Will lower blepharoplasty get rid of these bags and lines? (Photo)

Hello and thank you for your question. A formal evaluation would be needed to determine the best treatment. There are both surgical and non-surgical options to correct this, depending on your specific situation.

For less significant puffiness and sagging UNDER the eyes, or more mild improvement, there are nonsurgical treatment options: we often use Renuvion helium plasma radiofrequency (RF) energy to achieve incredible results and take years off of your appearance. Combining RF energy and cool helium plasma, the signs of aging (wrinkles, pigmentation, skin laxity) are improved in a ‘Nonsurgical Lower Eyelid Lift.' The focused heating tightens and peels the outer skin layer with extreme precision, leaving the surrounding area undamaged, smoothing and tightening the periorbital skin, and improving the overall skin quality around the eyes. It's an aggressive treatment, and the recovery time is longer than with other nonsurgical procedures, but the results can be life-changing.​

Surgery (a lower blepharoplasty with or without canthopexy/canthoplasty or orbicularis muscle suspension) is a great option for more significant improvement- for example if there are more severe lower eyelid bags / bulging present. Sometimes the surgery can also be used to intentionally adjust the shape and/or size of your eyes, or correct any asymmetries!

Dr. Donald Groves is an expert facial plastic surgeon that I work with, who specializes in these types of procedures. It is important that if you are considering surgery that you go to someone who is well trained and very experienced with these delicate operations to get the best results. I suggest getting a consultation with an experienced cosmetic dermatologist and facial sculpting expert, or an aesthetic facial plastic surgeon like Dr. Groves; we are both located right here in Los Angeles.

Best,
Dr. Emer

Your eyebrows are below the orbital rim. You would benefit from a browlift. This will lower the hairline, decrease the vertical height of the forehead and pull the eyebrows up higher. It would also clean up the skin laterally as you have crows feet. You would also benefit from a lower blepharoplasty to transposition fat to decrease the bagging.

Best Wishes,

Gary Horndeski, M.D.

A complete set of photos without smiling or an in person exam is needed to determine if you are a good candidate for the procedure. A lower blepharoplasty can contour the under eye area by removing excess skin as well as redraping herniated fat. The result is a smoother, more youthful eye. I've included a video I hope you find helpful.

The primary goal for a lower blepharoplasty procedure is to remove the fat bags from an incision on the inside of the lower lids. When there's extra skin present at rest (not when smiling), then a small incision is made right below the lower eyelash line and a conservative pinch of skin is removed. In our practice, we close that incision with tissue glue. No stitches necessary. The procedure is performed under a brief general anesthesia and outpatient procedure.