Age 48, alternative to lower blepharoplasty for mild/moderate lipotosis? (Photos)

Considering your chronic dry eye condition and your goal of addressing moderate lipotosis/eye bags, a non-surgical option that may yield the best and longest-lasting results is under-eye dermal fillers.

Dermal fillers can help add volume and smooth out the appearance of under-eye bags. They are injected into the targeted areas to provide a more refreshed and rejuvenated look.

Dermal fillers can effectively address hollowing and depressions under the eyes, reducing the appearance of bags and improving the overall contour. The results can typically last anywhere from six months to 10 years (Renuva), depending on the specific filler used and individual factors.

It's important to consult with a qualified dermatologist or plastic surgeon who has experience with under-eye treatments and can assess your specific condition. They will be able to evaluate the extent of your lipotosis/eye bags, discuss your treatment options, and recommend the most suitable approach based on your individual needs and concerns.

Additionally, it's essential to disclose your chronic dry eye condition to the practitioner performing the treatment. They can take the necessary precautions to minimize any potential risks or complications associated with your specific condition.

I hope this helps,
best of luck !

For mild to moderate lower eyelid fat prolapse (lipotosis) at age 48, especially when lower blepharoplasty is not suitable due to chronic dry eye, there are several non-surgical or minimally invasive alternatives that may help improve the appearance:
1. Radiofrequency Microneedling (e.g., Morpheus8)
* Tightens skin and stimulates collagen* Can help firm the under-eye area and improve texture* Results improve over time with multiple sessions
2. CO2 Laser (Fractional)
* Resurfaces the skin and tightens mild laxity* Can smooth under-eye wrinkles and reduce crepey texture* Offers longer-term improvement with proper aftercare
3. Injectable Fillers
* Can be used to soften the transition between the lower eyelid and the cheek (tear trough area)* Helps camouflage the appearance of mild puffiness* Results are temporary but immediate
4. PRP or PRF Injections
* Stimulates tissue regeneration and collagen* Can improve skin quality and reduce mild puffiness over time* Works best in combination with other treatments
Each option varies in terms of recovery, results, and longevity. A combination approach, like microneedling with PRP or RF, often yields the best outcome when surgery isn’t an option.

For longest-lasting results, radio-frequency microneedling + laser resurfacing would be a strong combination for skin tightening. Fat repositioning or reduction is another option if the protrusion is significant and surgery is reconsidered. Fillers provide a great quick fix but are temporary.