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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.
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.
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!
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!
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.
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.
Real Self AnswersLower blepharoplastyThere 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.
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
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.
Thanks for your question! To address the lower eyelids I think you would best be served with a lower lid blepharoplasty. Your upper eyelid margins are also on the low side based on this one photograph and may need to be addressed as well to deliver your desired more youthful appearance. There are many considerations for upper and lower eyelid surgery so please see a board certified plastic surgeon for a face to face evaluation and discussion regarding options. Good luck!
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.
Very little can be fixed with a "stitch." I would be highly skeptical. If you are serious about getting more useful information, consider posting actual photographs. Likely what you really need is a very detailed clinical assessment to determine the basis for your concerns. Based on that it...
I can not endorse you having more surgery with your original surgeon. The design of the upper eyelid crease makes not sense. The visible scar could likely be improved but it may not be possible to make it completely disappear. It is in a very bad location. You also have a very unsatisfactory...
For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest...