Eye bags and dark circles. Help! (Photo)

Question

I am 26 and my lower eyelids have got really bad in the last two years. It is hereditary, both my parents have bad eye bags. I had restylane done two years ago and I didnt like the results, I had greyish skin and lumps developed months after the injection. Do you think lower bleph with fat repositioning/ muscle tightening would help? I do have a bit of herniated fat. I definetely dont want to have dermal fillers again.

Mehryar (Ray) Taban, MD, FACS · Answer

You appear to be a good candidate for lower blepharoplasty (transconjunctival with fat repositioning).  I advise against transcutaneous blepharoplasty. See link below.

Derek Ford, MD · Answer

I'm
sorry to read that you had disappointing results from fillers in the past.
Nonetheless, I think it's possible that getting Restylane again will provide
significantly different results than your first experience. It may be worth
pursuing before getting lower blepharoplasty. However, as others have said, you
could benefit from transconjunctival blepharoplasty if you decide to get
surgery. This approach would offer significant correction and long-lasting
results. Whichever route you decide, it's important to consult with a qualified
plastic surgeon who specializes in the treatment of your choice. Good luck.

John J. Martin, Jr., MD · Answer

You have some visible fat in the lower lids and a deep tear trough.  Usually at your age some HA filler would be the best option to smooth out the area. It is very unusual to have problems with Restylane in this area if done correctly.  You may want to try this again with a different surgeon.Your other option is a blepharoplasty with fat repositioning, where the fat is moved further down into the tear trough.  This is usually done from the inside of the lid.

Vincent N. Zubowicz, MD · Answer

Fat herniation is not necessarily a sign of aging. In your particular case the lower lids could be handled by a blepharoplasty probably trans-locating the fat from the medial compartment into the tear trough area. This can be done through either a trans conjunctival approach or a more conventional incision along the lash margin.

Jeffrey M. Joseph, MD · Answer

I would not give up on fillers just yet. Correctly placed fillers should be able to smooth the appearance of the lower lids quite a bit. I will say however, that from your photos, transconjunctival blepharoplasty with fat repositioning would be another good option for you.

Eye bags and dark circles. Help! (Photo)

Answers (8)

Answer: Eyelid surgery in the younger patient.

Answer: Eyelid surgery in the younger patient.

Answer: What are the options for my lower eyelid bags

Answer: What are the options for my lower eyelid bags

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Eye bags and dark circles. Help! (Photo)

Answers (8)

Answer: Eyelid surgery in the younger patient.

Answer: Eyelid surgery in the younger patient.

Answer: What are the options for my lower eyelid bags

Answer: What are the options for my lower eyelid bags

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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.