Would a lower eyelid lift be a good solution for sagging skin? 26 y/o (photos)

Question

Hello I'm a 26-year-old woman troubled by loose skin and hollowness under my eyes. Despite trying treatments like Co2 laser and Restylane injections, I haven't seen satisfying results. I'm now considering a lower eyelid lift surgery for a potential solution. I understand the longevity of results might vary, but this step feels important to me. Dealing with these concerns at my age has been isolating. Would surgery be the best solution? (see images) BW

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Bora Ok, MD · Answer

Hello from Istanbul! The fine lines you observe around your eyes, especially when you squint, arise from the contraction of the eyelid muscle called orbicularis oculi. For the lines on the outer corners of your eyes, often termed 'crow's feet,' Botox remains the gold standard, recognized for its safety and efficacy. For the hollowness beneath your eyes, a lower eyelid surgery (lower blepharoplasty) may help by redistributing the fat tissue. A midface lift may also be considered, which would elevate the cheek tissue and bring it closer to the lower eyelid. An in-person consultation would be best to decide on the optimal course of action. Best of luck!

Thomas A. Mustoe, MD, FACS · Answer

I would be very cautious about recollect blepharoplasty. The malar puff you have is difficult to treat is not due to skin excess but rather swelling underneath.  Filler can sometimes cause that problem.  I Would make every attempt to dissolve and then consider fat grafting plus laser. Unfortunately you have a very difficult problem. Choose your surgeon very carefully and overall I don’t think lower blepharoplasty will help you.  Sometimes a midface lift approached through the eyelid (long recovery high complication rate or through a lateral approach has made a big difference but those  are major procedures and could only be recommended after trying other options (repeated laser) and after getting to know the patient very well.

C. Blake Perry, MD · Answer

You would be a candidate for lower eyelid blepharoplasty. Judging from your photos, it appears you still have some filler in your tear troughs causing edema. Before lower lid surgery I would try to dissolve all your filler. This will make the “bags” under your eyes look worse until surgery but it necessary to get the best result. Best to have an in person consultation with an eyelid expert.

Zoran Potparic, MD · Answer

Lower, transconjuctival blepharoplasty should be considered first. It may not entirely address the problem but it will produce significant change. Next step should be done not sooner than 1 year later, until result of blepharoplasty matures. Hope this helps.

Would a lower eyelid lift be a good solution for sagging skin? 26 y/o (photos)

Answers (8)

Answer: Lower eyelid surgery

Answer: Lower eyelid surgery

Answer: Lower blapharoplasty

Answer: Lower blapharoplasty

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Everything you need to know about Eyelid Surgery

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Would a lower eyelid lift be a good solution for sagging skin? 26 y/o (photos)

Answers (8)

Answer: Lower eyelid surgery

Answer: Lower eyelid surgery

Answer: Lower blapharoplasty

Answer: Lower blapharoplasty

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.