Hereditary eye bags and dark circles. Can transconjunctival blepharoplasty help me achieve this result? (Photo)

Thank you for your question.  Both hereditary factors and aging can play a role in eye bag formation.  Often patients at a young age can be bothered by contour irregularities in this area.  Fillers can provide a temporary option.  Surgery, specifically a transconjunctival blepharoplasty, can provide a permanent correction of the fat.  I often perform the lower eyelid blepharoplasty with fat transfer to avoid hollowing of the eyes.  This can improve remove the fat pockets and create a smooth contour to the cheek.  The darkened shadows that are caused by the depressions will be improved.  If the darkness is in the skin itself it is possible this darkness may not be completely removed with surgery and other options can be provided.  I would recommend a consultation to determine the best treatment option for you.  

There are a variety of different options that can treat under eye bags depending on the specific patients needs and anatomy. Facial fillers can utilized to fill in eye hollows and are non surgical.  By artistically filling the hollows to the point where it is at the same level as the most prominent portion of the "bag", the "bag" can effectively be made to disappear. Specific lasers and micro needling can also help improve the tone and texture in the area, but are generally less effective. Finally, a lower blepharoplasty, is a surgical approach that can reduce baggy eyelids by removing excess skin and protruding fat thus improving the appearance of the lower eyelids.  I often transfer fat during the blepharoplasty to provide a smooth transition from the lower eyelid into the cheek to eliminate the  dark hollow's or "tear troughs".  I recommend going for a consultation with a board certified plastic or oculoplastic specialist to determine best corrective treatment plan.

Transconjunctival lower blepharoplasty with fat/bags repositioning is an ideal treatment for long-term treatment of under eye bags and hollowness with natural results. See following link and video.  See an oculoplastic surgeon.

Yes--a transconjunctival blepharoplasty will give you the result you want if you see a very experienced surgeon who can show you many patients who have had this surgery and look good after. Having done this for more than 35 years without any complication I can tell you this is normally  a surgery without problems.

You do have fullness in an area that is commonly caused by herniated orbital fat.  If this proves to be the case on examination, then yes, this can be very successfully managed with a transconjunctival lower blepharoplasty.  Typically it is best to preserve the lower eyelid fat and use it to help add volume to the top to the cheek.  That maneuver is called an arcus marginalia release.  The reason why it is necessary to examine you is that the fullness can also be caused by a prominent orbital rim.  In that case, fillers are a much better option.

Thank you for your photos. A transconjunctival blepharoplasty can definitely help remove the puffiness from behind your lower eyelids if you have excess fat in that area. A certain amount of dark pigment under the eyes is caused by the protrusion of fat and the shadowing that occurs. There may also be an aspect that is just natural to your lower eyelid pigmentation or even a component of chronic inflammation from allergies or other medical concerns. It is best to have an in-office examination to determine the best treatment plan for your eyes to have an effective and also SAFE result. Hope this helps!Johnson C. Lee MD Plastic Surgery

  A trans-conjunctival approach lower blepharoplasty can accomplish removal of the eye bags created from fatty deposits that are herniating out from underneath the lower lids creating the puffiness look.  The incision is located on the inside of the eyelid.  For more information  and many examples, please see the  link and the video below

From your single photograph it appears to me that you would benefit significantly from a transconjunctival blepharoplasty with fat transfer and possible addition of fillers.  Darkness caused by shadowy will be dramatically improved but discoloration of your skin will not be improved by that alone.  Some patients do benefit from sequential TCA peels to lighten their skin.  Meet with a board-certified plastic surgeon or ophthalmologist for a face-to-face consultation and examination to be best evaluated for treatment.  Best wishes,Jon A Perlman M.D., FACSDiplomate, American Board of Plastic SurgeryMember, American Society for Aesthetic Plastic Surgery (ASAPS)ABC-TV Extreme Makeover SurgeonBeverly Hills, California

For some patients, the transconjunctival lower blepharoplasty would be the right treatment. Without a profile view we cannot make that judgement in your case. I suspect the side view would indicate very underprojecting cheekbones and in that cas artistically injected filler may be a better choice.