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Without seeing photos or doing in an person examination there is no way to know what treatment options are best. Please post photos. Best of luck, Dr. Emer.
Fat bags of lower lids--filler or blepharoplasty is a common question. If you are young and the fat bulges over the bone=blepharoplasty with possible fat repositioning. If you are older and the bulging fat is behind the bone=fillers or blepharoplasty with fat repositioning.
Some would benefit from fillers more and others would benefit from surgery more. The answer depends on the person's specific anatomy and desires. If there is more hollowness than puffiness, then fillers are better option to fill the hollow lower eyelid area. If there is more puffiness/bags, then lower blepharoplasty with fat repositioning maybe the better option, where the existing "bags" or fat is repositioned to fill the hollow area underneath it.
This would be difficult to make a determination without an examination or pictures. Kenneth Hughes, MDLos Angeles, CA
WIthout a personal consultation it is impossible to tell you what your best option is. For many, under eye Restylane is not just an alternative to surgery but it is a far better option that surgery with results that far exceed what could ever be accomplished with surgery. For others, it is abundantly clear that they would be much better off with surgery. For many people the choice is some where in between and it often comes down to preference. For some they are uncomfortable with the idea of surgery and prefer an in office non surgical option that really makes a difference. Of others, they don't want a solution that involves maintenance of a treatment effect. For some, the issue is the lack of availability of expert filling service.The important point is that you generally have a choice here. Also without a personal consultation where the surgeon physically examines you which included feeling the lower eyelid circle to determine what makes up your circle, it is impossible for someone to intelligently recommend the service that will be right for you.
