I am 24 and have had under-eye circles/discoloration since I was a teenager due to genetics. I am considering a lower blepharoplasty to help fix this problem. Do you think this would be a good idea?
January 9, 2023
Answer: Lower Blepharoplasty To create a more youthful look with a smooth eyelid to cheek transition, transconjunctival lower blepharoplasty is a great option. An in-person exam would provide a more accurate diagnosis, but preliminarily based on your photos it does appear you have pseudoherniation of fat creating "eye bags.” They should also be more prominent when you look up. If you want the best idea of what is possible for your eyes, do your due diligence, find an experienced surgeon, and have him/her evaluate you in person and discuss your options. @drdonyoo
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January 9, 2023
Answer: Lower Blepharoplasty To create a more youthful look with a smooth eyelid to cheek transition, transconjunctival lower blepharoplasty is a great option. An in-person exam would provide a more accurate diagnosis, but preliminarily based on your photos it does appear you have pseudoherniation of fat creating "eye bags.” They should also be more prominent when you look up. If you want the best idea of what is possible for your eyes, do your due diligence, find an experienced surgeon, and have him/her evaluate you in person and discuss your options. @drdonyoo
Helpful
January 4, 2023
Answer: Surgery is an option Thank you for the photos. The dark circles you notice are mostly due to the bags under your eyes causing shadowing, resulting in the dark circle appearance. The bags are due to fat herniating forward. A transconjunctival (no visible incision) lower lid blepharoplasty with fat transposition can reposition the fat into the dark circle to smooth out your eyelid-cheek junction. I recommend this over fat removal since your eye is slightly more prominent than your cheek (we call this a negative vector). Removal of the fat would make your dark circles look worse. Repositioning the fat is preferred. Other options you may hear about are filler or fat transfer. Fillers would help a little to camoflauge the dark circle, however the bag appearance would persist. In my opinion, fat transfer alone is not a good option, but could be considered if combined with transconjunctival lower lid fat removal. I think this is a step too much and you would do best with lower lid blepharoplasty with fat transposition.
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January 4, 2023
Answer: Surgery is an option Thank you for the photos. The dark circles you notice are mostly due to the bags under your eyes causing shadowing, resulting in the dark circle appearance. The bags are due to fat herniating forward. A transconjunctival (no visible incision) lower lid blepharoplasty with fat transposition can reposition the fat into the dark circle to smooth out your eyelid-cheek junction. I recommend this over fat removal since your eye is slightly more prominent than your cheek (we call this a negative vector). Removal of the fat would make your dark circles look worse. Repositioning the fat is preferred. Other options you may hear about are filler or fat transfer. Fillers would help a little to camoflauge the dark circle, however the bag appearance would persist. In my opinion, fat transfer alone is not a good option, but could be considered if combined with transconjunctival lower lid fat removal. I think this is a step too much and you would do best with lower lid blepharoplasty with fat transposition.
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