Is filler the answer I’m going to get from all oculoplastic surgeons for my under eye bags at 26? (Photo)

Question

I am 26 and have under eye bags from fat pads under my eyes, I was told by one surgeon that I am too young to get a lower and I should have under eye filler instead, however I also get a lot of water retention and puffiness and heard this will make it worse, is this the answer I’m going to get from all oculoplastic surgeons? Is there anything I can do to help reduce the size of the fat pads like eye exercises or microneedling etc?

Stanley Okoro, MD · Answer

Thanks for your question and the photo you provided. Nonsurgical options for lower eyelid fat pad treatment include
1) Thermismooth
2) Morpheus 8 
A minimally invasive option would be 
1) Accutite
Since you are so young, I would consider the above options first before going to surgery. If they work, you can avoid a surgical encounter. Make sure you consult with a board certified plastic surgeon, good luck

Jason Emer, MD · Answer

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells and microneedling RF like Fractora PiXel8 or Morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.As far as I can see from the photo you do not have any extra skin under your eyes. The lower eyelid blepharoplasty is give you the look that you want. For the hollowness I recommend you fat injection to under eye area. Also your eye corners are downward. With the cat eye surgery your eyes would be much slanted and upward. If you can provide photos with better lighting, from the side of your face and 1 meter away I would be able to make a proper evaluation.Best Regards!

Harold J. Kaplan, MD · Answer

Hello Independent.  The answer to your question is no, you will not get the same answer from all surgeons about your best course of action.  In many cases this is because each surgeon has his/her our own comfort level with filler, fat pad surgery and/or fat transfer.  While each of these may be options in your case, you will likely get different recommendations from different providers.  It's hard to tell from the photo if we would suggest a lower lid surgery where correction of the protruding fat pad is undertaken or rather a camouflage of the area using Restylane dermal filler (see link below).  Given your age, we would likely be leaning toward filler at this point to see if that could help before any surgery.

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you for your questions.

Your eyelids look excellent and beautiful and young.

Under eye fillers rarely improve the appearance of lower eyelids and complications such as lumps bumps gray discoloration and even blindness have been reported.

Looking at your photos carefully I do see a small shadow or dark line underneath the lower eyelid. This is caused by an attachment of the lower eyelid to the bone underneath the lower eyelidf fat pockets.

This can be addressed with a transconjunctival lower eyelid Blepharoplasty with Arcvus Marginalis release and fat grafting.

Is filler the answer I’m going to get from all oculoplastic surgeons for my under eye bags at 26? (Photo)

Answers (5)

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