Would a lower eyelid blepharoplasty or fillers be the best option for me? 34 y/o female (photos)

Question

Hi- I’m a 34 year old female, tan skinned. Looking for advice on under eye fillers or lower Blepharoplasty.

Lexie Wang, MD · Answer

lower blepharoplasty -- you have fat pseudoherniation so that is not something that filler will address

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. Based on your concerns, it is difficult to determine from the photos. Therefore, I recommend an in-person consult to determine if you are a candidate for a lower blepharoplasty. hope this helps and best of luck!

Nelson Lee Novick, MD · Answer

The simplest solution to a problem is often the best. And, in this case, the simplest solution would be the use of a robust HA volumizing filler for the cheeks, which would not only help to contour a more feminine, oval, ogee curve for the cheeks, but since the cheeks serve not only to support the under-eye regions and lift the lower cheeks, filler cheek augmentation would likely secondarily significantly improve the under-eye tear troughs and hollows and also improve the smile lines. The results are typically immediate, engender little to no significant downtime, and typically evoke an immediate "Wow!" reaction.
Surgery, on the other hand, besides being expensive and invasive, carries the risks of infection, scarring and a prolonged post-surgical downtime. 
You would be wise to consult with a board certified cosmetic dermatologist filler expert. 
Hope this helps and best of luck.

Eric M. Joseph, MD · Answer

Digital photos rarely tell the whole story, however, I feel that trying to camouflage your lower lid bags with filler could lead to a puffier lower eyelid appearance. Thank you for your question I hope this is helpful. Sincerely, Dr Joseph

Jason Emer, MD · Answer

For puffiness and sagging under the eyes, we often use Renuvion helium plasma radiofrequency energy to achieve incredible results and take years off of your appearance. Combining RF energy and cool helium plasma, the signs of aging (wrinkles, pigmentation, skin laxity) are improved in a ‘Nonsurgical Eyelid Lift.' The focused heating tightens and peels the upper layers of skin with extreme precision, leaving the surrounding area undamaged, smoothing and tightening the periorbital skin, and improving the overall skin quality around the eyes. It's an aggressive treatment, and the recovery time is longer than with other nonsurgical procedures, but the results can be life-changing.​ See an expert to determine if this is the best solution for you. Best, Dr. Emer

Would a lower eyelid blepharoplasty or fillers be the best option for me? 34 y/o female (photos)

Answers (6)

Answer: A transconjunctival blepharoplasty maybe the best way to remove the bags from under your eyes.

Answer: A transconjunctival blepharoplasty maybe the best way to remove the bags from under your eyes.

Answer: Lower eyelid treatment option

Answer: Lower eyelid treatment option

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Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

Would a lower eyelid blepharoplasty or fillers be the best option for me? 34 y/o female (photos)

Answers (6)

Answer: A transconjunctival blepharoplasty maybe the best way to remove the bags from under your eyes.

Answer: A transconjunctival blepharoplasty maybe the best way to remove the bags from under your eyes.

Answer: Lower eyelid treatment option

Answer: Lower eyelid treatment option

Browse related questions

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.