don't have to be old to have this surgery done. Many people have a genetic cause just like you, and responds very well to surgery. Be sure to see a facial specialist for consultation.

William Portuese, MD · Answer

You Have herniated fat bags in the lower lids based on the limited photographs presented. Consider a trans-conjunctival lower blepharoplasty for the fat bag removal creating the puffy look. All of the incisions are placed on the inside the eyelids.

Jared Blau, MD · Answer

You're a good candidate for a transconjunctival ("scarless") lower blepharoplasty to selectively remove fat from the pads/bags of the lower eyelids

Mats Hagstrom, MD (license on probation) · Answer

You seem to have a very good understanding of your facial aesthetics. Recognize that the primary issue is related to bone structure not soft tissues. Your soft tissues are normal and there is nothing abnormal about the bone structure, but having the negative vector predisposes you to having the facial appearance you were born with.it may seem like treating the soft tissue issue is the solution to the problem. Recognize that the primary issue is skeletal and not soft tissue oriented. There are many different ways of approaching this so recognize the different providers will have different opinions. Approaches could include facial implants, midface, lift, augmentation, with fillers, augmentation with fat, a lower eyelid, blepharoplasty with or without fat transposition. 
All of these procedures can potentially give good results. It’s difficult to tell you what the right procedure is. In the end, choosing the right provider is probably actually more important than choosing the right procedure. Any of the above stated operations can give great results in the hands of the right provider.
I suggest taking a quantum shift in the way you’re thinking about the problem and focus first on finding the most talented and experienced provider. Once you found providers who clearly have an edge on the competition, listen carefully to what they have to say then hone in on the provider and procedure of choice.
When in doubt, slow down and schedule more consultations. The worst thing you can do is rush into surgery especially not having thoroughly vetted providers first.
Being board-certified in plastic surgery with years of experience does not mean somebody has mastered every procedure. There is significant differences in outcomes, depending who you go to.
There are legitimate differences in opinion, and no one procedure is necessarily better than the other.
Sometimes patients find choices, frustrating especially if providers have different opinions. Recognize that these differences are legitimate and are based on complex combination of backgrounds, personal philosophy, experience and teaching.
There is no yes or no answer to your question. It all depends. 
Best,
Mats Hagström MD

Am I a lower blepharoplasty candidate? 20 y/o male with genetic eyebags (photos)

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