28 years old - Is an extended blepharoplasty the right choice for me?

Question

I suffer from a deep tear though (deformity) and as a result look always tired with visible eyebags. Right side is worse then left side. I was told a "normal" bleph couldn't adress the underlying issue. A Lower lid blepharoplasty would address the lid-cheek junction and tear-trough area. (So midface will be partly lifted to shorten the lower lid lenght and excess skin will be removed). I am 28 years old/young. Thank you for answering to my concern!

John Michael Thomassen, MD · Answer

A transconjunctival blepharoplasty would remove the herniated fat that is causing the bags.  Additional fat grafting along the tear trough and orbitomalar groove would further improve this.

Gurkan Kayabasoglu, MD · Answer

Hi. Yes, a mid-face lift combined with a lower eyelid fat transposition surgery would be very beneficial for you.  Thus, the transition between your midface, cheeks and eyes becomes very beautiful. I’m the only triple board-certified facial plastic surgeon all around Europe. I’m just focused on this issue. I am a doctor who goes to almost every country in the world and explains my techniques to important doctors with the seminar invitations I receive, so I am definitely the only doctor who can perform your operation very comfortably and successfully. You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile (+90 539 204 40 90). You can also book an online consultation and discuss your problems with me. With all respect.

Donald B. Yoo, MD, FACS · Answer

Common reasons for lower blepharoplasty include tear trough deformity or pseudoherniation of the orbital fat. An in-person exam would provide a more accurate diagnosis, but preliminarily based on your photos it does appear you have pseudoherniation of fat creating "eye bags.” They should also be more prominent when you look up. Transconjunctival lower blepharoplasty with fat repositioning will provide nice results and a better lid-cheek transition in this case. @drdonyoo

Zoran Potparic, MD · Answer

Patients who have mild/moderate malar atrophy due to a smaller cheek bones, will show this type of deformity very early. Correction of the orbicularis muscle/ligament attachments and redistribution of fat pads, should be all what is needed; it is all achieved using small incision placed inside the eyelid. In person consultation with a board certified plastic or oculoplastic surgeon, is recommended. Good luck.

Robert T. Buchanan, MD (retired) · Answer

I would advise against any blepharoplasty or mid-face lift. Having done these for years, I eventually gave them up as too invasive with too many problems and not as good of results as desired. Not even trans conjunctival fat repositioning gavotte desired results. I also used fat grafting with excellent results but have switched to Juvederm Voluma most of the time. It provides excellent results and lasts significantly long, up to and over 5 years. Make sure you see an expert as most injectors inject superficially and use a light filler, both brought with problems

28 years old - Is an extended blepharoplasty the right choice for me?

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