Which procedure would help correct my under eye bags and upper eyelids? (photo)

Question

I’m 30 and have always had problems with my eyes such as under eye bags and my upper eyelids

Adam Bauermeister, MD · Answer

Hello, thank you for your question and supporting photo. Based off the photo, you would qualify for an upper blepharoplasty to correct the excess upper eyelid skin. Additional photos and better yet an in person exam would be needed to determine the extent of of your under eye bags that you have commented on. If found to be more significant than what is pictured here, then a lower blepharoplasty could be performed to correct this. In your situation, no excess skin is shown, so the incision could be hidden along the underside of the lower eyelid (transconjunctival lower blepharoplasty) and the scar would not be visible.

Bora Ok, MD · Answer

Hi from Istanbul! From the photo you provided, under-eye bags are not prominently visible, which could be due to fillers, lighting, or other factors. Considering the sagginess observed in the outer part of the brows, I recommend considering a brow lift in addition to upper eyelid surgery or regular Botox treatments to address these concerns. Hope this helps, best of luck!

Reza Rod, MD · Answer

Thank you for your question and picture.  It looks as though you need an upper and lower bleph.  The upper bleph is done with a skin pinch in the eyelid crease. There are several fat pads under our eyes to cushion the eye. As we age these fat pads become more visible and may need to be removed. Most likely you need to get these fat pads removed. You will need research a plastic surgeon in your area that specializes in lower blepharoplasty with removal of the fat to get and assessment.

Zoran Potparic, MD · Answer

It appears that endoscopic brow lift would provide both shaping of your flat and low brows and elevate upper eyelids to a satisfactory position? It is not possible to see significant eye-bags under the eyes in this photo but if that is the case, lower transconjuctival blepharoplasty would be a good option. Good luck.

Gary M. Horndeski, MD · Answer

Your eyebrows are lowering than the orbital rim. You would benefit from a browlift. This can be done in the hairline to decrease the length of your forehead. At the same time, upper and lower blepharoplasty can be performed.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

William Portuese, MD · Answer

The primary goal for upper eyelid surgery is to remove the hooded and excess skin creating the tired look.  The incision is located directly in the upper eyelid crease. The primary goal for lower eyelid surgery is to remove the fat bags creating the puffy look, and that incision is placed completely on the inside of the lower lids, also known as a trans-conjunctival approach. Choose your surgeon wisely, based on extensive experience producing natural results.

Whitney Pafford, MD · Answer

It's hard to see your under eye bags in this photo. You could consider reposting with additional pictures from the sides and also from the front while looking upwards with your eyes only (not your head) to get a better evaluation. If you have had filler near the eyes before, it can sometimes be filler that is breaking down. When this happens it attracts water and can give the appearance of bags under the eyes. Otherwise the bags are usually caused by prolapsed fat pads around the eyes. In younger patients this tends to be genetic. The type of surgery to address both your upper lids and your lower lids is called a blepharoplasty. I'd recommend finding a local Facial Plastic Surgeon or Oculoplastic Surgeon to discuss your surgical options.

Darryl J. Blinski, MD · Answer

Based on the one posted photo in life action appears you need a bilateral upper and lower lid blepharoplasty. Fees range from $5000-$15,000 depending on area of country. Best of virtual consult with.

Which procedure would help correct my under eye bags and upper eyelids? (photo)

Answers (8)

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