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New York oculoplastic surgeon Amiya Prasad, M.D. reviews what causes puffy under eye bags that are always visible; why darker skin types are at greater risk for keloid (raised) scars, and hyperpigmentation from eyelid skin incisions commonly made by the majority of surgeons, and how Dr. Prasad’s approach without an incision on the eyelid skin avoid scarring, and hyperpigmentation altogether:

0:00 - Intro music

0:21 - Introduction to under eye bags

0:33 - Causes of puffy under eye bags

0:55 - What herniated fat is

1:10 - How bone volume deficiency can be a genetic trait

1:43 - What lower eyelid blepharoplasty is

1:54 - How transcutaneous blepharoplasty is performed

2:22 - Why darker skin types are at greater risk of hyperpigmentation after transcutaneous blepharoplasty

2:45 - The risks of transcutaneous blepharoplasty

3:19 - How Dr. Prasad customizes lower eyelid procedures depending on the skin type

4:12 - Dr. Prasad’s experience in oculoplastic background

4:30 - How transconjunctival blepharoplasty is performed safely on darker skin, without scarring, or hyperpigmentation

5:07 - How PRP (platelet rich plasma) can improve collagen production, treat dark under eye circles, and improve skin quality

5:53 - The common side effects of general anesthesia

6:18 - Dr. Prasad’s approach to performing cosmetic lower eyelid surgery under local anesthesia with, or without LITE™ IV sedation

7:32 - The downtime after lower eyelid surgery

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