What can I do for under eye wrinkles/bags/loose skin/malar edema? (Photos)

Question

Festoon? Blepharoplasty? CO2 laser? Under eyes and cheeks I need help; had filler for years; Oct 2020 I was heavily overfilled in cheeks & under eyes & thus have gone on a journey to dissolve refill & chase a problem Now my under eye is baggy & my one cheek is just not right it looks like a bulbous shelf in photos I can't imagine it's still filler? dissolved over 6x w/no refill, malar Edema? old photos aren't like this & they aren't that old I've done Morpheus & Botox crows feet/jellyroll at a loss what to do to get them back

David K. Isaacs, MD, FACS · Answer

You’re smiling in all your photos to it’s difficult to tell the state of your undereyes.

You’ve been through a long and drawn-out journey and there are a lot of questions I have which can’t obviously be answered on this platform.

But a couple of things:
- lower eyelid edema can be an indicator of a medical condition and not necessarily something “cosmetic”
- be cautious in signing up for a lower blepharoplasty - you may not need it and it could make things worse.

See an Oculoplastic surgeon for a proper evaluation and treatment options.

Vasileios Vasilakis, MD, FACS · Answer

Thank you for the question. Based on the photos, you need blepharoplasty surgery to remove excess skin and fat from the lower eyelids. This can be combined with fat grafting. I wish you the best of luck. Vasileios Vasilakis, MD. Double board-certified, fellowship-trained plastic surgeon, Houston. TX.

Derek Fletcher, MD · Answer

An in person detailed exam is necessary to assess your under eyes and make definitive recommendations. However, based on your photos, I would likely recommend the following plan: transconjuctival (within the eyelid incision) to address the fat pads and smooth the lower lid contour, a pinch blepharoplasty to remove extra skin (incision just under the eyelashes, and micro fat grafting to create a harmonious transition from the tear trough to the cheek.

H. George Brennan, MD, FACS - Account Suspended · Answer

It seems like you have been on a very long and probably expensive journey.  Based on your photos it seems like you would benefit from having a very minor lower blepharoplasty.  This is a very safe and predictably procedure.  Consult with a well qualified cosmetic surgeon.

What can I do for under eye wrinkles/bags/loose skin/malar edema? (Photos)

Answers (4)

Answer: Under eye loose skin

Answer: Under eye loose skin

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Everything you need to know about Eyelid Surgery

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What can I do for under eye wrinkles/bags/loose skin/malar edema? (Photos)

Answers (4)

Answer: Under eye loose skin

Answer: Under eye loose skin

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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.