How can I treat the asymmetry under my left eye? (Photo)

Thanks for sharing your questions and posting your photos. Sometimes fillers can hide the problem, but it appears you require surgery due to the extent of your puffiness. Make an appointment with an oculoplastic surgeon for comprehensive evaluation and guidance. Good luck!

Hi @Nurturing79439! I would recommend a lower lid blepharoplasty. You would not be a good candidate for tear trough fillers. Best of luck to you!

You are a great candidate for lower lid blepharoplasty. This surgery can be done with no scars and would even our your lower lids while creating a smooth contour from the lid to cheek. I don’t think filler in the tear trough is a great option for you given the amount of fat prolapse on the left side. Best to see an eyelid expert in your area.

It's difficult to say without the benefit of a formal evaluation. This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Classically, this is why people get lower eyelid surgeon. There are two basic approached to the lower eyelid surgically: from the front called transcutaneous and from the back called tranconjunctival. The transcutaneous approach is associated with significant complications including visible scaring, lower eyelid retraction, permanent weakening of the lower eyelid margin, and the need for lateral canthal surgery. This approach is most commonly practiced by board certified general plastic surgeons. Being good a boob surgery does not make you good at eyelid surgery. The transconjuntival approach is performed behind the eyelid and requires comfort and skill to work near the eye. The advantage of the method is that the incision is hidden, it does not cause lower eyelid retraction or lid margin weakness. It is most commonly offered by oculofacial surgeons and some facial plastic surgeons. A popular variation of this surgery is to use the bulging fat to slide under the tear trough hollow. This is called arcus marginalis release surgery. While it is possible to perform this surgery under local anesthesia, that is rough. It is much better to have surgery under intravenous sedation. You will be very comfortable this way.

The limited photographs demonstrate herniated fat in all three compartments in the left lower lid creating the puffy look. A trans-conjunctival approach lower lid blepharoplasty can accomplish removal of that herniated fat. The Incision is located completely on the inside of the eyelid. In our practice we do not recommend fillers placed around the eyes for a variety of reasons