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?
February 16, 2023
Answer: Is filler the answer for under eye bags? 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.
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February 16, 2023
Answer: Is filler the answer for under eye bags? 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.
Helpful
Answer: Avoid under eye fillers the will not solve the issue and can leave lumps and more severe complications. 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.
Helpful
Answer: Avoid under eye fillers the will not solve the issue and can leave lumps and more severe complications. 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.
Helpful