what is healing like after eye bag surgery puffy eye bags are very common which is why cosmetic
surgery for under eye bags is one of our most popular procedures we perform in our practice
under eye bags are seen in younger to older people regardless of gender and ethnic background
eye bags are essentially fat compartments which have herniated forward causing a
bulging appearance in the lower eyelids cosmetic lower eyelid surgery is the most definitive way
to address these herniated fat pockets for many people who I see this is the first time
they've had to consider an elective cosmetic surgical procedure in addition to concerns
about safety people are very concerned about the healing process after surgery I'll discuss what
I do to help my patients recover as quickly as possible in addition to making their experience
comfortable and convenient I'll also discuss how i perform the procedures so my patients look
natural as if they never had under eye bags I'm Dr. Amiya Prasad I'm a diplomate
of the American Board of Cosmetic Surgery and a Fellowship-trained oculofacial plastic
and reconstructive surgeon I've been in practice in New York City and Long Island for over 25 years
I perform lower eyelid surgery to help people with under eye bags in my practice most often using the
transconjunctival or from behind the lower eyelid approach I perform a lot of revision lower eyelid
surgeries originally performed by other doctors to address complications such as lower eyelid
retraction I also perform cosmetic upper eyelid procedures for hooded eyes as well as specialized
oculoplastic procedures lactose surgery or surgery to lift drooping upper eyelids
an additional example of what I do is surgery for eyelids affected by thyroid eye disease
many people who are aware of puffiness around the eyes they feel they can can be caused by lack of
sleep salt intake allergies and sinus issues this type of puffiness is more fluid related
while puffiness under the eyes that's constant regardless of sleep and other possible causes
is from prolapsed fat now fillers can be helpful to camouflage minimal fat prolapse I help a
lot of my patients with tear trough filler to improve the appearance of hollowness adjacent
to prolapsed herniated fat it's interesting that a lot of people perceive hollowness and
don't recognize the presence of prolapsed fat as a significant factor contributing to the contrast
making the hollowness look even deeper another way to think about it is that there's a deep
valley next to a mountain or a mountain of fat although camouflage with filler can be useful
the more definitive treatment is to address the prolapsed fat surgically
since the beginning of my practice over 25 years ago I focused on optimizing surgery
to make these procedures more accessible to a wider range of people essentially I focused on
the aspects of surgery that could be improved to reduce risk and to reduce recovery time
for under eye bags I use a specialized approach called transconjunctival blepharoplasty
what I do is I sculpt the fat pockets that cause the eye bags from the inside
of the eyelids and avoid any outside or external incisions or scars the assistants who work with
me are very experienced with these procedures I perform and this means that there's no time wasted
during surgery and this allows the patient to have a much shorter operative time
our post-operative protocols are administered also very efficiently the type of anesthesia
is another major factor that contributes to recovery I perform all my eyelid surgeries using
local anesthesia with LITE IV sedation my patients avoid the risks and prolonged recovery
typically associated with general anesthesia when I first started my practice using local
anesthesia for eyelid surgery many other surgeons were disparaging me only to later or much later
acknowledge the safety of local anesthesia and the advantages of light sedation
our patients typically return to work about a week after surgery generally there's little to
no bruising which ironically is far less than the degree of bruising endured by people who
get filler injections performed elsewhere in their effort to avoid having surgery
after healing it appears like you've never had eye bags even up close because there is no
external incisions in my experience this approach has many advantages over more traditional external
approaches many people who have lower eyelid surgery from an external approach end up with
rounding of their lower eyelids because of a combination of compromised support structures
of the eyelid and skin shortage from skin removal in an attempt to achieve skin tightening
when this happens the shape of the eyes change and many people feel like they just don't look like
themselves anymore I actually perform revision surgery to correct these problems from what's
called a transcutaneous or external blepharoplasty originally performed by other doctors
the approach i employ by performing transconjunctival blepharoplasty I'm
able to preserve the natural anatomy of the eyelid thereby preserving the character unique to your
eyes if there are under eye wrinkles I treat the real issue which is diminished skin quality not
excess skin quantity so instead of removing skin I perform procedures such as fractional CO2 laser
PRP treatment to the lower eyelid skin in my practice recovery after cosmetic
lower eyelid surgery can be minimally disruptive and you can appreciate as early as a few days
not having under eye bags I often say that the results are like you had a facelift where the
whole face looks brighter and more rejuvenated when you don't have bags under your eyes anymore
in fact many of my patients have expressed that if they had known that the procedure
had been so straightforward an experience they would have had the procedure much sooner
I hope you found this information helpful and thank you for your question