Get the real deal on beauty treatments—real doctors, real reviews, and real photos with real results.Here's how we earn your trust.

see all q&a
Posted underEyelid Surgery q&a

Tear trough deformity? Or fat? (Photo)

H
helloworld96Sep 28, 2023

Hi! I’m 27 and currently live in Japan. My under eyes have bothered me for a long time. Since my teens, I’ve had what I don’t really know what to call other than “bags” under my eyes. Here in Japan, a popular procedure for people who have issues with their under eyes is having fat removed, but I actually don’t know if what I have is fat, a tear trough deformity, or something else entirely. Wary of fillers and fat graft because of the potential for lumpiness, but unsure how to address the issue.

Answers (2)

From board-certified doctors and trusted medical professionals
Dr. C. Blake Perry, MD
C. Blake Perry, MD profile photo
Dr. C. Blake Perry, MD
Oculoplastic Surgeon, Board Certified in Ophthalmology
5.0 | 17 Reviews
Answered on Oct 8, 2023
Answer
Dr. William Portuese, MD
Dr. William Portuese, MD
Board Certified Facial Plastic Surgeon
Answered on Oct 1, 2023
Answer
1 person found this helpful

More Eyelid Surgery Questions

Top Answer
User Avatar
Richard Zienowicz, MD

Hello and thank you for question. Based on your photos, it does not appear as if you have enough excess upper eyelid skin to warrant surgery at this time. Surgery is not without risk and there does not seem to be an indication at this time. You could request a slight brow lift from a...

+4 answers
Top Answer
User Avatar
Ajaya Kashyap, MD

Thank you for your query. You do have residual asymmetry. You may have had some over correction, as your left eye does not seem to be closing completely. You will need a careful examination and investigation and likely corrective surgery. Please find a Board certified Plastic/oculoplastic...

+2 answers
Top Answer
User Avatar
Zoran Potparic, MD

In most patients undergoing eyelid surgery, in particulat lower eyelids, 11-12 months is enough time to completely heal. However, in small number of patients, swelling, redness, thightness, and other signs of inflamation (that is part of healing process), may last much longer. It seems to be...

+1 answers
Top Answer
User Avatar
Gary M. Horndeski, MD

I would recommend a browlift. Your eyebrows are below the level of the orbital rim and they should be higher. Also, your hairline is quite high. You can have a frontal hairline incision to bring the hairline lower, make you look younger, decrease the width of the forehead and put the eyebrows...

+5 answers
Top Answer
User Avatar
C. Blake Perry, MD

You have a condition called strabismus where the eyes don’t align properly. You need to see an eye doctor (ophthalmologist) to help you. Often people with strabismus have double vision. Surgery can be performed by a strabismus surgeon to help align the eyes if needed.

+2 answers
See all Eyelid Surgery Q&A
See more Eyelid Surgery Q&As
See all Q&As
SEE EYELID SURGERY GUIDE →