Is a blepharoplasty a good choice to remove them?
Blepharoplasty - I have allergic rhinitis and because of the congestion of blood I have those big bags under my eyes.
Doctor Answers 4
Under eye bags and allergies
Allergies can certainly be a cause of under eye bags/puffiness and under eye discoloration. Fortunately, there are a lot of great medical treatments (nasal sprays, pills, allergy shots) that an allergy specialist can further discuss with you. Once the allergies are controlled, a more accurate exam can be conducted to see if you are a candidate for a blepharoplasty. In general, there are several excellent options are available for rejuvenating the eyes, and a proper physical exam is necessary to determine which treatment is best for you. To address the tear trough area, using an injectable soft tissue filler is a minimally invasive option that may delay surgical treatment for years. A “lunchtime blepharoplasty” is achieved by placing filler such as Restylane into the recessed area under the eye, or the so-called tear trough area to help camouflage the eyelid bags. Another excellent nonsurgical option is laser skin resurfacing to the upper and lower lids. The fractional CO2 laser works very effectively with minimal downtime (most patients can apply make-up in 5 days). Resurfacing procedures stimulate the wound healing mechanisms of the body to rebuild collagen, remodel the skin, and eliminate fine lines and wrinkles. Surgical options to rejuvenate the lower eyelids include the transconjunctival technique and the transcutaneous (skin) incision technique. The transconjunctival approach involves an incision inside the lower eyelid with direct access to the fat. This approach is ideal for patients who have bulging lower eyelid fat pads. A transconjunctival approach will not leave any discoloration or scarring in the lower lids because there is no skin incision. With the transcutaneous technique, a skin incision is made just below the eyelashes. Either lower blepharoplasty approach (transconjunctival or transcutaneous) is minimally invasive and can be performed in about an hour. In order to determine if any of these procedures are best for you, a proper physical exam is necessary. And controlling your allergy symptoms is step #1. I recommend… visiting a board-certified facial plastic surgeon to learn more about your various options.
Allergic rhinitis and bags under the eyes
Lower lid bags
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.