Lower blepharoplasty or RF Microneedling for exposed pad & severe hollows under eye? (Photos)

Thank you for your inquiry! By your photos, you're a great candidate for a lower bleph with fat transfer to your tear trough which is a more permanent solution than fillers to decrease fullness and help fill the hollowness. We would love to meet with you in person or virtually to discuss your options in depth. Schedule a consultation with a Board-Certified Plastic Surgeon like myself to help you reach your goals and create a surgical plan for you.

You have volume loss and a very noticeable transition between mental fat and cheek fat. Through a lower blepharoplasty (transconjuctival) the partition ( arcus marginalis ) between the two compartments needs to be opened and fat transfer used to fill in the hollow. Tightening procedures will not address the underlying problem.

RF micro needling will not treat fat pads around the eyes. While there is much discussion that Morpheaus dissolves fat, this is subcutaneous fat that is immediately under the skin that is lost not fat that is located behind the orbital septum. When eye bags are present along with hollowing, I find a lower eyelid blepharoplasty with a fat transfer is the best long term correction.

Based on your photos, the best procedure would be lower lid fat removal with fat transfer into the tear trough. This can give a long term much smoother and natural appearance to your lower lids. Morpheus will not help. Be sure to see a facial specialist for consultation.

You are a great candidate for lower lid blepharoplasty with fat transposition. This surgery utilizes an incision on the back of the lid and takes your fat from your lids and moves it to your tear trough and cheek. This smoothes the transition from the eyelid to cheek and gets rid of the “bag” and fills the hollow. Best to see an eyelid expert.

Thank you for posting your question hereI will start by stating that my answer is based on the limited information and pictures provided , for a more detailed and bespoke plan please consult with a plastic surgeon in person.from the pictures and complaints I would recommend a lower blepharoplasty , morpheus works on the skin and will not address deeper tissues such as the fat pads or tear trough ligament. This can be combined with some fat grafting if needed.
I hope this helps, best of luck!

The best technique for you would be a lower blepharoplasty with fat transposition to fill in the hollows.

Best Wishes,

Gary Horndeski, M.D.

No laser can remove or reduce the fat in lower eyelids. Surgery remains the only choice.
Lower Eyelid Blepharoplasty
The lower eyelids look baggy mostly because of excess fat. This can be removed either by making an incision under the lashes called sub-ciliary approach or from inside the eyelid called Transconjunctival approach. The amount of skin removed has to be minimal as it can pull the lower lid downwards and make it look strange and change the shape of the eye. All surgeons have their favorite approaches. I like Transconjunctival approach in most cases.
Regards
Dr. J

I have similar patients with this kind of problem. I usually prefer to perform the procedures which would require less sessions and give visible results. Therefore what I do is:1- transconjunctival blepharoplasty: This performed by an incision from inside the eyelid to correct the ptotic fat bags2- Subcuatenous nanofat and microfat grafting with mesotherapy: To fill the hollowness and reduce the dark circles.
Of course you can get Morpheus 8, Fotona Laser Smooth Eye protocol and others but keep it in mind that you might need several sessions to solve your issue and at the end you might even seek surgery.

Edema under your eyes is lymphedema ı will recommend Temporal lift ,cheek lift , under-eye youth vaccines to fix the under-eye area