I am 52 years old and look tired all of the time due to the dark bags under my eyes. It feels like fatty tissue. I would like the fat removed. Can this be accomplished with gentle liposuction or is blepharoplasty necessary?
Liposuction is not appropriate for removal of fatty bags under the eye. There are other fragile anatomic structures in this area including the muscles that move the eye. Injury to these structures would cause significant deformity and functional deficit. Blepharoplasty however is a relatively straight forward procedure. We nearly always use an incision inside the eyelid for the procedure. Restylane can also be used to fill in the depression under the eye bag for further improvement or sometimes can be used alone. We also utilize the patient’s own fat cells for improvement of the groove under the eye commonly referred to as the “tear trough”.
Posted by Dr. Buckingham