Is there any non-surgical treatment available to remove a small puff under the eye?

Q:

I have had three under eye surgeries to remove bags. There is still a small puff that the surgeon told me that he could not remove. It doesn't look right. Is there anything that can be done instead of surgery to eliminate the small puff that is still under the eye?

A:

Under eye cosmetic deformities can frequently be treated with a filler. This is especially true of those left after blepharoplasty surgery. This can be done with fat or an off the shelf product. Without an examination, however, it is impossible to advise you specifically. See a plastic surgeon who has significant surgical experience and is an expert injector. The latter can be found by referral or at www.expertinjector.org.

A:

Linda,

Unfortunately, an examination & review of your medical records would be required to answer your questions. Consider requesting copies of your operative reports & pre-operative photographs from your original surgeon. Take these materials to a consult with a member of the ASAPS in your area familiar with Occuplastic Surgery. There may be some other options that your surgeon has not considered? 

Best,

Gary R Culbertson, MD, FACS

A:

Non-Surgical Removal Treatment For Lower Eyelid Fullness - There are no good eyelid removal treatments other than an operative procedure. One can camouflage some early fullness with hyaluronic acid filler like Restylane in the tear troughs. If you have true puffiness in the lower eyelid this should be removed by performing a Blepharoplasty procedure. 

A:

Available non-surgical treatments for puffy under eyes are temporary. Fillers can be used to camouflage the deformities. A new "makeup" called neotensil is pretty amazing at correcting the undereyes and lasts for 24 hours. This is only available at doctor's offices.

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