My lower eyelid bags really bother me. The skin is so bunched when I smile. I seem to have a lot of excess skin but I don’t have prominent eye bags, more of a slight hollow. I have tried tear trough filler in 2020 which I think made it worse and I’ve also done Co2 under my eyes. Photo 1 is at rest, photo 2 is soft smile and photo 3 is big smileZ Am I a good candidate for a blepharoplasty? Thanks
Answer: Lower eye lid treatment From the photos I can see hollowing of the lower eyelids with hyperactivity of the lower fibres of orbicularis muscle on animation. You don't appear to have skin excess. You could be a candidate for transconjunctival blepharoplasty (incision in the back of the lower eyelid) with re-positioning of the lower fat pads to give volume to the hollowed area. This will avoid any skin excision. The hyperactive orbicularis muscle could be treated with Botox. Alternatively, you could have filler/fat transfer to the hollowed area with Botox to muscle. This could be supplemented with further CO2 laser to the lower lid skin. Ultimately, I would advise that you see a Plastic surgeon with an interest in facial aesthetics for full assessment.
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Answer: Lower eye lid treatment From the photos I can see hollowing of the lower eyelids with hyperactivity of the lower fibres of orbicularis muscle on animation. You don't appear to have skin excess. You could be a candidate for transconjunctival blepharoplasty (incision in the back of the lower eyelid) with re-positioning of the lower fat pads to give volume to the hollowed area. This will avoid any skin excision. The hyperactive orbicularis muscle could be treated with Botox. Alternatively, you could have filler/fat transfer to the hollowed area with Botox to muscle. This could be supplemented with further CO2 laser to the lower lid skin. Ultimately, I would advise that you see a Plastic surgeon with an interest in facial aesthetics for full assessment.
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November 28, 2023
Answer: Would not recommend blepharoplasty Hello and thank you for your question. My first reaction is to suggest a neuromodulator such a Botox for the undereye creasing. Nonsurgical options are also something I would suggest as, based on your photos, I do not believe that you would be a good candidate for surgery at this time - other then possibly a very small amount of fat grafting to conservatively fill the tear troughs. Best of luck to you.
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November 28, 2023
Answer: Would not recommend blepharoplasty Hello and thank you for your question. My first reaction is to suggest a neuromodulator such a Botox for the undereye creasing. Nonsurgical options are also something I would suggest as, based on your photos, I do not believe that you would be a good candidate for surgery at this time - other then possibly a very small amount of fat grafting to conservatively fill the tear troughs. Best of luck to you.
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October 20, 2023
Answer: Lower blepharoplasty Hi! this is Arzu from Dr. Caner Kacmaz clinic. You have skin excess in lower eyelids and that causes bag. You are a very good candidate for lower blepharoplasty. if you contact with us we will me more than happy to help you Kind regards
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October 20, 2023
Answer: Lower blepharoplasty Hi! this is Arzu from Dr. Caner Kacmaz clinic. You have skin excess in lower eyelids and that causes bag. You are a very good candidate for lower blepharoplasty. if you contact with us we will me more than happy to help you Kind regards
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October 10, 2023
Answer: No Touch Transconjunctival Blepharoplasty In fact, I think you are a very good candidate for lower blepharoplasty. It seems that you have a slight excess in skin and also a very minimal lower eyelid fat bags doing a no touch transconjunctival blepharoplasty. Would be a best option to correct your under eyelid form.
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October 10, 2023
Answer: No Touch Transconjunctival Blepharoplasty In fact, I think you are a very good candidate for lower blepharoplasty. It seems that you have a slight excess in skin and also a very minimal lower eyelid fat bags doing a no touch transconjunctival blepharoplasty. Would be a best option to correct your under eyelid form.
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October 9, 2023
Answer: Be careful Hi Bright. I would be careful with your lower eyelids especially because they look pretty good when you are at rest and not smiling. If you have too much skin removed (such as in a skin pinch lower bleph to attempt to tighten the skin), you are at risk for ectropion or lid retraction, which are not easy things to fix or deal with. What I see is some hollowing under the eyes (as you noted) as well as hyperactivity of your orbicularis oculi muscle. I would consider filler/fat to fill the hollowing (tenting up the skin in this area will automatically help tighten the skin), skin tightening treatments (laser/microneedling, which may require multiple sessions), and botox to the orbicularis muscle to try to decrease the activity. Also make sure you are already on good eye creams to boost your skin as much as you can!
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October 9, 2023
Answer: Be careful Hi Bright. I would be careful with your lower eyelids especially because they look pretty good when you are at rest and not smiling. If you have too much skin removed (such as in a skin pinch lower bleph to attempt to tighten the skin), you are at risk for ectropion or lid retraction, which are not easy things to fix or deal with. What I see is some hollowing under the eyes (as you noted) as well as hyperactivity of your orbicularis oculi muscle. I would consider filler/fat to fill the hollowing (tenting up the skin in this area will automatically help tighten the skin), skin tightening treatments (laser/microneedling, which may require multiple sessions), and botox to the orbicularis muscle to try to decrease the activity. Also make sure you are already on good eye creams to boost your skin as much as you can!
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