Which procedure would help minimize the appearance of under eye bags while delivering a more youthful appearance? (photo)

Question

What type of procedure would I need to have a younger look?

Kenneth D. Steinsapir, MD · Answer

These are reasonably reliable procedures. The key is to work with an very experiences aesthetic eyelid specialist. It is all too easy to end up in the wrong office and get talked into the wrong surgery such as a transcutaneous lower blepharoplasty or fat grafting. Do not also get skin resurfacing at the time oft lower eyelid surgery. You may or may not need it. It is better to do less which may be all you need. You also have upper eyelid ptosis. This should be assesses and this could be done at the time the lower eyelids are done. Who you see for this work makes all the difference and it will be challenging in the Monterey Bay Area to get the best aesthetic surgery.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question. As far as I can see from your photos you have extra saggy skin under and above your eye area. For get rid of this image and have more nice, elegant and young looking I suggest upper and lower eyelid blepharoplasty. If you can provide photos with better lighting, from the side of your face and 1 meter away I would be able to make a proper evaluation.Best Regards!

Nima Shemirani, MD · Answer

Hi @ddcruz2! Thank you for sending your photos-- you would be a great candidate for a lower blepharoplasty. A lower blepharoplasty will address the herniated fat pads and excess skin under your eyes giving you a more refreshed and rested appearance. Best of luck, Dr. Nima!

Jonathan Kulbersh, MD · Answer

Thank you for your question and photo. Lower blepharoplasty is an excellent choice to reduce the appearance of bags under the eyes and create a more youthful and refreshed appearance. During this procedure, loose muscles are tightened and fat below the eye is repositioned to add volume and produce a smooth transition between the lower eyelid and upper cheek area. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to discuss your concerns and aesthetic goals with you and determine the best course of action.

Andrew Miller, MD · Answer

Based on the photo, you are a great candidate for lower eyelid surgery through the conjunctiva to reduce the fat creating the eye bag, along with fat injection in the crease under the eye bag to make everything look much smoother. As long as you see a facial specialist, you should have a nice result.

C. Blake Perry, MD · Answer

You are a great candidate for lower lid surgery. Typically, this surgery is performed from an incision behind the eyelid (transconjunctival) and fat is removed and repositioned to create a smooth transition from the lid to cheek. You also have mild ptosis (droopy eyelids) which could be addressed at the same time. Best to see an eyelid expert.

Mark McRae, MD · Answer

Real Self Answers
Lower blepharoplasty
There are several things that must be addressed here to ensure an excellent result.There are many aspects of your care that require a complete history and physical examination performed by a board certified plastic surgeon.
What is this caused by?:There are principles that I teach my residents and fellows that I can share with you in a simple way. I’ll start with the anatomy. There is a ligament that tethers the skin at the junction of your cheek and eyelid (arcus marginalis). There is fat that pushes out from within your globe that is held back by a structure called the orbital septum. There is fat in the cheek and face that descends as a normal aspect of aging. There are medical conditions that make swelling worse, or the contents of the globe push out more. These should be addressed if present and will be discussed with your plastic surgeon.Treatment:I have multiple approaches to treating this condition surgically.The structures can be approached either directly through the skin crease or within the eyelid.The ligament must be released.The fat prolapsing needs adjusted, sculpted and blended into the cheek to improve the contour.Finally your lower eyelid must be supported, and muscles tightened to ensure your eyelid heals well and in the correct position.
I hope this information is helpful to you. Best of luck in your health journey.

Thomas Trevisani, MD · Answer

Based on a limited photo- you appear to be a candidate for Lower lid blepharoplasty. I suggest that you seek an experienced Board Certified PS and discuss the details of the procedure during your consultation

Zoran Potparic, MD · Answer

You seem to be very good candidate for ayelid surgery, both upper and lower. Lower eyelids could be done through a small incision inside the lower eyelid (transconjuctival lower blepharoplasty). I would suggest doing both, upper and lower eyelids in the same time to avoid discrepancy. Good luck.

Michael I. Echavez, MD · Answer

I would say the procedure that would rejuvenate your eyes the most would be a lower blepharoplasty surgery.  There are some additional procedures that could be done to the surface of the skin to bring some improvement as well.

Jason Emer, MD · Answer

The eye area needs significant combinations to get improvement. Lasers like erbium, co2, halo, profractional/contour, or Fraxel can all be used to build collagen long term. Plasma pen is a newer less invasive option but will take many treatments and require proper skincare. Plasma Pen is focused electrical plasma energy to tighten skin, producing small columns of energy just above the skin, allowing the skin to tighten to help improve wrinkles. This area will have 3-5 days of small “dots” that will then scab and peel, then the skin will tighter and brighter after. Numerous treatments are needed over lasers where only one or two give a bigger result, but more downtime. After plasma pen you NEED peels 2 weeks like later Cosmelan, enlighten or aerify, see emeragecosmetics (link). At home derma rolling should be started weekly even after plasma pen or lasers to further increase collagen, see emeragecosmetics AERIFY x anteagemd stem cell ampules. To properly heal you need light Stim red LED, EmerageSkin refit face, refit eye; AnteageMD serum, silagen silicone gel, jan Marini bioshield, EmerageSkin enzymatic polish, and EmerageSkin hyla b and AOX, and Sente dermal repair. Otherwise there is EXTREME risk of pigmentation issues and “dots” in the treatment area. at home peels like cosmelan, enlighten and aerify along with dermarolling (AERIFY emerageskin roller with Anteage MD ampules) should be started now regardless for antiaging, sun damage, and wrinkle prevention. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as eyelid blepharoplasty with or without fat pad repositioning (if doing lower eyelid surgery) will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora, PiXel8 or morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Which procedure would help minimize the appearance of under eye bags while delivering a more youthful appearance? (photo)

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