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.
Blepharoplasty or Fat Grafting Under the Eyes
It is possible you could benefit from both a conservative upper blepharoplasty and a small amount of fat grafted into the under eye hollows. You have very early signs of aging and your results could be beautiful. An overly aggressive blepharoplasty, or filling of the under eye hollows incorrectly is not what you need.
View many, many before and after images of eyelid surgery and fat grafting. Do not proceed with surgery unless a physician can provide you photographic evidence of natural results. Once you find photos you like, carefully check on your surgeons training, background and expertise.
Blepharoplasty or Fillers? #fillers #juvederm #restylane #eyelidsurgery
Fat pockets underneath the eyes have a way of making us look tired. I hear this a lot with the patients that I treat. Asian eyes are more difficult to do eyelid surgery on, especially the upper lids. My strong advice is to seek a consult from a board certified plastic surgery that specializes in the asian eyelid. I can't stress the importance of this enough.
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)
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.
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.
Judging by your photos, I believe that upper and lower blepharoplasties would be a much better choice than fillers to the eyelids.
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.
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.
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.