Would I benefit more with a Blepharoplasty or fillers for my eyebags? (photos)

Same story - I'm tired of being asked if I got any sleep, why do I look so tired, etc. I'm almost 50 yrs old & so full of energy but my eyes tell a different story. I've had fillers before but of course, it wears out after awhile. I'm interested in blepharoplasty but since I have Asian eyes, I'm scared of looking "surprised". Please help

Doctor Answers 20

When fillers have failed

and if you have adequate and overly generous fat pads, a lower lid blepharoplasty would be much more beneficial for you.  They are usually done through the inside of the lid and do not make you look surprise in any way.

Redding Plastic Surgeon
5.0 out of 5 stars 30 reviews

Lower kid Asian blepharoplasty

In the early 2000's when fillers arrived on the scene, we went through a period where we were filling every eyelid to avoid the complications of surgery. Of course, volume deficit was not the problem in most people and we pribably used fillers on too many people. We now have a healthy balance between surgery and fillers. In your case, you have some excess skin, some fat bulging, and something I see a lot in Asian lower eyelids, excess muscle under the eyelids. I did a blepharoplasty just like this this morning and I had to conservatively remove a strip of lower orbicularus muscle. About Asian eyelids, they are different but the differences in surgery are minimal and within the capabilities of most competent plastic and oculoplastic surgeons. You don't have to go to an Asian surgeon to get a good result. Besides, most of the differences in anatomy are in the upper eyelid, and the anatomy of the Asian lower eyelid is not much different than any other eyelids (with the exception of what I mentioned above)

Ben Lee, MD
Denver Plastic Surgeon
4.5 out of 5 stars 25 reviews

Eyelid bags

It may be tempting to try fillers instead of undergoing surgery. However, I am not a fan of fillers for the lower lids. I would perform eyelid surgery to remove the excess fat which us causing the bags.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 22 reviews

Asian blepharoplasty

Blepharoplasty would give a more dramatic and longer lasting result. It important to consult with a plastic surgeon that is experienced in Asian blepharoplasty, because the anatomy of the Asian eyelid differs from other races and it is important to preserve a “natural” appearance after surgery.

Neal Handel, MD
Santa Barbara Plastic Surgeon
5.0 out of 5 stars 28 reviews


Judging by your photos, I believe that upper and lower blepharoplasties would be a much better choice than fillers to the eyelids. 

Shahin Javaheri, MD
San Francisco Plastic Surgeon
4.5 out of 5 stars 4 reviews

Lower blepharoplasty or fillers

It appears that you would be best served by a lower blepharoplasty with fat repositioning. Although fillers could make some improvement you would most likely achieve a better result with surgery. Of course, this depends on in office consultation.

David F. LaPatka, MD
Santa Barbara Facial Plastic Surgeon
5.0 out of 5 stars 1 review

Would I benefit more with a Blepharoplasty or fillers for my eyebags?

It is hard to give you a good recommendation without seeing you.  It is certainly worth your while to get personal consultations from experienced eyelid surgeons. 

Sam Goldberger, MD
Beverly Hills Oculoplastic Surgeon
4.5 out of 5 stars 16 reviews

Lower blepharoplasty vs fillers for lower eyelids

Some would benefit from fillers more and others would benefit from surgery more  Fillers are good option to fill the hollow lower eyelid area but a better option for you maybe lower blepharoplasty with fat repositioning, where the existing "bags" or fat is repositioned to fill the hollow area underneath it.

Mehryar (Ray) Taban, MD, FACS
Beverly Hills Oculoplastic Surgeon
5.0 out of 5 stars 42 reviews

Would I benefit more with a Blepharoplasty or fillers for my eyebags? (photos)

Generally speaking, fillers are temporary. Surgery tends to give longer lasting results.
Looking at your picture, you have excess skin along with fat pockets in your lower lids.
You are best served with a standard blepharoplasty with conservative skin excision to your upper eyelids, pending thorough clinical evaluation.

Maan Kattash, MD, FRCS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 44 reviews

Blepharoplasty or Fillers

Thank you for your question. Looking at your pictures, you have both loos skin crinkling up under your eyes and you have baggy lower kids from fat herniation. Furthermore, you have a hollowing of your infra orbital rim. For your situation, I would recommend a blepharoplasty procedure where the excess lower lid skin is removed and the extra lower lid fat also removed, followed by using this eyelid fatty tissue to fill in your orbital rim depression. Fillers alone may correct the orbital rim depression, but will not solve the extra skin and fatty tissue. 

Perry Liu, MD
Beverly Hills Plastic Surgeon

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.