How Eye Bags are Removed without Causing Hollowing or Scarring, and Why Fat Transfer is Not Advised

More on eye bags: puffyeyes.com/
For more about Dr. Prasad's experience and training in eyelid surgery, please go to: puffyeyes.com/about-dr-amiya-p...
A lady is unsatisfied with the appearance of her heavy eyelids and under eye bags. She’d like to have surgery to address them, but does not know if she should have fat transfer and muscle suspension done.
New York oculoplastic and reconstructive surgeon Amiya Prasad, M.D. reviews her concerns in this video, describing the best way to remove eye bags while preventing hollowing and scarring, and why fat grafting can be problematic in the lower eyelids.
0:57 - Dr. Prasad details his background training in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience as a specialist in eyelid rejuvenation
1:45 - How under eye bags are caused by lower eyelid fat prolapse
2:15 - Two factors that cause the lower eyelids to look hollow after surgery
3:13 - How there are a multitude of techniques for doing lower eyelid surgery
3:40 - Dr. Prasad explains how he performs a transconjunctival blepharoplasty in his practice
4:55 - Why fat transfer or fat grafting is not recommended in the lower eyelid
6:48 - Dr. Prasad’s recommendation
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Пікірлер: 127

  • @MetroRatRace
    @MetroRatRace4 жыл бұрын

    Oh my gosh! I had always been puzzled as to why you would actually want fat grafting on the lower lids. Thank you, Dr. Prasad for you honest opinion. Having had a few upper eyelid revisions, I appreciate doctors who want the best for their patients and not treat them as guinea pigs or just to line up their pockets.

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    4 жыл бұрын

    You're welcome, Brat Pack! I also scratch my head as to why doctors still recommend fat grafting under the eyes when it's so highly susceptible to complications. Doctors who perform fat grafting under the eyes usually don't have to the experience or expertise to correct the complications, so eyelid specialists like me who don't recommend the procedure to begin with are often the ones doing the revision and restoration work. You can refer to the complications associated with fat grafting under the eyes, and the safer alternative treatments in these more recent videos: kzread.info/dash/bejne/n4Kjwad7k6fPYc4.html kzread.info/dash/bejne/iK6u1cSHdM_HeLQ.html

  • @d.s.28
    @d.s.286 жыл бұрын

    Very nicely explained.Thank you !!

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    6 жыл бұрын

    Thank you, D. Sauley ! Glad you found the video helpful!

  • @SusannahPerri
    @SusannahPerri3 жыл бұрын

    Thank you for explaining this. I am having the transconjunctival lower bleph along with a deep plane face and neck lift and temporal brow lift in about 3 weeks. I think my surgeon (here in the San Francisco area) works similar to you.

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    3 жыл бұрын

    You're welcome, Susannah Perri! I wish you the best with your upcoming procedures!

  • @daldee954
    @daldee9543 жыл бұрын

    So happy I came across this video before my Blepharoplasty..... dr Prasad, thank you 🙏

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    3 жыл бұрын

    You're welcome, Dal Dee! I'm glad the video helped you!

  • @maldives-joshuajoseph6032
    @maldives-joshuajoseph60323 жыл бұрын

    BEST channel about the subject of plastic surgery of the face.

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    3 жыл бұрын

    Thank you so much for your kind words, maldives-joshua joseph! And thanks for watching!

  • @Dandelion_flight
    @Dandelion_flight3 жыл бұрын

    Dr Prasad, @1:28 you showed some before and after photos. May I know how long is the timing roughly before the after photos are taken after surgery? Is it normal to have swelling in the fat pads area after transconjunctival blep is done where fat pads were removed, which still appear like eye bags? Thanks.

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    3 жыл бұрын

    Hi, I have posted some images as indicated as 1 week after surgery, but generally they are taken 3-6 months after surgery. Since there is no external incision, and no skin removed, transconjunctival blepharoplasty usually has a faster healing time, and quicker resolving of temporary swelling than other types of eyelid surgery with an incision in the skin, and skin removal. I hope this clarifies things for you.

  • @meganbrown2643
    @meganbrown26435 жыл бұрын

    Would you recommend any of your colleagues that live in California that are just as qualified as you are? I'm interested but can't afford to travel to the east coast and have the procedure done.

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    5 жыл бұрын

    Hi Megan Brown, I'm not aware of specific eyelid surgeons in California, but look for a surgeon who does the transconjunctival blepharoplasty technique where no skin is removed, and no external incision is made. Insist on it by name and with its details as its a more specialized technique not used by most general plastic or cosmetic surgeons. I hope this clarifies things for you.

  • @mariaclaudialiraalban4586
    @mariaclaudialiraalban45864 жыл бұрын

    Hi Doctor ,thanks a lot for this video. My mother has very heavy bags under her eyes. As this severely impacts her looks, she has already asked several doctors. Each one of them have told her her bags can't be removed, because it's water retention rather than fat. She has tried everything: sleeping on her back, drinking enough water (she stops at least 4 hours before going to sleep), avoiding sodium, balanced diet and lowered salt consumption. Is there any hope or are some people condemned for life?

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    4 жыл бұрын

    Hi Maria Claudia Lira Alban, Sorry to hear about her problem. I would need to perform a physical examination myself to confirm what can be done. I have been able to treat many challenging cases in the eye area as an oculoplastic surgeon, as I'm trained as an ophthalmologist as well as a cosmetic eyelid specialist. While I appreciate the information you have given, it can't replace a full physical examination. I hope this helps you.

  • @shahinkarimian2638
    @shahinkarimian26382 жыл бұрын

    You recommend that not inject fat under eyes at all? Then what do you do to treay lower eyelid hollowness . Do you reposition fat bulges to depressed area? . I had a lot of problem with this kind of procedure too like fat resorption and ectropion . What do you do when there is an abundant skin excess and skin folding in lower eyelid . Have you ever done skin only flap ( without muscle elevation ) to treat deep wrinkles and folds ) .

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    2 жыл бұрын

    Hi Shahin Karimian, I made several more recent videos about the different things you are asking about. These will answer your questions in more detail, for your reference: kzread.info/dash/bejne/n4Kjwad7k6fPYc4.html kzread.info/dash/bejne/iK6u1cSHdM_HeLQ.html kzread.info/dash/bejne/g2SFy7CBZ6-7hqw.html kzread.info/dash/bejne/n2GTz6ieZMi9ndI.html kzread.info/dash/bejne/c3V8lZmkmsnfe5s.html

  • @janettg103
    @janettg103 Жыл бұрын

    Excellent and so helpful. I live in New York City. What is your location? I have a unique situation. I had a craniotomy and my lower eye lids are changing differently. Puffy more in one eye due to the brain Surgery. I feel really uncomfortable....Please can you help me. Thank you.

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    Жыл бұрын

    Hi Janett Gonzalez, Sorry to hear about your problem. I would have to examine you, and review your medical records in consultation. We are located in Midtown, which you can contact at (212) 265-8877. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.

  • @glammav14344
    @glammav143443 жыл бұрын

    Thank you for the video! I need this! I will be flying in from Florida. Can I fly back on the same day after the surgery? Will I be swollen for days, weeks? Please advise.

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    3 жыл бұрын

    Hi Pristin V, While under normal circumstances you may be able to fly out the same day if there are no sutures used for the surgery, current travel and quarantine restrictions puts it out of my hands. Normally, I recommend flying out the same day as surgery dependent on your general health condition. Significant swelling and bruising should only last for days if you follow our aftercare protocols strictly, which you can refer to in this video - kzread.info/dash/bejne/h3iB1Y-to9zMZLA.html

  • @glammav14344

    @glammav14344

    3 жыл бұрын

    Amiya Prasad, M.D. Thank you very much!

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    3 жыл бұрын

    You're welcome, @@glammav14344!

  • @gaylekemper3616
    @gaylekemper36165 жыл бұрын

    You are the best wish u we’re close to me I just had a face lift and blepharoplasty and now when I look left it is dubble vision, also the other eye doesnt close all the way or blink the same as the other one. The bad dubble vision one also the bottom lid hangs out which I’ve been Pushing up on it and it seems better the other I’m pulling down, helped a little too. Did he ruin my muscle is that why I’m seeing dubble?. Wish u would make a pod cast on this subject. Will I get better? He says the muscle is just swollen and it is 3 months the swelling is just going down but they look different, worse and one is smaller. I had 2 other eye blepharplastys before with good results, he said that’s why it is like this and he was to only take out fat not skin,which he said he did, they look baggy and now I have a tear through. Can anything be done for me?

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    5 жыл бұрын

    Hi Gayle Kenner, Thank you for your kind words! I would need to review your medical records and history which include past and most recent blepharoplasties, any other medical issues, as well as a physical exam before I can really help you. Possible issues like skin shortage, trouble blinking, and lower eyelid laxity need to be examined before I recommend specific treatments or corrective procedures. I hope this helps you.

  • @ekim8958
    @ekim89582 жыл бұрын

    I was left hollow and thin after lower Blepharoplasty in California many years ago. I wish repositioning the under eye fat was offered to me. I'm now having to do fat grafting under the eyes every few years when fat absorbs away. It's So costly and I have broken capillaries under eyes/darkness if I don't have fat grafting. Many surgeons do not so well unless they are specialized under the eyes. Most of them target the cheeks and not the under eyes. I found one doc who was amazing but he costs an arm and a leg now. Lol 😭💀

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    2 жыл бұрын

    Sorry to hear that, E Kim. This all could have been avoided if a little fat was left behind in your first surgery.

  • @ekim8958

    @ekim8958

    2 жыл бұрын

    @@AmiyaPrasadMD Agree, how would one treat these visible blue tiny veins/ possible broken capillaries? Help! 😌

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    2 жыл бұрын

    Hi@@ekim8958, An examination is needed before I can recommend specific treatments for you, but these videos feature the ways I treat under eye dark circles in my practice: kzread.info/dash/bejne/g3aqzMyvqLPaYso.html kzread.info/dash/bejne/hWqT0LaLopTamdI.html kzread.info/dash/bejne/nIWJxJhwgtPHcbA.html kzread.info/dash/bejne/hHx-0cabZJadn5c.html

  • @dorisishikawa5169
    @dorisishikawa51693 жыл бұрын

    Thx for this video which is detailed. I’ve been searching for this lower eyelid surgery which could be able to removed my eye bags as well. And you seem very nice , patient, and professional. Just want to know the average cost please. I live in Las Vegas, so I need to know it for my budget . Thank you so much ❤️

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    3 жыл бұрын

    Hi Doris Ishikawa, We don’t have set costs for surgery as each patient has different needs, and some surgeries are more extensive than others. You can contact our offices or our websites for a price range. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.

  • @dorisishikawa5169

    @dorisishikawa5169

    3 жыл бұрын

    @@AmiyaPrasadMD Ty ❤️

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    3 жыл бұрын

    You're welcome, @@dorisishikawa5169!

  • @nightowl6260
    @nightowl62602 жыл бұрын

    When a patient flies from another state to have surgery at your office, how do they find a qualified specialist to perform additional filler in the lower lid, when it is needed over time?

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    2 жыл бұрын

    Hi Sky Lark, Results and safety of fillers are determined by the experience of the doctor performing the treatment, so it's important to find a skilled doctor in your area. Research and consultations with doctors are important to find one you are comfortable with. I hope this clarifies things for you.

  • @batonrouge1824
    @batonrouge18243 жыл бұрын

    Is a transcunjunctival approach possible with skin pinch only? I'm relatively young (mid 20s) but was recommended a skin pinch because I have this "roll" on my lower eyelids. My biggest fear is increased scleral show/ectropion

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    3 жыл бұрын

    Hi Baton Rouge, It is possible that you have redundant skin that requires a skin pinch blepharoplasty, but I would need to perform an examination to confirm it before I suggest the procedure. If done by eyelid specialist/ oculoplastic/ oculofacial surgeon like myself, there will be no scleral show, ectropion, eyelid retraction, or a skin shortage. I hope this clarifies things for you.

  • @DavidDavid-nz1fs
    @DavidDavid-nz1fs5 жыл бұрын

    Do you have videos or photos of you doing the procedure on African Americans. Removal of lower eye bags and brightening dark circles

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    5 жыл бұрын

    Hi David David. I don't have any images of laser treatment for African-Americans, but I do have images of eye bag surgery. You can watch these videos about about the considerations of eye bag surgery for dark skin: kzread.info/dash/bejne/poOX0JifhKaYctI.html kzread.info/dash/bejne/oId2paymqN2pZJc.html kzread.info/dash/bejne/qnmKzbJredzZgqw.html

  • @artfactory942
    @artfactory9424 жыл бұрын

    Where is your chamber and clinic Dr?Im from Bangladesh

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    4 жыл бұрын

    Hi Art Factory, Our offices are located in the USA in Manhattan, New York City which you can call at (212) 265-8877, and Garden City, Long Island at (516) 742-4636. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.pufffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.

  • @HummingbirdJa
    @HummingbirdJa Жыл бұрын

    Where is your practice? Do you have any in the UK?

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    Жыл бұрын

    Hi Patricia A Barnes, Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.

  • @michaelhightower8160
    @michaelhightower81603 жыл бұрын

    🤔 So how does it work if I really want you to do my eye bags surgery but I'm out of town?And how would you be able to check my surgery progress to my sure everything is looking good?

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    3 жыл бұрын

    Hi Michael Hightower, Your follow up appointments can be done over Skype or FaceTime, or even email pictures of your progress. For lower eyelid surgery, our patients usually return to work a week after surgery, and often a laser is used to close the internal incision, so there are no sutures that need to be removed a week after surgery. There is also less temporary swelling involved in lower eyelid surgery as compared to upper eyelid surgery as there is no skin removal or external incision on the eyelid skin. I hope this clarifies things for you.

  • @michaelhightower8160

    @michaelhightower8160

    3 жыл бұрын

    @@AmiyaPrasadMD So can I send you a good picture of what's going with my eye bags? Because one side is a little bit more than the other side with the puffiness!

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    3 жыл бұрын

    Hi@@michaelhightower8160, You can send your pictures through prasadcosmeticsurgery.com/virtual-consultation/ or eyelifts.com/virtual-consultation/ or puffyeyes.com/virtual-consultation/ for a preliminary review. Please note that this is not a formal consultation, but a preliminary evaluation. I hope to hear from you soon.

  • @alercico
    @alercico2 жыл бұрын

    I had a facelift done 4 weeks ago, it included my upper and lower eyelids. I don't see a scar on the lower lids, even if I pull them down, is this nomal? did my doctor fix my eye bags without cutting some how?

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    2 жыл бұрын

    Hi Alvaro Cifuentes, The transconjunctival approach to lower blepharoplasty, which is my preferred approach, doesn't involve an external incision on the skin as the incision is made on the inside of the lower eyelid. It's a procedure that looks completely natural, and avoids common complications associated with the external incision approach. You can refer to these videos about it: kzread.info/dash/bejne/jIKf2KVyZJTUl5c.html kzread.info/dash/bejne/Zmp_0piaqcnfqso.html

  • @helenh6930
    @helenh69305 жыл бұрын

    how much would it is cost?my eye lid is bags really bather me

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    5 жыл бұрын

    Hi Ellene Halliday, Eye bag surgery is different for each patient, so we have not set cost for it. You can reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.

  • @jancenj2218
    @jancenj22183 жыл бұрын

    If a person is in his 50's and wants a lower blepharoplasty, how do you deal with the excess skin after the fats are removed?

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    3 жыл бұрын

    Hi Jancen J, Excess lower eyelid skin is a common assumption that leads to complications like a skin shortage, and lower eyelid retraction. Most cases involve diminished skin quality, not excess skin quantity. You can refer to these more recent videos about it: kzread.info/dash/bejne/iH1ovJKrdLKbc5s.html kzread.info/dash/bejne/c3V8lZmkmsnfe5s.html kzread.info/dash/bejne/h2ufrJZ8fcawYKQ.html kzread.info/dash/bejne/goyByrtyYLe4lbA.html

  • @nataliakp8237
    @nataliakp8237 Жыл бұрын

    My English is very poor and I need good information. I had a fat transfer under my eyes 5 years ago. I have dimples / hollows under my eyes. Can I have lower eyelid blepharoplasty now? Is this the best treatment?

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    Жыл бұрын

    Hi Natalia KP, Lower blepharoplasty is for treating puffy under eye bags, and is not the right procedure for treating hollowing, unless the height of puffy eye bags are making the area above and below appear hollow in comparison. You can refer to these videos on how under eye hollowing can be treated, but not with lower blepharoplasty; and when puffiness and hollowness occur at the same time, so blepharoplasty may be an option: kzread.info/dash/bejne/iK6u1cSHdM_HeLQ.html kzread.info/dash/bejne/g2SFy7CBZ6-7hqw.html

  • @izzsyj7207
    @izzsyj72075 жыл бұрын

    hey doc, im 16 and have had dark circle eye bags since I was very little. I have very hollow dark circle eye bags. Also they're very purple looking. As my bags have a purple tint does that mean that there is not enough blood circulation? what treatment would help reduce this?

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    5 жыл бұрын

    Hi yooy trt, Sorry to hear about your problem. Circulation can be a cause of dark circles, and both circulation and discoloration can be improved with platelet-rich plasma (PRP), which I usually administer to treat dark circles. You can refer to these videos about it: kzread.info/dash/bejne/nWx1qNhqc6THec4.html kzread.info/dash/bejne/g3aqzMyvqLPaYso.html kzread.info/dash/bejne/hHx-0cabZJadn5c.html kzread.info/dash/bejne/ho53t9Cop627mc4.html

  • @sponsponm1
    @sponsponm15 ай бұрын

    Hey doc i had this surgery i actually miss my eyebags is there anything i can do to make them reappear? My surgeon didnt remove them proportionally and the eye with more fat prolapse looks more like how my eye should look and id like to make the other eye have more prolapsed fat to even things out

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    5 ай бұрын

    Hi @sponsponm1, Making your under eyes more puffy is not a procedure I recommend. I suggest you follow up with the surgeon who knows your eyelids, and the details of your surgery to explore options to improve the balance of your appearance. I hope this helps you.

  • @twisabikuja8010
    @twisabikuja80104 жыл бұрын

    Hi Dr..m 25 years,I have got eyebags.. what should I do.. please suggest me Sir

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    4 жыл бұрын

    Hi Twisa Bekrang, Sorry to hear about your problem. It's still not clear if your eye bags are present all the time, which is likely caused by prolapsed fat; or eye bags are intermittent, which can be caused by allergies, salt intake, sinus issues, lack of sleep, etc. An examination is needed to determine what's best for you. As an oculoplastic and cosmetic surgeon, I specialize in treating eye bags that are caused by fat, with my approach to this featured in this video, so watch it closely if your eye bags are present all the time. I hope this clarifies things for you.

  • @esoc1100
    @esoc1100 Жыл бұрын

    Hi Prasad , one of my eyes has more fat than the other and when I smile the smile bulge looks different. When I get my surgery , one thing that I wonder is if I will be able to keep the smile bulge that I like on the eye that doesn’t have a lot of fat , and reposition the fat in the other eye so when I smile it looks the same? I’m scared the eye with less fat will look hallow if it’s worked on

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    Жыл бұрын

    Hi ESOC, The bulge you see when you smile is caused by the orbicularis oculi muscle, while the puffiness in eye bags is caused by prolapsed orbital fat. The bulge when you smile should still be visible after lower eyelid surgery, but I don't recommend fat repositioning, which you can refer to this video about - kzread.info/dash/bejne/n2GTz6ieZMi9ndI.html

  • @esoc1100

    @esoc1100

    Жыл бұрын

    @@AmiyaPrasadMD oh wow yeah!! Thanks !! One more question , does the surgery cause sunken eyes or deep set eyes?

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    Жыл бұрын

    Hi@@esoc1100, As featured in the video, a little fat should be left behind for a continuous contour, and to prevent a hollow appearance. This comes down to the experience, expertise, and aesthetic style of the surgeon, so choose wisely. I hope this clarifies things for you.

  • @bellarose8511
    @bellarose85114 жыл бұрын

    What are your thoughts on fat repositioning to fill hollows? Is it predictable?

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    4 жыл бұрын

    Hi Bella Rose, I don't recommend fat repositioning because it is unpredictable, and I find filler to be much more predictable. I did make a video about it, for your reference - kzread.info/dash/bejne/n2GTz6ieZMi9ndI.html

  • @minkycat66

    @minkycat66

    2 жыл бұрын

    @@AmiyaPrasadMD I just had fat repositioning done under eye. Looks good, natural. Unfortunately, I have a small scar on one side of my eye where the dissolvable stitiches were. Not sure what to do to improve. More noticeable to me then anyone else. Would CO2 be a good option to make less noticeable.

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    2 жыл бұрын

    Hi@@minkycat66, I would have to examine your scar before making any specific treatment recommendations for you. I perform lower eyelid surgery without an external incision, and often closing the internal incision with a laser, so a scar, and sutures are completely avoided.

  • @minkycat66

    @minkycat66

    2 жыл бұрын

    @@AmiyaPrasadMD thanks for reply. It is a linear indented scar. The Dr said it probably should flatten out possibly but at this point it I doubt it. I am at the 6 month mark.

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    2 жыл бұрын

    Hi@@minkycat66, Sorry to hear that, but a small scar is common after the transcutaneous approach to lower blepharoplasty. Full surgical healing takes about a year, so give it some time to improve further. I hope this helps you.

  • @saundrad2317
    @saundrad23176 жыл бұрын

    How much would it cost to get eye lid bags removed but no fat grafting

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    6 жыл бұрын

    Hi Saundra D, We have no set cost for lower eyelid surgery as each patient has different needs. I perform almost exclusively the transconjunctival method of lower blepharoplasty, where no external incision is made to better preserve lower eyelid support, and avoid complications associated with the incision and skin removal. This is a more specialized technique. I also do not perform fat grafting under the eyes because of its high risk of complications. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.

  • @AttilaTheHunky

    @AttilaTheHunky

    6 жыл бұрын

    Can the doctor give a range because not everybody is rich? And personally I find that everybody has the same problem more or less what do you charge doctor by millimeter removal of fat? Where does my dollar go?

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    5 жыл бұрын

    Hi Zoltan Attila Elekman, Sorry, but the exact opposite is true because each individual has unique facial characteristics, so their surgical needs are different. This is why we don't have the same cost for every surgery. A doctor who charges less for surgery makes up the difference by seeing more patients, and will have to perform surgery faster. Eye bag surgery is very prone to complications when not done by a specialist, such as eyelids being pulled down due to skin removal and an external incision, which I know because I don't do both these techniques, and I am constantly repairing eye bag surgery done by other doctors. Having cheap surgery and a revision surgery is far more expensive than getting it right the first time. I hope this clarifies things for you.

  • @kimkitty3914
    @kimkitty39143 жыл бұрын

    What happens when the eye ball are big, it still a chance that can eyes become hollow after upper and lower blepharoplasty?

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    3 жыл бұрын

    Hi Queen Bee, I would have to examine your eye area before giving an answer, as eyeball position can differ between the eyes due to bone structure, or something else. Generally, prolapsed orbital fat should be artistically sculpted, with a little fat left behind for nice, continuous contour, and to prevent hollowing. I hope this helps you.

  • @kimkitty3914

    @kimkitty3914

    3 жыл бұрын

    @@AmiyaPrasadMD thank you so much

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    3 жыл бұрын

    You're welcome, @@kimkitty3914!

  • @maryhelenmagana5111
    @maryhelenmagana51115 жыл бұрын

    how much does this procedure cost?

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    5 жыл бұрын

    Hi Mary Helen Magana, This procedure has no set price as the extent of eye bags are different for each individual. You can reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.

  • @Balleza_brioche
    @Balleza_brioche2 жыл бұрын

    Anyone in India, you would suggest?

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    2 жыл бұрын

    Hi heena harmukh, Sorry, I'm not familiar with doctors in India. I suggest you ask for transconjunctival blepharoplasty by name which involves no external incision in the lower eyelid for visible scarring and potential damage to lower eyelid support structures; and insist on no lower eyelid skin removal to treat wrinkles, as this can cause skin shortage that will pull down the lower eyelids. Under eye wrinkles can be treated non-surgically to improve skin quality. I hope this helps you.

  • @user-ly2vv2ig4d
    @user-ly2vv2ig4d6 ай бұрын

    Hello doctor, I have not seen anywhere that it is possible that fat grafting in the area under the eyelid could cause lower eyelid retraction by damaging the obicularis oculi muscle as you say at 5:50 in the video, are you sure about this information? No surgeon that i know (nor any source to my knowledge) talks about it, moreover, we should find this problem with hyaluronic injections in under eye area if we follow this reasoning, which is not an information communicated by the surgeons and doctors. Do you have any source for this very surprising information about filler/fat grafting ? Thank you very much to take the time to reply. And thanks for your videos

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    6 ай бұрын

    Hi @user-ly2vv2ig4d, I'm an oculoplastic/oculofacial plastic surgeon, meaning I'm a specialist in eyelid procedures, as was an ophthalmologist or eye surgeon. Although I don't recommend or perform fat grafting under thin eyelid skin, I often perform revision surgery to correct complications for fat grafting in the lower eyelids, so what I say in my videos come from clinical, and specialist experience. The surgeons who recommend and perform fat grafting in the lower eyelids can't remove grafted fat when complications arise, so their patients end up becoming my patients. Unlike grafted fat, hyaluronic acid fillers do not require a blood supply to survive, and their shape remains predictable, and malleable to fit the treated area. Grafted fat cannot hold its original shape once removed from its native blood supply, so results are less predictable, and complications occur when the inconsistent texture of grafted fat is seen through thin lower eyelid skin. I hope this clarifies things for you.

  • @user-ly2vv2ig4d

    @user-ly2vv2ig4d

    6 ай бұрын

    Thank you for your reply. I have no doubt about the unpredictability of the results of fat grafting, I know that there can be lumps and irregularities on the surface of the skin which is very thin in this area, also asymmetries and resorption. My question relates precisely to the risk of eyelid retraction, since I had never heard that (even from other oculoplastic surgeons who for some practice fat grafting in the eye area) thank you for taking the time to respond, even if it's still unclear for me how eyelid retraction could happen with fat graft and not with filler, i really appreciate your informations.

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    6 ай бұрын

    Hi@@user-ly2vv2ig4d, There is less trauma in injectable filler placement in the lower eyelid than there is in surgical fat grafting, so that is why lower eyelid retraction is far less likely with filler. Also, filler material does matter, with hyaluronic acid filler even less likely to cause eyelid retraction than other filler materials. I hope this clarifies things for you.

  • @lisagordon6355
    @lisagordon63554 жыл бұрын

    Dr, you are cool as a cucumber, very informative (Australia)

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    3 жыл бұрын

    Thank you for your kind words, lisa gordon! I'm glad you found the video informative!

  • @ladybird8113
    @ladybird81133 жыл бұрын

    How can I reach you ? I have questions?

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    3 жыл бұрын

    Hi TaSharra Franklin, You can contact our offices or websites to book an appointment for consultation, which can also be done through Skype or FaceTime. Our offices are located in the US in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.nyhairloss.com, or www.trichostem.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.

  • @ladybird8113

    @ladybird8113

    3 жыл бұрын

    My doctor recommended that I get the fat transferred to my hollowness. Is that not a good recommendation?

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    3 жыл бұрын

    Hi@@ladybird8113, I do not advise fat transfers under thin eyelid skin because of high risk of complications. You can refer to these more recent videos about it: kzread.info/dash/bejne/n4Kjwad7k6fPYc4.html kzread.info/dash/bejne/iK6u1cSHdM_HeLQ.html

  • @lindsaygoodwin3140
    @lindsaygoodwin31403 жыл бұрын

    What about moving the fat from the blephoraplasty into the tear trough?

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    3 жыл бұрын

    Hi Lindsay Goodwin, That procedure is called a lower blepharoplasty with fat repositioning, and I made a video detailing why I don't recommend it, and why fillers are a better treatment for this - kzread.info/dash/bejne/n2GTz6ieZMi9ndI.html

  • @lindsaygoodwin3140

    @lindsaygoodwin3140

    3 жыл бұрын

    @@AmiyaPrasadMD Thanks for the reply. I actually saw that video after I posted this. I'm 36 and starting to see the hereditary bags people get on both sides of my family. I'm doing retinol now, and am trying to find prp treatments in my country. But I'm considering surgery later on down the line.

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    3 жыл бұрын

    Hi@@lindsaygoodwin3140, While those treatments can help improve the skin, they cannot treat the orbital fat that causes genetic eye bags. Just informing you as you are already considering surgery down the line. I hope this helps you.

  • @lindsaygoodwin3140

    @lindsaygoodwin3140

    3 жыл бұрын

    @@AmiyaPrasadMD I don't think I have enough fat popping out to warrant surgery yet, so I'm hoping the retinol and prp helps to keep the skin firm and to reduce the purple appearce I've had since childhood. So far retinol, caffine and massage have reduced the puffiness a lot, but I seem to have one small pocket on my right side that's not going down. I'm wondering if my meibomian glands may be clogged? I have a cyst that sometimes forms in the same place on the left side.

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    3 жыл бұрын

    Hi@@lindsaygoodwin3140, I would have to examine the small pocket to determine what it is. If you are looking to treat darkness in the under eye area, you can refer to these videos about it: kzread.info/dash/bejne/g3aqzMyvqLPaYso.html kzread.info/dash/bejne/hWqT0LaLopTamdI.html kzread.info/dash/bejne/nIWJxJhwgtPHcbA.html kzread.info/dash/bejne/hHx-0cabZJadn5c.html

  • @pamk6121
    @pamk61213 жыл бұрын

    Cost of removing eye bags plz

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    3 жыл бұрын

    Hi Pam K, We don’t have set costs for surgery as each patient has different needs, and some surgeries are more extensive than others. You can contact our offices or our websites for a price range. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.pufffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.

  • @Tilr701
    @Tilr7012 жыл бұрын

    Do you know any good doctor in India 🙏

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    2 жыл бұрын

    Hi Ruchika Kc, I'm not familiar with doctors in India, but I suggest you ask for transconjunctival blepharoplasty by name, which involves no external incision in the lower eyelid for visible scarring and potential damage to lower eyelid support structures; and insist on no lower eyelid skin removal to treat wrinkles, as this can cause skin shortage that will pull down the lower eyelids. Under eye wrinkles can be treated non-surgically to improve skin quality. I hope this helps you.

  • @Tilr701

    @Tilr701

    2 жыл бұрын

    @@AmiyaPrasadMD thank you Dr Amiya. It helps a lot.

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    2 жыл бұрын

    You're welcome,@@Tilr701

  • @stephanieeno8390
    @stephanieeno8390 Жыл бұрын

    Me

  • @omidkind2924
    @omidkind29245 жыл бұрын

    Hi we’re are you

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    5 жыл бұрын

    Hi Omid Kind, Our offices are located in Manhattan, New York City which you can call at (212) 265-8877, and Garden City, Long Island at (516) 742-4636. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.

  • @dineshghaywat7759
    @dineshghaywat7759 Жыл бұрын

    How long last fat injection

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    Жыл бұрын

    Hi dinesh ghaywat, I don't recommend or perform fat grafting under thin lower eyelid skin because it is highly prone to complications. You can refer to these videos about it, and the safer treatment alternatives: kzread.info/dash/bejne/n4Kjwad7k6fPYc4.html kzread.info/dash/bejne/iK6u1cSHdM_HeLQ.html

  • @bhashu8121
    @bhashu81214 жыл бұрын

    U can also remove eyelid fat by Blepharoplasty surgery

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    4 жыл бұрын

    Hi Bhawesh aswal, Yes, eye bags that are present all the time are caused by fat, which is sculpted and removed with lower blepharoplasty. I hope this clarifies things for you.

  • @annaneufeld8571
    @annaneufeld85714 ай бұрын

    I just had this done now my right eyebrow won’t move.

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    4 ай бұрын

    Hi @annaneufeld8571, Sorry to hear about your problem. You do need to have this properly diagnosed by your surgeon as the muscles that lift the eyebrows are not directly involved in lower eyelid blepharoplasty. I hope this helps you.

  • @safaarafat5999
    @safaarafat59995 жыл бұрын

    Please Dr Prasad address me.

  • @AmiyaPrasadMD

    @AmiyaPrasadMD

    5 жыл бұрын

    Hi Safa Arafat, Our offices are located in Manhattan, New York City which you can call at (212) 265-8877, and Garden City, Long Island at (516) 742-4636. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.pufffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.