Good lower eyelid surgery candidate? Age 22 & have had puffy eyes & dark circles since puberty (Photos)

Hello @Courageous122939, thank you for your question. No matter what type of procedure is performed, age is not a determining factor; instead, the patient's state of health, the quality and skin type are crucial factors. However a consultation is needed to determined a surgical plan according to your needs and expectations. Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Yes a transconjuctival lower lid blepharoplasty with fat repositioning and addition of fat with fat transfer should help substantially. Fat transfer is an essential part of the procedure.

Hello! Thank you for your question.As far as I can see from your photos you have extra skin and fat pads under your eyes. For get rid of the extra skin and the dark circles I can suggest lower eyelid blepharoplasty and fat injection to under your eye area. It would be more convenient to decide with face-to-face consultation. Best Regards!

Hi @Courageous122939. Thank you for sending your photos-- you would be a great candidate for a transconjunctival lower blepharoplasty with fat repositioning. The procedure will address the herniated fat pads and under your eyes giving you a more refreshed and rested appearance. Best of luck, Dr. Nima!

Common reasons for lower blepharoplasty include tear trough deformity or pseudoherniation of the orbital fat. 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. Transconjunctival lower blepharoplasty with fat repositioning will provide nice results and a better lid-cheek transition in this case. This procedure can be done through an incision that’s hidden on the inside of your eyelid so there’s no scar on the outside that you can see. Consult with 2-3 surgeons in person and determine your comfort level with their approach, demeanor, and before and after results. Good luck! @drdonyoo

Thank you for your question and photos. Though you are young, the under-eye concerns you describe may be due to genetics rather than aging. You may benefit from a lower blepharoplasty to tighten loose muscles and reposition fat below the eye to add volume and create a firmer, smoother appearance.
By contouring and restructuring the lower lid, the excess puffiness and dark circles you describe can be diminished. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to conduct a physical examination and determine the best course of action.

Yes, based on your photos you look like a good candidate for lower eyelid surgery. You have two bulging spots in your lower eyelids, one of which is bulging fat (which is removed in a lower blepharoplasty) and the other is orbicularis hypertrophy, which could be removed or left based on your goals. The other thing to consider in your case is probably fat grafting to the cheek (not so much that you don't look like yourself), which would help support the lower eyelid and improve your result.

You are a great candidate for lower lid surgery. This surgery can be done on the back of the lower without leaving any scar on the skin. Your natural fat would be reduced and then moved to fill in the tear trough to give a smooth transition from you lid to cheek.
Best to see an eyelid expert in your area.

Thankyou for your query. You do have some under eye hollows and fat in your lower eyelid. You are, however, too young for a full lower blepharoplasty , but can benefit a lot from under eye fillers or nano-fat grafting. Please find an experienced Board certified Plastic surgeon who examine you and help you with all your concerns. All the best!

For puffiness and sagging under the eyes, we often use Renuvion helium plasma radiofrequency energy to achieve incredible results and take years off of your appearance. Combining RF energy and cool helium plasma, the signs of aging (wrinkles, pigmentation, skin laxity) are improved in a ‘Nonsurgical Eyelid Lift.' The focused heating tightens and peels the upper layers of skin with extreme precision, leaving the surrounding area undamaged, smoothing and tightening the periorbital skin, and improving the overall skin quality around the eyes. It's an aggressive treatment, and the recovery time is longer than with other nonsurgical procedures, but the results can be life-changing.​ See an expert to determine if this is the best solution for you. Best, Dr. Emer