Are eye bags and fat deposits the same thing? Seen 3 doctors 1st doctor says its fat deposits, need lower eye lid surgery. 2nd doctor tells me eyelid surgery is no good cause later on I will have a hollow look. 3rd doctor tells me I am a good candidate for Radiesse. I have no IDEA what to do. Every had a different solution. I prefer not to have eyelid surgery cause If eyelid surgery is my solution then l definitely go with that. Don't want to spend that kind of money if it's not necessary.
Answer: Yes, they are the same thing as eye bags are caused by fat. Hollowing can be avoided by going with an eyelid specialist Looking at your photos, I have observed that you have lower eyelid fat prolapse. Lower eyelid fat prolapse means that the fat pockets normally around your eyes have pushed forward. In MRI studies, there is an increase in volume which is called herniated fat. The concerns about how to approach this and its consequences are becoming more confusing these days. There are a lot of options suggested by different doctors as treatments for under eye bags. There are people like myself who tend to advocate more definitive solutions like surgery. However, eyelid surgery is not a generic procedure. There are two types of approaches: one is transcutaneous which is from outside of the eyelid and the other is transconjunctival. In a case like yours, I would typically do transconjunctival blepharoplasty. This is a technique where I work at the fat pockets from the inside of the eyelids, performed under local anesthesia with LITE™ sedation. This reduces and repositions as is appropriate so it looks like you never had the fat pockets there. With this procedure, the concern about hollowing becomes an issue. Hollowing is often perceived when someone’s eyelids are pulled downward and that is really what scares a lot of people. This situation is called lower eyelid retraction. As a specialist in this area, I see a lot of patients from all over the world to correct lower eyelid retraction and to help them look as if they are not as hollowed. In addition, with facial aging, there is volume loss in the cheek area below the bags look flat. The solutions for that are Radiesse, Restylane, fat, or cheek implants. I suggest to not put so much volume to camouflage the fat pockets. I have patients who got over puffed and they look unrecognizable or unnatural. I end up using an enzyme like hyaluronidase to actually dissolve the fillers. I think you need to try to narrow your decision and try to figure out which doctor resonates with you and you feel comfortable with. Otherwise, meet with the additional doctors. From my perspective as a 20-year cosmetic oculofacial plastic surgeon, transconjunctival blepharoplasty most likely would be starting point for you to address the dominant feature on your face. I hope that was helpful, I wish you the best of luck, and thank you for your question. This personalized video answer to your question is posted on RealSelf and on YouTube. To provide you with a personal and expert response, we use the image(s) you submitted on RealSelf in the video, but with respect to your privacy, we only show the body feature in question so you are not personally identifiable. If you prefer not to have your video question visible on YouTube, please contact us.
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Answer: Yes, they are the same thing as eye bags are caused by fat. Hollowing can be avoided by going with an eyelid specialist Looking at your photos, I have observed that you have lower eyelid fat prolapse. Lower eyelid fat prolapse means that the fat pockets normally around your eyes have pushed forward. In MRI studies, there is an increase in volume which is called herniated fat. The concerns about how to approach this and its consequences are becoming more confusing these days. There are a lot of options suggested by different doctors as treatments for under eye bags. There are people like myself who tend to advocate more definitive solutions like surgery. However, eyelid surgery is not a generic procedure. There are two types of approaches: one is transcutaneous which is from outside of the eyelid and the other is transconjunctival. In a case like yours, I would typically do transconjunctival blepharoplasty. This is a technique where I work at the fat pockets from the inside of the eyelids, performed under local anesthesia with LITE™ sedation. This reduces and repositions as is appropriate so it looks like you never had the fat pockets there. With this procedure, the concern about hollowing becomes an issue. Hollowing is often perceived when someone’s eyelids are pulled downward and that is really what scares a lot of people. This situation is called lower eyelid retraction. As a specialist in this area, I see a lot of patients from all over the world to correct lower eyelid retraction and to help them look as if they are not as hollowed. In addition, with facial aging, there is volume loss in the cheek area below the bags look flat. The solutions for that are Radiesse, Restylane, fat, or cheek implants. I suggest to not put so much volume to camouflage the fat pockets. I have patients who got over puffed and they look unrecognizable or unnatural. I end up using an enzyme like hyaluronidase to actually dissolve the fillers. I think you need to try to narrow your decision and try to figure out which doctor resonates with you and you feel comfortable with. Otherwise, meet with the additional doctors. From my perspective as a 20-year cosmetic oculofacial plastic surgeon, transconjunctival blepharoplasty most likely would be starting point for you to address the dominant feature on your face. I hope that was helpful, I wish you the best of luck, and thank you for your question. This personalized video answer to your question is posted on RealSelf and on YouTube. To provide you with a personal and expert response, we use the image(s) you submitted on RealSelf in the video, but with respect to your privacy, we only show the body feature in question so you are not personally identifiable. If you prefer not to have your video question visible on YouTube, please contact us.
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February 2, 2015
Answer: Are eye bags and fat deposits the same thing? The answer to your question may seem confusing, however, the bags under your eyes are caused by bulging fat in your lower eyelids. For these to be treated, they must be removed. An incision will be made inside the eyelid, called a Transconjuctival incision, and the fat pockets removed (referred to as a lower lid blepharoplasty). This would be the best approach for your particular case, and could give you a very pleasing result by taking away the bags under your eyes. However, it does appear that you have a flattened cheek, as well. A filler would provide an excellent enhancement for this area. The combination of a blepharoplasty, along with fillers to add volume to the cheeks, is commonly used in my practice when treating patients with a similar situation.
Helpful
February 2, 2015
Answer: Are eye bags and fat deposits the same thing? The answer to your question may seem confusing, however, the bags under your eyes are caused by bulging fat in your lower eyelids. For these to be treated, they must be removed. An incision will be made inside the eyelid, called a Transconjuctival incision, and the fat pockets removed (referred to as a lower lid blepharoplasty). This would be the best approach for your particular case, and could give you a very pleasing result by taking away the bags under your eyes. However, it does appear that you have a flattened cheek, as well. A filler would provide an excellent enhancement for this area. The combination of a blepharoplasty, along with fillers to add volume to the cheeks, is commonly used in my practice when treating patients with a similar situation.
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January 14, 2015
Answer: Usually a combination procedure is best... From the pictures, it does appear that you have herniated fat under your eyes. A conservative reduction of that fat is necessary to improve that. A well trained surgeon will not over excise the fat, so you don't have to worry abour being hollow. In addition to reducing the fatty bags, for the best result you should have something injected into the crease underneath the bags at the same time. That way you have the best chance at a nice, smooth lower eyelid/cheek complex. We usually don't use Radiesse for this as the eyelid skin is very thin. A fat injection works nicely for this area.
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January 14, 2015
Answer: Usually a combination procedure is best... From the pictures, it does appear that you have herniated fat under your eyes. A conservative reduction of that fat is necessary to improve that. A well trained surgeon will not over excise the fat, so you don't have to worry abour being hollow. In addition to reducing the fatty bags, for the best result you should have something injected into the crease underneath the bags at the same time. That way you have the best chance at a nice, smooth lower eyelid/cheek complex. We usually don't use Radiesse for this as the eyelid skin is very thin. A fat injection works nicely for this area.
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January 21, 2015
Answer: Lower eyelid surgery for bulging fat You have gotten three opinions, two of which are valid. To answser your initial question, the fullness that you see in your lower eyelids is in fact fat. The eye floats in a bed of fat. The fat is held in place by a thin layer of tissue called the orbital septum. As we age, like all other tissue in the body, the orbital septum begins to thin and weaken, and the weight of the eyeball on top of the fat pushes the fat against a thin septum which results in lower eyelid bags, or fat herniation. The problem you have can be corrected to a point with injections of Restylane or fat. Filler injections serve to merely camouflage the hollow around the bulges by filling up the hollows of the lower eyelids. The procedure is safe and will last for over a year. Depending upon your age, lower eyelid surgery which repositions the lower eyelid fat and minimally removes the fat will yield the best long term results and will not leave you with a hollow appearance you have been told can occur.
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January 21, 2015
Answer: Lower eyelid surgery for bulging fat You have gotten three opinions, two of which are valid. To answser your initial question, the fullness that you see in your lower eyelids is in fact fat. The eye floats in a bed of fat. The fat is held in place by a thin layer of tissue called the orbital septum. As we age, like all other tissue in the body, the orbital septum begins to thin and weaken, and the weight of the eyeball on top of the fat pushes the fat against a thin septum which results in lower eyelid bags, or fat herniation. The problem you have can be corrected to a point with injections of Restylane or fat. Filler injections serve to merely camouflage the hollow around the bulges by filling up the hollows of the lower eyelids. The procedure is safe and will last for over a year. Depending upon your age, lower eyelid surgery which repositions the lower eyelid fat and minimally removes the fat will yield the best long term results and will not leave you with a hollow appearance you have been told can occur.
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January 10, 2015
Answer: Lower eyelid bags I greatly appreciate the pictures. It appears that you have some fat beneath your right lower eyelid and minimal fat below the left lower eyelid. I definitely would not recommend Radiesse or any other filler in that area. Only a physical examination would determine if surgery is appropriate.
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January 10, 2015
Answer: Lower eyelid bags I greatly appreciate the pictures. It appears that you have some fat beneath your right lower eyelid and minimal fat below the left lower eyelid. I definitely would not recommend Radiesse or any other filler in that area. Only a physical examination would determine if surgery is appropriate.
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