I am a 62yo female who has recently consulted with several cosmetic surgeons regarding my under-eye circles. Two doctors recommended a lower blepharoplasty, but two said a lower bleph wasn't necessary and that under-eye fillers (Restylane) would yield better results. I'm genuinely confused about which recommendation to follow.
April 12, 2022
Answer: Lower blepharoplasty or fillers? A lower blepharoplasty or fillers could both improve bags under the eyes in some people. The dark circles you see are caused by a shadow that is created by the puffiness above. The puffiness is caused from fat in your lower eyelids. A filler can be placed into the area below the bags to help camouflage the issue. This would normally be a temporary result, since most fillers that would be used in that area are not permanent. A lower blepharoplasty would directly address the excess fat and would provide a longer lasting improvement. It is also possible that you could try a filler first and then have surgery later, if you wished.
Helpful 1 person found this helpful
April 12, 2022
Answer: Lower blepharoplasty or fillers? A lower blepharoplasty or fillers could both improve bags under the eyes in some people. The dark circles you see are caused by a shadow that is created by the puffiness above. The puffiness is caused from fat in your lower eyelids. A filler can be placed into the area below the bags to help camouflage the issue. This would normally be a temporary result, since most fillers that would be used in that area are not permanent. A lower blepharoplasty would directly address the excess fat and would provide a longer lasting improvement. It is also possible that you could try a filler first and then have surgery later, if you wished.
Helpful 1 person found this helpful
April 12, 2022
Answer: Age 62 with under ice circles, lower blepharoplasty? From the one limited photograph, you have significant herniated fat pads in the lower lids creating the puffy look. In our practice, we do not recommend fillers placed in that area for a variety of reasons. The Fat can be removed through a trans conjunctival approach lower blepharoplasty with all the incisions placed on the inside of the lower lid. If there's excess skin present, then a pinch technique is performed to remove the extra skin and that incision is closed with tissue glue. No sutures are necessary. This procedure is performed under a brief general anesthetic an outpatient surgical procedure
Helpful 2 people found this helpful
April 12, 2022
Answer: Age 62 with under ice circles, lower blepharoplasty? From the one limited photograph, you have significant herniated fat pads in the lower lids creating the puffy look. In our practice, we do not recommend fillers placed in that area for a variety of reasons. The Fat can be removed through a trans conjunctival approach lower blepharoplasty with all the incisions placed on the inside of the lower lid. If there's excess skin present, then a pinch technique is performed to remove the extra skin and that incision is closed with tissue glue. No sutures are necessary. This procedure is performed under a brief general anesthetic an outpatient surgical procedure
Helpful 2 people found this helpful
