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

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.

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.