Is a transconjunctival blepharoplasty right for my genetic under eye bags? (photos)
Doctor Answers 12
The trans-conjunctival blepharoplasty is usually combined with an external skin pinch, to remove the redundant skin, once the fat pads are removed and deflated.
Lower lid Blepharoplasty may be performed with a combination of local anesthesia as well as light IV sedation anesthesia. General anesthesia is not necessary, although patient preference should always be taken into consideration.
Hope this at least provides useful information. Good luck and best wishes. Dr. Shah
It's a two part process
Puffy fat can be repositioned safely without an external incision especially in someone your age or the layers that hold the fat in can be tightened to give you a smoother look. It may be however that you really need some filling beneath the eyelids to improve your cheek/lid junction.
Find someone experienced and trust their judgement - you should get a good result.
Puffy eyes at 28
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Best of luck
Trans-conjunctival blepharoplasty is best for young patients with bags under their eyes
Trans-conjunctival approach for fat removal in the lower lids
Lower eyelid bags
From your photos, you look like you may do fine with conservative fat removal alone - although an in person exam is needed to determine this. Typically, fat repositioning is preferred to conserve volume and fill the tear trough. Most age related lower eyelid "bags" are due to a combination of weakening of the orbital septum (which normally hold the fat back in the eye socket) and loss of volume in the cheek. This exposes the rim of the eye socket which enhances the baggy appearance. Repositioning the fat in these cases can blend the eyelid-cheek junction. However, you are young and it sounds as if you have always had lower eyelid bags. This is usually due to a hereditary excess or prolapse of fat. In these specific cases, conservatively removing a small amount of fat can give great results.
An in person exam with an oculoplastic surgeon would help to confirm if a removing or repositioning fat is the best option for you. Hope this helps. Ira Vidor, M.D.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.