A 20-year-old gentleman has prominent and tired-looking eyes. He wants to know the ways to fix them.
Dr. Amiya Prasad, a specialist in facial aging and a cosmetic oculofacial plastic surgeon, asks his patients about genetic factors - if their appearance runs in the family. He also asks them about lifestyle issues that could affect the eyes like: lack of sleep, smoking, environment factors such as sun exposure or a toxic environment, and about stress which also affects appearance. One of the most common reasons people come to him is when their friends and coworkers comment about their eye bags.
One thing that Dr. Prasad noticed from this gentleman’s photo is that there is a bit of a puffy area in the inner aspect of the lower eyelids. This is called lower eyelid fat prolapse. Lower eyelid fat prolapse means that the fat that is normally around your eyes slightly pushes forward and creates a bulge. Dr. Prasad has operated on a patient as young as 14 who had significant bags under their eyes. He became withdrawn from school because everybody thought he was on drugs, so his parents brought him in and Dr. Prasad took care of the bags under the eyes.
During consultation, one of the questions Dr. Prasad would ask is if the eyes are puffy all the time or do they have good and bad days. If there is variability on how puffy they look and the eyes are very puffy most of the time, then that’s a good time to consider a procedure such as a lower eyelid blepharoplasty. They can also consider some conservative methods such as topical creams that are good moisturizers and things that are holistically good for them such as better diet, sleep and exercise.
If they feel there are aspects that they just can’t deal with, then consulting with qualified and experienced cosmetic surgeons will be a benefit. When they are getting opinions, they should remember that surgeries can’t easily be undone or reversed, which is a decision they have to live with. Often Dr. Prasad tries conservative measures first such as topical creams or even injections like platelet-rich plasma and Restylane to help improve the appearance. The nice thing about these modalities is that they are not permanent. If the patient doesn’t like them, they just disappear. If he really wants to do something that’s more definitive beyond lifestyle changes then he can explore these options.
To learn more about eye bag removal surgery without an external incision (transconjunctival blepharoplasty), please visit our website:
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