What is the best surgical approach to rejuvenate my eye area? (Photo)

I would encourage you to specifically inquire about a Transconjunctival lower eyelid blepharoplasty with fat transposition. A "deep peel" of the lower eyelid skin can be helpful in rejuvenating the under eye area, however, it is not recommended for those with hyperpigmentation under the eyes. As always, I recommend reaching out to a Board Certified Plastic Surgeon for a consultation and assessment.

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 reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Very likely that transconjuctival lower blepharoplasty, with or wothout skin removal, would be a good procedure for you. We have very long and very successful experience with periorbital fat grafting and that is something that I woud consider in your case. Hope this helps. Good luck.

Thank you for your question regarding eye rejuvenation procedures and options and for including photos. They are very helpful!

From the photos you shared, it appears you would be a great candidate for an upper blepharoplasty. Depending on your brow position during your exam, a brow lift could provide benefit as well.

A lower blepharoplasty corrects and releases the tear troughs. A deep laser would help improve the texture under and around the eyes.

I hope this helps. I encourage you to see two or more experienced board-certified plastic surgeons in your area for an in person consultation.

Hello @Tasteful8319, thank you fro your question. It is important to develop a surgical plan that fits your possibilities, to fulfill your wishes for improvement taking into account the overall face and what you would like to achieve. While fat grafting can be a solution for rejuvenating the under-eye area, it's important to note that fat transfer to the face can be somewhat unpredictable. This is because not all of the transferred fat will survive, and some of it may be reabsorbed or can migrate. For more information and recommendations, it is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS),International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP).

Hello! Thank you for your question.As far as I can see from the photos your eye area so wrinkled and there is saggy skin above and under your eyes. For a better, fresh and more elegant looking I suggest upper eyelid blepharoplasty and endoscopic brow lift. However, for your under eye there are 2 options : lower eyelid blepharoplasty or fat injection under the eyes. We can decide which procedure would be the most adapted in your case only after a face-to-face consultation.In terms of techniques you can ask the surgeon you chose. Each surgeon have their own techniques (even if they are all similar.)Best regards!

Sunken eyes are a common concern for many people as they age, and there are several treatment options available to help improve the appearance of the area.

For the upper eyelid, an upper blepharoplasty with a brow lift may be a good solution to address any excess skin or drooping that may be contributing to the sunken appearance. This procedure can help to open up the eyes and create a more youthful, refreshed appearance.

For the lower eyelid, fat grafting and deep peeling are two possible options that may be recommended by a plastic surgeon. Fat grafting involves taking fat from another area of the body and injecting it into the under-eye area to fill in hollows and add volume. Deep peeling can help to improve the appearance of the skin around the eyes by removing damaged or aging skin cells.

If you are concerned about the unpredictability of fat grafting, you may want to ask your doctor about other alternatives, such as fillers or implants. Fillers can be injected into the under-eye area to add volume and smooth out hollows, while implants can be surgically placed to provide a more permanent solution.

When discussing treatment options with your doctor, be sure to ask about the techniques they will be using and what results you can expect. It's also important to ask about any potential risks or complications associated with each procedure, so you can make an informed decision about the best course of action for your needs.


I hope this helps,
best of luck !

Thank you for your question.

I concur that an upper blepharoplasty will help rejuvenate the upper eyelid area.

However I disagree strongly with the suggestion that you have deep peeling of the lower eyelids. First because the peeling will not correct the changes that you have. In addition the peeling of the lower eyelid can cause lid retraction, ectropion and the need for further surgery.

A trans-conjunctiva lower blepharoplasty with arcus margin Iles release and fat grafting and a canthopexy through your upper eyelid blepharoplasty incision will significantly improve your lower eyelids. At the time of surgery you may need a small skin pinch of the lower eyelids but I cannot determine that based on your photographs.