Can swollen, puffy eyes be dealt with non-surgically, or would you recommend that I get blepharoplasty/surgery?
Doctor Answers 6
Treatment of Swollen, Puffy Eyes
Lower blepharoplasty vs filller injection
Possible Blepharoplasty Candidate
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Puffy eye treatment in the young patient.
There is no substitute for an actual physical examination in person.
There is a condition seen in young people that does cause puffy lower eyelid from inflammation but this is rare. More likely you are describing contour issues of the lower eyelid that for your age most likely will be very effectively addressed with hyaluronic acid fillers. The best of these products for the lower eyelid is Restylane.
When you are ready, an in person consultation with a very experienced aesthetic oculoplastic surgeon will help you have a clear idea on how to proceed. Generally diuretics (water pills) are not helpful. Surgery may be an option but many, many individuals your age are avoiding surgery with the use of fillers.
True puffy eyes or eye bags require surgical treatment
Thank you for your question. True puffy eyes or eye bags are caused by fat beneath the eye pushing forward on the eyelid skin. This condition requires a surgical treatment called lower blepharoplasty to remove the excess fat and correct the puffiness.
Dark eyelid skin color is a normal human condition caused by skin that is so thin that the purple color of the muscle beneath shows through the skin.This is very difficult if not impossible to treat.Small blue veins scan be corrected with IPL treatments.
Deep depressions or dark circles can be treated with fat grafting during the course of the lower blepharoplasty.