Would I benefit from a lower blepharoplasty? (photos)

Question

Hello, I've always had hereditary bags under my eyes. Exacerbated if I'm tired or allergies are acting up, but always very present. Never appearing energetic is not good for my work life, or life in general. This procedure doesn't break the bank- would you consider it a no brainer, or is there a better alternative?

Jill Hessler, MD · Answer

Blepharoplasty surgery can remove eye bags, but this is often only one part of eye aging. There can be volume loss that happens via heredity or with age. This can be improved with fat transfer or mid face lift. I would recommend you consult with a surgeon that performs both of these procedures on a regular basis.

Chet Mays, MD · Answer

Thank you for your inquiry! A lower bleph would be a great option for you. I recommend consulting with a board certified plastic surgeon to create a surgical plan targeted towards your specific goals.

Mehryar (Ray) Taban, MD, FACS · Answer

Based on the photos, yes you are candidate for scarless lower blepharoplasty. See an specialist for the surgery!

Eric M. Joseph, MD · Answer

If you are looking to remove the hereditary bulges under your eyes on both sides, depending on your examination, a lower eyelid blepharoplasty may be considered. The incisions would be on the inside of your eyelids. I hope this helps. Since the only Dr Joseph

Gary M. Horndeski, MD · Answer

A lower blepharoplasty can be done to release the fat to fill out the hollows of the tear troughs.  This will improve the lower eyelid appearance.

Best Wishes,

Gary Horndeski, M.D.

C. Blake Perry, MD · Answer

You would be a good candidate for lower lid surgery. In particular to remove the “bag” but to also fill in the anterior medial cheek (tear trough). This can be done with fat transposition (moving your lower lid fat to fill the cheek) or with fat grafting. In my hands, simply removing the fat would be inadequate and leaving you hollow. Best to see an eyelid expert.

Nelson Lee Novick, MD · Answer

It is important to understand that the upper cheeks are a major physical support for the under-eye region and any volume deficit in that crucial border area will negatively impact the appearance of the infraorbital regions.  Accordingly, any improvement, which can be accomplished with the use of an appropriate HA filler properly injected by an experienced injector will smooth the transition between the upper cheeks and the under-eyes, there by diminishing the appearance of the bags.At least from the photos provided, there appears to be a signficant amount of cheek volume deficit. The results of treatment are typically immediate. 
Be cautious when being hawked fraxel laser, RF and other expensive energy-based treatments, since the hard science to support their use lags well behind the marketing hype and social media buzz to promote them. Likewise, surgery, even if it doesn't break the bank, besides being expensive, involves typically a prolonged period of post-op downtime and also carries the risk for the subsequent development of scar formation and even tram track stitch marks. 
You would be wise to make sure consult an experienced, board certified cosmetic dermatologist filler expert. So take heart and best of luck.

Sean Fisher, MD · Answer

your photos show what is referred to as a tear trough deformity and herniation of the fat that surrounds the eye. This is best treated with a lower blepharoplasty using an incision within the eyelid to either remove some of this fat or reposition it to smooth the lid cheek junction. In younger patients with good skin quality, this can often be down without any external incisions as excess skin removal is not needed. I would recommend consulting with a well trained plastic or facial plastic surgeon for a detailed exam and discussion of surgery. Non-surgical options and filler are unlikely to correct this. 
Sean Fisher Aesthetic Plastic Surgeon Seattle, WA

Bruce B. Kadz, MD, FACS · Answer

You are an excellent candidate for a Blepharoplasty. Transcutaneous approach with conservative skin/muscle/fat removal possibly combined with lateral canthal suspension.

William Portuese, MD · Answer

These photographs demonstrate herniated fat bags in the lower lids, so yes you are a excellent candidate for lower eyelid surgery. In our practice, we remove these bags through 2 small incisions on the inside of the lower lid. No external incisions are required. The procedures performed under a brief general anesthesia as an outpatient procedure. Anticipate about 10 days of visible bruising and swelling.

Would I benefit from a lower blepharoplasty? (photos)

Answers (11)

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