I have big lower eyelids and I'm wondering what procedure would be most effective to correct it. (Photo)

Question

My eyes are really big, so my lower eyelids are big too. I want a smooth transition from my eyelid to cheeks. Would a filler help me achieve this look? Or cheek implants?

Mark Berkowitz, MD · Answer

Mariah Jones  Hello Neighbor! You have beautiful Lower eyelids!  What you are noticing is the transition zone from the lower eyelids to the cheek.  A facial implant would be a mistake at this time and age. I can soften the transition zone with some strategically placed filler like belotero or preville silk.  I invite you to come in for a complimentary consultation at Accents Cosmetic Surgery and Medical spa in your backyard, Sterling Heights.

Kevin M. Robertson, MD, FACS · Answer

First of all, no surgery.  Cheek implants, or lower lid surgery, would be a mistake and would likely end up with a poor result.  Similarly, you have beautiful full cheeks, so additional volume there would either look unnatural, or would still not influence the area you are considering.To me, it looks like you are picking up on the transition of the muscle fullness of the lower lid and the soft tissue directly under that.  That leaves you with four options.  One is very small amounts of botox in the lower lid muscle to soften their prominence.  You need to find someone with experience here, because it's precise and overtreatment will compromise your lower lid support.  Two, soft HA fillers like belotero or restylane to bridget the transition.  Again it must be conservative or you could look too puffy or lumpy.  Three, a combination of the two.  Don't do that at the same time, stage them to be conservative, simple, and safe (you may not need the second arm of treatment).  And four, do nothing.  You have beautiful eyes and cheekbones that we would try to copy for those less fortunate, so no treatment at all has to be considered.

John J. Martin, Jr., MD · Answer

Your lids and face are very attractive just as they are.  What you may not like is the little dip just below the muscle in the lid.  You can fill this in with some belotero or restylane.  These will help to smooth the transition from the cheek into the lid, and fill in this area.  Because they are HA fillers,  if for some reason you don't like the result you can have it removed.

Michael A. Persky, MD · Answer

Hi Mariah,You are seeing the muscle of your lower lid, which is normal and youthful.  The transition between your lids and cheeks can be softened with Voluma placed laterally along your cheeks.  The muscle hypertrophy can be softened with a few units of botox placed correctly.  Good luck and be well.Dr. P

Mehryar (Ray) Taban, MD, FACS · Answer

There isn't anything wrong with you lower eyelids. You do have relatively bulgy, prominent eyes which are giving you illusion of big lower eyelids. You may benefit from cosmetic orbital decompression. See an oculoplastic surgeon.

Kenneth D. Steinsapir, MD · Answer

If it ain't broke, there is no fixing it.  Cheek implants are obsolete.  Additional facial volume can be very effectively created without using cheek implants.  Generally the results of cheek implants is the creation of an inauthentic facial contour.  Over the years, I have removed hundreds of these implants that were placed by well meaning facial and general plastic surgeons.  They like them because there are in a catalog and the surgery is straight forward.  The problem is they create curves in the face that don't belong there or volume too low in the cheek in the case of some types of malar implants.  Generally products like Restylane and Perlane provide a non-surgical alternative that is actually better than the implants.  Be careful what you look for because to might find it and regret the decision.  You certainly don't need this surgery to look attractive.

Darryl J. Blinski, MD · Answer

You have beautiful eyes. But YES there is a tear trough deformity. I might recommend HA fillers. But this could be a double edged sword. Be careful...

Richard O. Gregory, MD · Answer

You are an attractive young person.  You should  be extremely cautious and conservative about doing anything including injectables as each has its complications and long term consequences.  If you had a SIGNIFICANT problem then these risks which are rare might be justified.  Don't do anything and enjoy your good looks.  Return to the  web site in ten years when you MIGHT be ready for something minor.

Timothy Connall, MD, FACS · Answer

Please see a qualified surgeon for a specific answer.Fillers can be useful in the tear troughs and cheeks. Generally, attractive young people should be careful in pursuing such treatments.  Relatively temporary solutions, as opposed to a permanent solution like an implant, are good starting places.Best wishes.

Barry L. Eppley, MD, DMD · Answer

This would require an injectable filler to ttreat since you are referring to a soft tissue transition zone between the eyelid and the cheek.

I have big lower eyelids and I'm wondering what procedure would be most effective to correct it. (Photo)

Answers (10)

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