By Dr. William Anderson
Do your eyelids look puffy? Do people say you look tired?
Bulging fat in the lower eyelids leads to bags or puffiness. Skin laxity or crepe skin along with puffiness leads to a tired eye appearance.
Blepharoplasty is the broad medical term applied to operations designed to lift, remove, and reposition sagging and bulging tissues around the eyes.
It is one of the more difficult yet common procedures.
The exact cause of lower eyelid bulging is difficult to know. It may be inherited and present for many years. The fat under the eye may bulge because the tissue that supports the fat weakens.
We may loose fat and bone structure in the cheeks with age. If facial fat sags, then the normal fat or the lower eyelid will appear more prominent. The aim of eyelid treatment is to smooth out the transition between the lower eyelid and the cheek fat and smooth out the wrinkles.
Surgery is often the best approach to improve the appearance of the lower eyelids. The lower eyelid incision is hidden immediately below the eyelash.
Bulging fat in the lower eyelid is typically removed and/or repositioned. Removal of too much fat can lead to a sunken or hollow lower eyelid. Not removing enough leads to persistent puffiness.
Repositioning of the fat is done by moving the under eye fat over the bone.
Combining repositioning with lifting the cheek fat is the best option for smoothing out the puffy lower eyelid.
If you are not ready for surgery, fillers can be added to the lower eyelids. It is best to add fillers along the boney rim, below the puffiness, to smooth out the transition between the eyelid and cheek fat.
However, fillers can sometimes lead to prolonged bruising, discoloration or a persistent swollen appearance. Fat can also be added to the lower eyelids to correct the hollowness.
Botox may be a temporary solution for lower eyelid wrinkles or crepe skin, but does not help with puffiness. Chemical peels and lasers are also used to improve the lower eyelid skin.
Contact Tower Cosmetic Surgery for more information; (209) 216-3323.