Persistent puffiness under lower eyelids - Will I benefit from lower eyelid surgery? (Photo)

A lower blepharoplasty can be done to transpose the fat to fill out the hollows and decrease the puffy appearance. This takes about 1 hour to perform under general anesthesia and costs $4,000.

Best Wishes,

Gary Horndeski, M.D.

We do see some puffiness, which appears relatively mild. In cases like this, a dermal filler can sometimes be used to camouflage the puffiness by blending the surrounding hollow areas. While fillers are temporary, they can give you a good sense of how much improvement is possible without surgery. If the results from fillers are inadequate, then moving forward with lower eyelid surgery may be the next appropriate step.

Thank you for your inquiry! By your photos, it looks like you would be a great candidate for a lower bleph procedure as that procedure will remove excess skin and fullness to your lower eyelids. I recommend scheduling a consult appointment with a board certified plastic surgeon like myself so we can assess your eyes, listen to your goals, and create a surgical plan that is best for you and your goals!