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 Eye Circles: Lower Blepharoplasty or Fillers? Fillers often can produce a nice temporary cosmetic improvement in some patients, but not all. They certainly do not achieve what a well performed blepharoplasty will do. Fillers can help improve the cosmetic appearance but you will get only a temporary and limited improvement with them. A better and long standing correction would be achieved with a blepharoplasty of the lower lids: Conservatively removing any excess loose skin that may be present, contouring the bulging fat pads, which are generally inherited, unrelated to weight, and tend to protrude more with time, and smoothing the tear troughs with micro-fat grafts or fat repositioning. Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you what to do based on two dimensional photos without examining you, physically feeling your tissue, assessing your desired outcome, taking a full medical history and discussing the pros and cons of each operative procedure would not be in your best surgery. I would suggest that you find a surgeon certified by the American Board of American Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. Robert Singer, M.D., FACS La Jolla,California
Helpful 2 people found this helpful
April 12, 2022
Answer: Age 62 with Under Eye Circles: Lower Blepharoplasty or Fillers? Fillers often can produce a nice temporary cosmetic improvement in some patients, but not all. They certainly do not achieve what a well performed blepharoplasty will do. Fillers can help improve the cosmetic appearance but you will get only a temporary and limited improvement with them. A better and long standing correction would be achieved with a blepharoplasty of the lower lids: Conservatively removing any excess loose skin that may be present, contouring the bulging fat pads, which are generally inherited, unrelated to weight, and tend to protrude more with time, and smoothing the tear troughs with micro-fat grafts or fat repositioning. Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you what to do based on two dimensional photos without examining you, physically feeling your tissue, assessing your desired outcome, taking a full medical history and discussing the pros and cons of each operative procedure would not be in your best surgery. I would suggest that you find a surgeon certified by the American Board of American Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. Robert Singer, M.D., FACS La Jolla,California
Helpful 2 people found this helpful