Hi, This has been a problem since I was a little girl, now I'm 40 and want to improve the appearance of my under eye bags, whether it is with surgery or fillers.I look tired all the time and my bags just keep getting bigger as I age. I went to my consultation for blepharoplasty (Eyelid Surgery).She told me there's nothing that can be done, because it's all muscle and not fat. Could I have hypertrophy? What can I do? I can't stand to look at myself or have others look at me. If there is surgery for this, what is it called?
Answer: You look wonderful, I would never make an incision on your eyelids You are very pretty with lovely eyes and a young-looking face. I definately would not make an incision on your eyelid and try to reduce the orbicularis muscle--you would loose the natural beautiful look of your eyes. As you get older, if you do consider any procedure at least think about an open fat graft (NOT fat injection!) to plump or fill the depression beneath the bulging muscle. This can camouflage the depression beneatah the muscle and add volume to the area. This also can be done through an incision on the inside of the lid which will preserve your beautiful eyelid shape.
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CONTACT NOW Answer: You look wonderful, I would never make an incision on your eyelids You are very pretty with lovely eyes and a young-looking face. I definately would not make an incision on your eyelid and try to reduce the orbicularis muscle--you would loose the natural beautiful look of your eyes. As you get older, if you do consider any procedure at least think about an open fat graft (NOT fat injection!) to plump or fill the depression beneath the bulging muscle. This can camouflage the depression beneatah the muscle and add volume to the area. This also can be done through an incision on the inside of the lid which will preserve your beautiful eyelid shape.
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CONTACT NOW Answer: Muscle hyper trophy of lower eyelids You do appear to have a ridge of excess muscle underneath your lash line. I have on occasion removed a small strip or orbicularus muscle in patients who required it (these were extreme cases). It require careful judgement as you do need that muscle for proper eyelid function. My preference is to inject a bit of Botox in situations like these in order to allow the muscle to atrophy a bit. The results are subtle. My suggestion would be to take the advice of others here. You have lovely eyes and the ridges underneath your eyelids do not detract from your appearance. I have encountered patients with your situation, and I like to show thempictures of babies. Lots of babies have lower eyelid ridges, and we certainly don't consider them unattractive.
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CONTACT NOW Answer: Muscle hyper trophy of lower eyelids You do appear to have a ridge of excess muscle underneath your lash line. I have on occasion removed a small strip or orbicularus muscle in patients who required it (these were extreme cases). It require careful judgement as you do need that muscle for proper eyelid function. My preference is to inject a bit of Botox in situations like these in order to allow the muscle to atrophy a bit. The results are subtle. My suggestion would be to take the advice of others here. You have lovely eyes and the ridges underneath your eyelids do not detract from your appearance. I have encountered patients with your situation, and I like to show thempictures of babies. Lots of babies have lower eyelid ridges, and we certainly don't consider them unattractive.
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February 6, 2015
Answer: Better to not have surgery right now You have a lovely face and I don't think you would benefit from surgery at this time, especially since the modifying the muscles could contribute to an undesirable result.
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Answer: Better to not have surgery right now You have a lovely face and I don't think you would benefit from surgery at this time, especially since the modifying the muscles could contribute to an undesirable result.
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September 9, 2009
Answer: Lower eyelid bags due to muscle hypertrophy According to the picture that was presented, yes, indeed, there is a slight hypertrophy of the muscle on the lower lids. It is impossible to go in and remove this because it will leave you with a weakened and paralyzed lower lid and is not advisable to have anything done about it. There does not appear to be any fat pads present underneath the muscle. It does not appear that you are a candidate for a blepharoplasty.
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Answer: Lower eyelid bags due to muscle hypertrophy According to the picture that was presented, yes, indeed, there is a slight hypertrophy of the muscle on the lower lids. It is impossible to go in and remove this because it will leave you with a weakened and paralyzed lower lid and is not advisable to have anything done about it. There does not appear to be any fat pads present underneath the muscle. It does not appear that you are a candidate for a blepharoplasty.
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August 17, 2009
Answer: Botox and filler. Hi Shellee: would consider a little filler under your rim and some botox to decreasing the orbicularis contraction that is causing you to have a more significant orbital rim depression. Surgery a bit drastic for you slight problem. I prefer to use Radiesse under the muscle and just below the rim.
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Answer: Botox and filler. Hi Shellee: would consider a little filler under your rim and some botox to decreasing the orbicularis contraction that is causing you to have a more significant orbital rim depression. Surgery a bit drastic for you slight problem. I prefer to use Radiesse under the muscle and just below the rim.
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August 16, 2009
Answer: Lower eyelid shape Dear Shellee, what you are describing and whag can be seen in the photo may not be the same. Muscle hypertrophy of the lower wywlid can be treated with a little Botox and if there is an underlying hollow- this can be corrected with micro fat grafting or placing Restylane on the deep layer in the hollow on the bone. With Warm Regards, Trevor M Born MD
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Answer: Lower eyelid shape Dear Shellee, what you are describing and whag can be seen in the photo may not be the same. Muscle hypertrophy of the lower wywlid can be treated with a little Botox and if there is an underlying hollow- this can be corrected with micro fat grafting or placing Restylane on the deep layer in the hollow on the bone. With Warm Regards, Trevor M Born MD
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