Would eyelid surgery be the best option to treat my eye bags and tear troughs? (Photo)

Question

Hi Doctors, I am an Asian women, 34 year old. I have a little eye bags and maybe tear troughs (but not sure). I don’t know what kind of surgery will help to improve my eyelids. I am not a fan of fillers. I am thinking about eyebag remover, tear trough fat transfer or laser; something that can last forever. But first of all, I’d like to confirm do I have eyebags, tear troughs or both? Thank you so much for your suggestion!

Jason Emer, MD · Answer

Hello and thank you for your question. A formal evaluation would be needed to determine the best treatment. There are both surgical and non-surgical options to correct this, depending on your specific situation.

For less significant puffiness and sagging UNDER the eyes, or more mild improvement, there are nonsurgical treatment options: we often use Renuvion helium plasma radiofrequency (RF) energy to achieve incredible results and take years off of your appearance. Combining RF energy and cool helium plasma, the signs of aging (wrinkles, pigmentation, skin laxity) are improved in a ‘Nonsurgical Lower Eyelid Lift.' The focused heating tightens and peels the outer skin layer with extreme precision, leaving the surrounding area undamaged, smoothing and tightening the periorbital skin, and improving the overall skin quality around the eyes. It's an aggressive treatment, and the recovery time is longer than with other nonsurgical procedures, but the results can be life-changing.​

Surgery (a lower blepharoplasty with or without canthopexy/canthoplasty or orbicularis muscle suspension) is a great option for more significant improvement- for example if there are more severe lower eyelid bags / bulging present. Sometimes the surgery can also be used to intentionally adjust the shape and/or size of your eyes, or correct any asymmetries!

Dr. Donald Groves is an expert facial plastic surgeon that I work with, who specializes in these types of procedures. It is important that if you are considering surgery that you go to someone who is well trained and very experienced with these delicate operations to get the best results. I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert, or an aesthetic facial plastic surgeon like Dr. Groves; we are both located right here in Los Angeles.

Best, 
Dr. Emer

Lexie Wang, MD · Answer

Your eye bags are causing you to have a tear trough deformity. This is something that is treated with a lower blepharoplasty. Hope that helps

William Portuese, MD · Answer

You have herniated fat underneath your eyelids, and that herniated that can be removed through a trans conjunctival approach on the inside of the lower lids under a brief general anesthesia is an outpatient procedure

Would eyelid surgery be the best option to treat my eye bags and tear troughs? (Photo)

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Would eyelid surgery be the best option to treat my eye bags and tear troughs? (Photo)

Answers (3)

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Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.