30 yr old female looking for a long lasting alternative to blepharoplasty to correct under eye circles. Any suggestions? (photo)
Doctor Answers 12
Alternative to blepharoplasty
30 yr old female looking for a long lasting alternative to blepharoplasty to correct under eye circles. Any suggestions?
You mentioned long-term correction, and this can only be achieved by removing the excess fat mentioned above. My choice would be removal of the fat through an incision inside your lower eyelid, called a trans-conjuntival blepharoplasty. This can be done under local anesthesia, and there are no sutures to be removed. Your recovery time should be just a few days. Any bruising can be covered with makeup.
If you do have a lack of volume over the infra-orbital rim, some of the fat removed can be inserted into this depression (which is where your dark circles are now). This can all be done through the same incision inside your lower eyelid.
Injections of fillers into the hollow beneath your lids are temporary and would certainly not fulfill your quest for a more permanent correction. In fact, it would not offer much correction at all because your primary problem is the excess fat in the "bags", not the depression below the bags. You have to decide which is most important to you, a temporary break in your "lifestyle" or eliminating your problem once and for all.
Good luck with your quest to correct your lower eyelid problem. I'm sure you will be elated with the result.
Now... what one does to correct these undesirable features is dependent on the patients desires, the patients anatomy and the skill set of the surgeon. Single methods and combinations of methods are performed and include at least: filler and fat injection, variations of blepharoplasty and variations of midface lifting. I personally perform most of these procedures but really decide what is best after I meet with the patient and examine their tissues. Then the patient and I move toward solutions.
The best answer for you is to arrange for a consult with a credible surgeon and I am confident you will find the best solution for you.
Fred Fedok, MD FACS
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Treatment for Under Eye Circles
There are great non-surgical option to fill in under eye depressions and hollowness. Using dermal fillers, a liquid eyelift can be performed. Dermal filler such as Restylane would be placed in the cheek and tear trough to hide the depression or bag underneath your eye.
Many times patients will try the non-surgical option first to see if they are happy with the result. If they do not get the results that are seeking, they can still undergo surgery. Other patients want a permanent solution and choose to undergo surgery.
At times, patients will have a darkening of the skin in this region. This staining of the skin can be difficult to treat and will not improve with either a liquid eyelift or a lower blepharoplasty.
Each of these choices are viable options. I would carefully review the pros and cons of each procedure and decided what would be best for you.
Without Surgery long lasting treatments are less
Blepharoplasty alternative treatment option
Transconguntival fat transposition Blepharoplasty
Eyelid surgery vs fillers
Filler will ill give you good improvement I you can't do surgery. Use either restylane or belotero and you can fill the anterior cheek just under the tear trough and help bolster that area to get rid of the shadows seen