Lower Blepharoplasty at 20? (photo)

    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

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.

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.