What surgery would be better to remove my eyebags? I would prefer no fillers, looking for a more permanent result. (photos)

What treatment do you suggest? I don't want any fillers such restylane, I want permanent results. And what are the prices in the Bay Area?

Doctor Answers 7

Treatment for lower eyelid bags

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Thank you for your question.  Based on the photos provided, herniation of the lower eyelid fat pads are the cause of the bags.  This can be treated with a lower eyelid blepharoplasty.  See a specialist to learn more and best wishes.  

Newport Beach Oculoplastic Surgeon

What surgery would be better to remove my eyebags? I would prefer no fillers, looking for a more permanent result.

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The best surgery to perform for true lower eyelid bags is a lower blepharoplasty (bleph-a-row-plas-tea) using the fat re-positioning technique, which does not remove the bags (an plder hollowing technique) but instead places a portion of the bag into your tear trough (the groove below the bag), thereby providing a smooth contour from your eyelid to your cheek.

The attached link provides more information

Timothy R. Miller, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 70 reviews

What surgery would be better to remove my eyebags?

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Doing a lower lid Blepharoplasty via Transconjunctival approach.  Then fractional laser skin resurfacing to the lower lid including the tear trough.

Fred Suess, MD (retired)
San Francisco Plastic Surgeon

Dark Circles, Eyelid Wrinkles/Bags -- Restylane or Belotero, Laser C02/Erbium Resurfacing, Microneedling, Viva/Intensif, Fraxel

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These dark circles needs a combination of lasers, fillers/PRP, microneedling, and skin care.  The hollows do best with fillers if you are looking for a noninvasive approach.  Surgery can remove the bags but will not address the hollows unless you reposition the fat.  See an expert for options.  Best, Dr. Emer.

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 202 reviews

Baggy eyelids

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Old fashioned lower blepharoplasties either by a transcutaneous or conjunctival approach should work very well for you. 

Sheldon S. Kabaker, MD FACS
San Francisco Facial Plastic Surgeon

Permanent surgery to remove under eye bags ?

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You may be a candidate for scar-less transconjunctival lower blepharoplasty with fat repositioning where the fat bags are repositioned to fill the hollow area below them. See following link and video. See an oculoplastic surgeon.

Under eye area

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If you are looking for a more permanent solution then you want to consider a lower blepharoplasty.  This surgery will contour the lower lid/under eye area revealing a smoother, more youthful look.  Visit with a board certified plastic surgeon in your area to discuss your surgical goals and obtain pricing, as pricing varies by surgeon and region.  Best wishes.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.