Lower Blepharoplasty at 20? (photo)

Question

Hi, I'm a 20-year-old male contemplating lower blepharoplasty. I've had those under eye bags since I was about 6 years old, so I'm certain it's hereditary and that I inherited it from my father. It bothers me that it often looks like I'm tired or in a bad mood. I also think it makes me look older than I really am. My question is: will I be a good candidate? Since I think it's a feature I have inherited, I have some doubts about whether it will provide good results. In advance, thanks!

Kenneth Hughes, MD · Answer

Conservative fat removal from an incision hidden on the inside of the eyelid is probably the approach you want to pursue. Whether you have this done now or later depends upon how much this bothers you. Find a plastic surgeon with ELITE credentials who performs hundreds of facial and eyelid surgeries each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA

Vincent N. Zubowicz, MD · Answer

The lower lids might change a bit after lower blepharoplasty but I'm not sure it's worth having operation. The photographs are not completely revealing so examination would be necessary for better recommendation.

Toby Mayer, MD · Answer

Congenital lower eyelid bags and their treatment at 20 years of age. For more than 35 years I have treated these with a trans conjunctival blepharoplasty to eliminate the eyelid bags. I don't think fillers would be the solution to this problem because the bags are large and it is not a tear trough problem. Fillers I believe will just create larger bags.

Michael I. Echavez, MD · Answer

Your pictures do appear to show some fat herniation in your lower eyelids, which causes the bags. This issue can be hereditary in nature, as it is in your case at age 20. The non-surgical option for treatment would be using a hyaluronic acid filler under the bags to help camouflage them. This treatment generally helps but is not long lasting. The other treatment option would be improving the fat herniation with surgery, which would give much longer lasting results.

William Portuese, MD · Answer

At age 20, you are little bit young to have lower lid fat pad herniation. Make sure your allergies are under good control, no thyroid issues and then consider a transconjunctival lower blepharoplasty whereby all the incisions are made on the inside the eyelids to remove a small amount of fat that is herniated and creating the puffiness. There is also no harm in waiting a few years until they become a little worse before undergoing surgery. Fillers will only be a temporizing measure

Lower Blepharoplasty at 20? (photo)

Answers (5)