What Treatment Do You Suggest for Puffiness Under Eye and Top of Cheek?

The puffiness under the eyes is traditionally taken care of with a lower blepharoplasty through a transconjunctival approach on the inside of the lower lid. If the tops of the cheeks are very flat, consideration for cheek implant augmentation should be done. It is important to have a smooth transition between the lower eyelids and skin of cheek for a youthful appearance.

This area has always been a difficult one to address surgically, which is the reason for the numerous types of cheek and mid-face lifts, some of which are fraught with complications, especially in the hands of inexperienced or naive surgeons. Thankfully, the options for malar pads and the lid-cheek junction continue to expand and include fillers, laser liposuction (acculift with the accusculpt laser) and surgery. Which one might be best for you is best dtermined with a face to face consult and discussion of your goals with an experienced surgeon.