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"For the first time in my life, I do not have bags under my eyes. I am thrilled I am thrilled with the results..."

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Treatment of Under Eye Bags

Posted: 12:01 a.m. Sunday, Dec. 2, 2018

By Anita Mandal, M.D.
Question: I’m 68 and have fat bulging under my eyes. Would I need surgery for fat removal or is there a minimal invasive option?

Answer: Visible fat bags in the lower lids do not automatically mean that you need a lower eyelid lift. It’s important for your doctor to look at the surrounding tissues to determine the optimal treatment approach.

A patient who has visible lower lid fat, but, at the same time, has deep hollows under the fat may only need an injectable filler in the lower lid hollows to soften the gap between the lower lid hollow and the area of bulging fat. My filler of choice is Bellafill, the 5-year filler, but temporary fillers like Restylane may also be effective.

In someone who has bulging fat but without any hollowing, they may likely need a lower eyelid lift with removal of fat. Such a procedure is known as a lower lid blepharoplasty.

A third scenario is a patient with significant protrusion of lower lid fat that co-exists with deep lower lid hollows. In such a case, both a lower lid blepharoplasty to remove excess fat combined with injectable filler to volumize the hollows may be the most rejuvenating approach.

A skilled Facial Plastic Surgeon can differentiate between these three scenarios in order to determine the most suitable approach for you.


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