I had a lower blepharoplasty 5 months ago for under-eye bags. The eye bags are still there and neither my husband nor I notice any difference at all. The oculoplastic surgeon told me that she only removes the fat that comes out easily. Unfortunately, very little came out easily and now she said she can only offer filler. Could there be another reason for under-eye bags? Your advice would be much appreciated. Thanks.
Answer: Persistent Under Eye Bags While I completely agree that over resection of lower eyelid fat is not good, your result seems so ultra-conservative that there is little to no change. From my experience, there is way more fat to give with either removal or repositioning (depending on your cheek volume). You do seem to have some volume loss in the cheeks and would benefit from repositioning or filler/fat grafting in the cheeks. If you were to have only filler added to disguise the bags as they are now, your cheeks and lower eyelids would be very full. You need more of the bag removed.
Helpful 2 people found this helpful
Answer: Persistent Under Eye Bags While I completely agree that over resection of lower eyelid fat is not good, your result seems so ultra-conservative that there is little to no change. From my experience, there is way more fat to give with either removal or repositioning (depending on your cheek volume). You do seem to have some volume loss in the cheeks and would benefit from repositioning or filler/fat grafting in the cheeks. If you were to have only filler added to disguise the bags as they are now, your cheeks and lower eyelids would be very full. You need more of the bag removed.
Helpful 2 people found this helpful
August 28, 2018
Answer: Does your surgeon think you have a good outcome? If not, she should be offering you viable options on how best to deal with bag. Most plastic surgeons move the fat into the hollow and most oculoplastic surgeons seem to want to remove fat (that only makes eyes hollow later) based on my observations. If your surgeon feels this is a great result, then you should show the world what her work is like. I suspect she is a younger surgeon and will learn a lot from your case. You are now looking at either a re-do transconjunctival lower lid blepharoplasty with transposition of the fat or fillers/fat grafting into the hollow as long as the bag doesn't protrude too much. As mentioned by someone else, you could also benefit from a browlift.
Helpful 1 person found this helpful
August 28, 2018
Answer: Does your surgeon think you have a good outcome? If not, she should be offering you viable options on how best to deal with bag. Most plastic surgeons move the fat into the hollow and most oculoplastic surgeons seem to want to remove fat (that only makes eyes hollow later) based on my observations. If your surgeon feels this is a great result, then you should show the world what her work is like. I suspect she is a younger surgeon and will learn a lot from your case. You are now looking at either a re-do transconjunctival lower lid blepharoplasty with transposition of the fat or fillers/fat grafting into the hollow as long as the bag doesn't protrude too much. As mentioned by someone else, you could also benefit from a browlift.
Helpful 1 person found this helpful
March 28, 2019
Answer: Lower lids FightnTrojans, You would need an exam. The question would be do you have congenital pseudoherniation or senile. Depends on exam and history. You probably need a SOOF lift also; see the video on "SOOF lift blepharoplasty". Good luck!
Helpful 2 people found this helpful
March 28, 2019
Answer: Lower lids FightnTrojans, You would need an exam. The question would be do you have congenital pseudoherniation or senile. Depends on exam and history. You probably need a SOOF lift also; see the video on "SOOF lift blepharoplasty". Good luck!
Helpful 2 people found this helpful
August 29, 2018
Answer: Help for residual lower eyelid bags. If you do not have other eye problems from surgery, I would recommend a transconjunctival approach with fat repositioning to both reduce the remaining bulging, and fill the infraorbital hollowing below the lid. I feel this is a better solution for the long term.
Helpful 1 person found this helpful
August 29, 2018
Answer: Help for residual lower eyelid bags. If you do not have other eye problems from surgery, I would recommend a transconjunctival approach with fat repositioning to both reduce the remaining bulging, and fill the infraorbital hollowing below the lid. I feel this is a better solution for the long term.
Helpful 1 person found this helpful
August 26, 2018
Answer: Lower Blepharoplasty Did Not Help Dear FightnTrojans, An in office examination would be needed to provide a proper diagnosis. However based on your photos alone if you were my patient I would perform and endoscopic browlift to put your brows back to their pre-aging position and a transconjunctival lower lid blepharoplasty with repositioning to address your lower eyelid bags. This combination procedure is done with no tell tale signs of surgery as the incisions are in the hairline and inside of the lower lid. This would provide a nice natural youthful appearance. I would not suggest using filler in the lower lids for your particular concern. See examples in the link below and these combined procedures in the video attached. Best regards, Michael V. Elam, M.D.
Helpful 1 person found this helpful
August 26, 2018
Answer: Lower Blepharoplasty Did Not Help Dear FightnTrojans, An in office examination would be needed to provide a proper diagnosis. However based on your photos alone if you were my patient I would perform and endoscopic browlift to put your brows back to their pre-aging position and a transconjunctival lower lid blepharoplasty with repositioning to address your lower eyelid bags. This combination procedure is done with no tell tale signs of surgery as the incisions are in the hairline and inside of the lower lid. This would provide a nice natural youthful appearance. I would not suggest using filler in the lower lids for your particular concern. See examples in the link below and these combined procedures in the video attached. Best regards, Michael V. Elam, M.D.
Helpful 1 person found this helpful
