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!

There is no doubt that a combination of lower transconjuctival blepharoplasty and periodical fat grafting would be a good option for you. In person consultation with a board certified plastic surgeon with good reputation in facial rejuvenation is recommended. Good luck.

It is difficult to tell from the photo if you have true fat bulges. If you do then a lower blepharoplasty is a good option. It will reduce the dark and hollow appearance. You should not need any skin excision in the lower eyelids. A laser after surgery can tighten the skin to make it smoother.
Regards
Dr. Janjua

To make a determination about how to proceed, you're going to need to submit better pictures of your eyelids to make a determination about how best to proceed. If you have herniated fat pads in the lower lids, a trans conjunctival approach, lower eyelid surgery is performed to remove the herniated fat bags creating the puffy look.

Based on one post of photo you do appear to have slight puffiness of the lower eyelid at this point to avoid surgery, I would do a minimal surgical procedure of the Endo lays to shrink the eyelid skin and the fat pocket. This is under local anesthesia fee $2500 best of virtual concert.