I am a 40yr old female with prominent eye bags. I am fortunate not to have any wrinkles and or crows feet around my eyes and I don't have saggy skin all i have is alot of bulginess. I have seen several doctors and I have gotten different opinions from them, from getting a transconjunctival approach to transcutaneous approach with fat grafting. I am so confused. Not sure which approach is right for me?
August 25, 2019
Answer: Prominent fat pads You have significant fat pads for your age. A transconjunctival is the method of choice for most surgeons these days. There are usually less complications with this approach. From the inside of the lid, the fat can be repositioned inferiorly to fill in the tear trough. You have so much fat that some may need to be removed as well. If there is excess skin, a pinch of skin can be removed from directly under the lash line .
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August 25, 2019
Answer: Prominent fat pads You have significant fat pads for your age. A transconjunctival is the method of choice for most surgeons these days. There are usually less complications with this approach. From the inside of the lid, the fat can be repositioned inferiorly to fill in the tear trough. You have so much fat that some may need to be removed as well. If there is excess skin, a pinch of skin can be removed from directly under the lash line .
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September 12, 2014
Answer: Which would you recommend Transconjunctival vs. Transcutaneous Blepharoplasty? Patients with your anatomy can potentially get a good cosmetic improvement with either approach. Since a small amount of excess skin will probably be present after contouring the fat and internal support of the lid may be necessary with a canthopexy, the transcutaneous approach may produce a better longer lasting result.Following the advice of anyone who would presume to tell you what to do without taking a full medical history, examining you, feeling and assessing your tissue tone, discussing your desired outcome and fully informing you about the pros and cons of each option would not be in your best interest. Find a plastic surgeon that you are comfortable with and one that you trust and listen to his or her advice. The surgeon should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) or an oculoplastic surgeon. You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla, California
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September 12, 2014
Answer: Which would you recommend Transconjunctival vs. Transcutaneous Blepharoplasty? Patients with your anatomy can potentially get a good cosmetic improvement with either approach. Since a small amount of excess skin will probably be present after contouring the fat and internal support of the lid may be necessary with a canthopexy, the transcutaneous approach may produce a better longer lasting result.Following the advice of anyone who would presume to tell you what to do without taking a full medical history, examining you, feeling and assessing your tissue tone, discussing your desired outcome and fully informing you about the pros and cons of each option would not be in your best interest. Find a plastic surgeon that you are comfortable with and one that you trust and listen to his or her advice. The surgeon should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) or an oculoplastic surgeon. You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla, California
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