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Strong under eye lines and bags that mostly appear when smiling. Recommendations? (photo)

S
shanchap23Sep 14, 2016

Hello! I have a nagging issue that constantly bothers me. I have bags under my eyes that are very prominent when smiling. If I am not smiling they are not as obvious but there is still some slight puffiness especially in the morning. The picture shows the top version where I am not smiling and the bottom shows smiling. Thanks for the help!

Answers (3)

From board-certified doctors and trusted medical professionals
Dr. Benjamin Caughlin, MD, FACS
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Dr. Benjamin Caughlin, MD, FACS
Board Certified Facial Plastic Surgeon
4.9 | 65 Reviews
Answered on Nov 14, 2016
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Dr. Katherine Zamecki, MD, FACS
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Dr. Katherine Zamecki, MD, FACS
Oculoplastic Surgeon, Board Certified in Ophthalmology
4.6 | 9 Reviews
Answered on Sep 20, 2016
Answer
Dr. Jason Emer, MD
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Dr. Jason Emer, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.7 | 522 Reviews
Answered on Sep 16, 2016
Answer
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Mehryar (Ray) Taban, MD, FACS

You have eye asymmetry which is likely due to the following: 1) left upper eyelid ptosis (droopy eyelid);  2) left eye more sunken (or right eye more bulging).  You need to see an oculoplastic specialist for evaluation.  See video and link below.

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Katherine Zamecki, MD, FACS

Lacrimal gland resuspension should have a longer-lasting result than that what you experienced. I would try to obtain the operative report from the original surgery to see what technique and what type of suture was used. I would suggest having a revision since you are young and so bothered...

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Damien Grinsell MBBS, FRACS (Plast)

Hi. I don't think you have a residual ptosis however there are some things about your eyelid aesthetics that could be improved. The crease can be remade by anchoring the skin to the top of the tarsal plate. You also have a slight excess of skin on the right which could benefit from a skin only...

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Katherine Zamecki, MD, FACS

Two weeks after surgery is way too soon to be concerned about the incisions, swelling, bags, etc. It can take at least one month for most of the bruising and swelling to subside. It will take several months for the incisions to fade. Everyone heals at a different pace. I would not...

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Raffy Karamanoukian, MD, FACS

Plastic surgery scars require attention after surgery so that they remain cosmetically-appealing and barely noticeable. In our office, we use a protocol for scars that minimizes their activity in the 6-8 weeks after surgery. If you have late plastic surgery scars, you may also require laser and...

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Kenneth D. Steinsapir, MD

Upper eyelid surgery weakens eyelid closure on 100% of patients.  Generally this is most noticeable in the first 8 weeks after surgery but generally resolves.  There seems to be some recovery in the muscle strength in most patients.  Generally for this reason, patients are instructed to use te...

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