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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.
The fat below your eyelids can prolapse forward to give the appearance of “bags.” Fat also retains fluid which means the amount of protrusion can shift with fluid dynamics. Improvement can be made surgically. Best to see an eyelid specialist.
there is an easy test to tell the difference. If you press on your eyeball with a partially closed I then if the swelling underneath the Balj is then it's fat. If it doesn't change much then it's swelling or some of the soft tissue.I discussed this and other cosmetic surgery topics on my YouTube channel, Adam goodwin surgery.Hopefully you find some interesting answers there. Best wishes, Adam, Goodwin.