Should I get filler injections or a lower blepharoplasty with fat repositioning and a skin pinch? (Photo)
Doctor Answers 12
Tear Trough Treatment vs. Lower Blepharoplasty
Should I get filler injections or a lower blepharoplasty with fat repositioning and a skin pinch?
Yes a lower lid blepharoplasty with canthopexy + fat grafts or fillers to tear trough. Seek in person opinions...
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You should do well with a transconjunctival fat repostioning.
Lower eyelid rejuvenation
Should I get filler injections or a lower blepharoplasty
You have significant eye changes for your age.
Agree with Dr. Taban. You have both upper and lower eyelid issues. The upper eyelid have anterior levator dehiscence ptosis with significant hollowing of the upper eyelid sulcus. The lowers might benefit from fillers but this will be fussy. I think you might do well proceeding with lower eyelid surgery but it is essential to find a surgeon who is very artful. Your lower eyelids need fat repositioning that is most safely performed transconjunctivally. You also need a transcutaneous skin only dissection to help resuspend the lower eyelid orbicularis and remove a tiny amount of lower eyelid skin. The risk is that many surgeon will want to accomplish this surgery simply by performing an infracilliary transcutaneous lower bleph where the skin and muscle is cut to gain access to the lower eyelid fat. Because you have a big eye socket, the motor nerve damage that this type of surgery will cause is likely to cause late lower eyelid issues. I suggest that you proceed cautiously can get many opinions to decide who makes the most sense. Sometimes it is worthwhile to travel for the right surgery.
A different approach
Lower blepharoplasty vs filler
Lower lid surgery or filler injection
Go for the lower lid blepharoplasty with fat repositioning if you can afford it. The results are longer lasting and almost always look better than filler injection. With surgery you can get rid of the bulge, not so with fillers. While fillers may look good at rest, with certain movements such as smiling, sometimes the filled area looks like a bulge.
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