How Eye Bags can Worsen Since Filler Treatment, and a Definitive Puffiness Treatment

More on under eye fillers: http://puffyeyes.com/eye-fillers/

For more on eye bag removal surgery, please go to: http://puffyeyes.com/lower-eyelid-eye...

For more about Dr. Prasad's experience and training in eyelid surgery, please go to: http://puffyeyes.com/about-dr-amiya-p...

A lady got filler injections in her tear troughs in August 2015. Over the course of a year, she noticed the area becoming more pillowy and saggy. She had them dissolved in two sessions, but 2 years later, her tear troughs still appear puffy, deep, and quite pronounced. She wants to know what can be done to fix them.
New York oculoplastic and reconstructive surgeon Amiya Prasad, M.D. reviews her concerns in this video, and explains why it is likely that the puffiness under her eyes is due to lower eyelid fat prolapse that got progressively worse; why fillers are only suited for mild cases of under eye puffiness; and why lower eyelid surgery is likely her best solution:

1:30 — Dr. Prasad details his background training in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience as an eye rejuvenation specialist

2:10 — Factors that contribute to the hollow appearance of tear troughs

2:49 — Dr. Prasad assesses this lady’s case and explains why the puffiness under her eyes is not likely due to filler, but lower eyelid fat prolapse

3:30 — Dr. Prasad explains how mild under eye puffiness can be addressed with filler up to a certain point

4:48 — How fillers can sometimes last for years; and the benefit fully dissolving previously placed filler before doing a correction

5:24 — The two treatment options for lower eyelid fat prolapse; and how a transconjunctival blepharoplasty is performed

6:16 — The goal of lower eye surgery

6:55 — How minimally-invasive procedures like injectables are still comparable to surgery

7:10 — How this type of procedure is performed with minimal trauma and recovery time needed, in a comfortable, safe setting

7:42 — Dr. Prasad’s recommendation

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