34-year-old. Am I a candidate for lower blepharoplasty?
I've had bags under my eyes since childhood, no matter how much sleep I get, what I eat,
etc. I'm not sure whether that profound of a genetic bag/bulge can really be addressed
with blepharoplasty.
Thank you for your question!
You’re 34 years old and you state that you had eye bags since childhood and so you’re
asking if you’re a candidate for blepharoplasty.
Well, the short answer is yes. When I look at your photos from the front view and the
side view, it’s clear that you have lower eyelid fat prolapse. Lower eyelid fat prolapse
certainly can happen since childhood. A lot of our patients will say that they remember
that they had their bags even when they were little kids and teenagers. So, having these
bags under your eyes will clearly won’t go away on their own. So addressing those
fat pockets can really make a difference in your appearance. And so, how to address those
bags is important.
It is critical that the character of your face remain at the same and you just look
like you don’t look tired anymore. Most patients in your age and males, we perform
what’s called transconjunctival lower eyelid blepharoplasty. Transconjunctival lower eyelid
blepharoplasty is a mouthful is essentially an approach to addressing the fat pockets
from the inside of the eyelid. What we’re doing is we’re getting into the fat pockets,
reducing them and repositioning them so that the appearance externally is as if you never
had the bags to begin with. The procedure is done under local anesthesia with LITE™
sedation in our facility. And we are able to get people back to work usually in less
than a week. I’m always impressed how quickly people recovering and how minimal the amount
of bruising and swelling that majority of our patients have. That basically has to do
with the protocols that we have developed over time.
I’ve been a practicing oculofacial plastic surgeon for over 20 years and I’ve been
always focused on natural results and quick recovery. So again to answer your question,
yes you are a candidate but choosing the right type of surgery for you is very important.
And so, that being said, my suggestion is to have this performed as a transconjunctival
inside of the eyelid as opposed to, I should differentiate, from a transcutaneous approach
or external where you have an incision under the eyelashes. But for most young people or
young men, there’s no reason to that. We find that they don’t have extra skin so
why create an incision on the outside.
So, I advise that you need with experienced surgeons who focus a lot on eyelid surgery.
I’m a firm believer, as a specialist, in specialization. And once you find comfortable
with, move forward and I think it will make a real impact on your appearance. So I hope
that was helpful, I wish you the best of luck and thank you for your question!