Can this double pocket of fat under my eye be fixed? What are my options? (photo)

Question

Hi there! I’m 36 and over time I’ve gotten more pronounced fat pockets under my eyes when I smile. It makes me look super tired and old. When I’m not smiling that area is really dark. Is there anyway to fix the double roll, fat pocket? I can’t stand it.

Donald B. Yoo, MD, FACS · Answer

Common reasons for lower blepharoplasty include tear trough deformity or pseudoherniation of the orbital fat creating "eye bags." Transconjunctival lower blepharoplasty with fat repositioning will provide nice results and a better lid-cheek transition in this case. An in-person exam would provide a more accurate diagnosis.  If you want the best idea of what is possible for your eyes, do your due diligence, find an experienced surgeon, and have him/her evaluate you in person and discuss your options. #drdonyoo

Jonathan Kulbersh, MD · Answer

Thank you for your question and for providing a photo. You are likely a candidate for a lower blepharoplasty procedure to improve the appearance of the lower eyelid. This surgery can sculpt, reposition, or remove excess fat to create a more seamless transition from the lower lid to the upper cheek area. 
This approach may result in a refreshed, brighter, and more youthful appearance that can last for around 10 years or longer. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your concerns and make the best suggestion for helping you achieve your aesthetic goals.

Scott C. Lindsay, DO · Answer

Thanks for your question! I would need to see you in person, but I do think that a lower lid blepharoplasty may help you to remove that excess fat and any extra skin that persists. Please seek out an in person consultation for a full evaluation. Good luck!

C. Blake Perry, MD · Answer

Neurotoxin and lower eyelid surgery are you best options. Part of the “roll” you are seeing is the orbicularis oculi muscle. This can be weakened with neurotoxin to make the “roll” less pronounced. Any fat in the lower lids needs to be addressed with surgery. Best to see an eyelid expert in your area.

Can this double pocket of fat under my eye be fixed? What are my options? (photo)

Answers (4)

Answer: Under eyes

Answer: Under eyes

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Can this double pocket of fat under my eye be fixed? What are my options? (photo)

Answers (4)

Answer: Under eyes

Answer: Under eyes

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Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.