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Can I have laser surgery to remove hereditary under eye bags?

Q:

I have hereditary under eye bags, which always make me look tired and older. I have tired every cream and potion out there. Nothing really works. I am 30 years of age and would like to know what I could do to correct this issue with the least evasive procedure possible.

A:

Getting rid of the "bags" will likely require a blepharoplasty (eyelid lift).  This can be done a few ways.  1) incision under eye lashes or incision inside the eyelid  to remove the prominent projecting fat pockets.  The skin of the lower eyelids can be laser resurfaced instead of blepharoplasty surgery.  However, this will only tighten the skin and not remove the fat pockets, leaving some puffiness.  Also, if the fat is removed from incisions inside the eyelid the skin on the outside can be laser resurfaced at the same time if desired.  You should discuss these options with a board certified plastic surgeon and/or member of ASAPS. www.drtoddcase.com

A:

From what you describe you would be a good candidate for a transconjunctival blephproplasty. Removal of the excess fat from you lower eye lid with an incision inside your eye lid. This might also be improved with a release of the arcus marginalis which is the crease below your eye and possibly fat grafting to your check area. You should consult with a Board Certified Plastic Surgeon to have a consultation to determine what would be best for you.

A:

Laser Resurfacing Lower Eyelid Surgery – Laser resurfacing surgery to the eyelid is useful for fine wrinkles, but does not remove fat or tighten skin as has been previously thought. It is a resurfacing agent only.

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