No clue how to remove bags. Doctors say my eyes too dry to do Lowe bleph. Any suggestions? (photos)
Thank you for your question regarding removal of lower eyelid bags with dry eyes. Yes, it is still possible to remove the bags, which as you know, are fat deposits.
One technique will not affect your dry eyes at all, and that is placing small incisions over each of the three lower lid bags through which the excess fat is removed.
This leaves a faint scar, which is usually imperceptible, and this can be done under local anesthesia with minimal downtime.
Thank you for your very interesting question and photographs.
As previously stated, using a trans-conjunctival lower eyelid approach should not worsen the dry eye. The surgeons you saw may all be using a trans-cutaneous approach. I would seek out a specialist who uses the trans-conjunctival technique.
Dry eyes and lower lid surgery
It is possible to remove your lower lid bags without worsening your dry eyes. If your surgeon or you see a surgeon who does the transconjunctival approach, you can have the excess fatty tissue removed from behind your eyelids without affecting your tearing function. This is called a transconjunctival lower blepharoplasty and we do the procedure all of the time. It can be done without removing any lower lid skin and just the puffiness is treated and no affect is done to your lower lid position. Good luck in your area.
thank you for your question Lower eyelid surgery involves removal of the fat bags from the lower eyelid. Surgery typically takes less than one hour. Pain is minimal. Recovery is fairly quick. One needs to be evaluated by a plastic surgeon before surgery to determine if the patient is a candidate for surgery. I send my patient for a pre-operative eye exam . One of the test evaluates dry eye. I hope you find this helpful
Even with a dry eye you can do a lower lid surgery. You should do a trans-conjunctival approach with fat repositioning. This moves the fat down into the tear trough to avoid hollowing post-op. This will not affect the lid position so shouldn't increase the dryness. See an oculoplastic specialist as they can take a look at your cornea to assess the dry eye as well.
Dry eyes, lower lid fat bags
It is unusual for young men to have such dry eyes that it makes it difficult to sleep. Often times, patients have Allergic Conjunctivitis and are using the wrong medications.
If your eyelids are such a big issue that it is affecting your self esteem, then before going to a surgeon to fix it, I would recommend patients talk to their primary care doctor to talk about it first. But your doctor is doing you a favor. Don't have eyelid surgery until your eyes are more comfortable and under control. Once things are more comfortable, consider getting a consultation with an oculoplastic surgeon in your area.
Lower eyelid bag correction for patient with dry eyes
Thank you for sharing your question and photos. When performed conservatively, blepharoplasty should not increase the dryness of the eyes. See an eyelid specialist for comprehensive evaluation and discussion of treatment plan. Good luck.
How to remove bags under eyes?
In general, there are two options to help improve bags under the eyes. One method would be to inject a filler under the bags to help camouflage them. The other method would be surgery to address the protruding fat. The result from surgery would be much longer lasting than the result from an injection of a filler. Lower eyelid surgery should not worsen an issue with dry eyes.
Trans-conjunctival fat removal lower blepharoplasty
A conservative fat removal from an incision on the inside of the eyelid should not affect dryness in the eyes. This is known as a trans--conjunctival approach. We have been using this approach for eyelid fat removal for over 25 years. For many lower eyelid before and after results using the trans-conjunctival approach, please see the link and the video below
Generally the transconjunctival lower blepharoplasty has minimal impact on dry eye status.
With the use of aggressive lubrication immediately after surgery, you should do fine. The only exception is there is a rare patient with dry eye so severe from active inflammation that the risk is not reasonable. Let me stress that this is rare. Please in this situation have constant gritty sensation, light sensitivity, etc. I think it is appropriate to be conservative and I would strongly recommend that you not let a surgeon use a skin incision to perform lower eyelid surgery. Also, there is no substitute for an actual in person consultation. Another option for you would be under eye fillers which would help you and avoid surgery altogether.