Eye Floaters Treatment New York

Eye Bags in Young People Achieving NaturalLooking Results while Avoiding Hollowness

Thank you for the question. You're 20yearsoldand you submitted several photos and you have described some concerns about under eye bags.You also express concerns about the potential of hollowing and you're considering sinceyou have done some research lower lid blepharoplasty, fat grafting fillers. You don't like theidea of maintenance fillers and of course you are concerned about the appearance asyou face ages. Well, I can certainly give you some guidanceon how I help patients like yourself who come into my practice. I'm a board certifiedcosmetic surgeon and fellowship trained oculofacial plastic and reconstructive surgeon practicingin Manhattan and Long Island for over 20 years

and under eye bags is something we prettymuch do in our practice. So, I can give you some guidance but first we should discussa little bit about what the anatomy anatomical issue is. So what you have is basically is lower eyelidfat prolapse which means that the fat that is normally around the eye is pushed forwardand I think you probably essentially figured that out from your research so the questionis: what to doé Do you take away the faté Do you transpose the faté Well certainly,even with the factoring in of aging, I would say that the majority of patients who likeyourself who I treat, I do a combination where

I reduce fat and is done from the inside thatis called transconjunctival blepharoplasty. That means there is no incision from the outsideand the approach is done from the inside and any fat that is pushed forward, it is reduced. Now there are ways to transpose the fat andto move it in places where it may appear to be hollowed but at 20, I just don't thinkit will be necessary. Now of course you are now anticipating what will happen as yourface ages. Well, I think that even people who are much older where I have done exactlythe same procedure for women on their 70's and it has been appropriate so I don't youhave to necessarily be worried that you are

going to look unnatural as you get older.You're basically dealing with an anatomic issue where fat is not where it belongs. Iagree with you that fillers would not be of value not because of the concern about maintenancebut because the fat pockets are just pushed forward to prominently. In our practice, wehelp who have mild degrees of fat prolapse with the use of Restylane and to help skinquality with plateletrich plasma (PRP). But in your case, that's not going to be appropriate.But once a fat pocket is too pronounced, there is no reason to do anything else. I think that what you have to do is to wraparound your mind the idea that the appearance

of your eyes without the fat pockets aftersurgery should be as if you never had the fat pockets there to begin with as if youwould have that look without the fat pockets. Now if you are conflicted and not sure whatto do, wait until you are comfortable. Meet with qualified and experienced cosmetic surgeonswho perform both surgical and nonsurgical procedures and learn about you options. Thisis an important decision. Certainly I have done this procedure for young people and asyoung as 14 because of the genetics and not related to aging and it's basically genetictrait. And patients who I treat in their 20's, 30's and 40's will frequently tell methat they had the bags under the eyes either

they are born with them or they hand sincethey are teenagers. So you certainly have to make some decisionsbased on the risks and benefits and once you understand that there is no ideal procedure.But I would say that transconjunctival blepharoplasty, for over 20 years of helping hundreds of patients,that you really can hit a homerun when it comes to helping people look their best. Iwould say that helping people with bags in their eyes is literally doing a facelift andit really makes such an improvement on the overall facial appearance and the most commonthing I hear who are a lot older than you they say if I knew it was this easy, I wouldhave done it sooner. So in your situation,

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