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New York oculoplastic surgeon Amiya Prasad, M.D. reviews what causes puffy under eye bags that are always present; how Dr. Prasad customizes lower eyelid procedures depending on skin type, and bone structure; and how lower eyelid surgery is performed more safely, with quicker recovery:

0:00 - Music and intro

0:22 - Introduction to puffy bags under the eyes

0:36 - The cause of puffy under eye bags that are always visible

0:53 - How puffy under eye bags can get worse with age-related changes

1:27 - What herniated fat is and how it causes puffy under eye bags

2:05 - Dr. Prasad’s over 30 years of experience in oculoplastic, and cosmetic surgery

3:35 - How transcutaneous lower blepharoplasty is performed

3:49 - The high risks associated with transcutaneous blepharoplasty

4:21 - How transconjunctival lower blepharoplasty is performed

5:06 - The advantages of transconjunctival blepharoplasty

5:21 - How skin wrinkling under the eyes isn’t caused by excess skin quantity, but by loss of skin quality

5:35 - How Dr. Prasad customizes lower eyelid procedures depending on skin type, and bone structure

5:52 - How Dr. Prasad treats dark under eye bags for lighter skin types using lower eyelid blepharoplasty, and fractional CO2 laser with PRP (platelet-rich plasma) to improve skin quality

6:25 - How Dr. Prasad treats dark under eye bags for those of Asian descent using long pulse Erbium laser with PRP (platelet-rich plasma) to improve skin quality

6:36 - How Dr. Prasad similarly treats dark under eye bags for olive skin types with customized adjustments in laser energy to improve skin quality

6:46 - How Dr. Prasad treats dark under eye bags for those of South Asian descent using PRP (platelet-rich plasma) without laser to improve skin quality

7:00 - How Dr. Prasad considers bone structure, and susceptibility to scarring when treating dark under eye bags for those of African descent

7:19 - How transconjunctival blepharoplasty avoids visible scars altogether

7:52 - Dr. Prasad’s approach to performing cosmetic lower eyelid surgery under local anesthesia with or without LITE™ IV sedation

8:43 - The downtime after transconjunctival blepharoplasty

8:57 - Conclusion

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