The eyes are one part of our face that affects our entire facial appearance. Under-eye bags and dark circles can make someone look drawn and tired even when they feel energized and rested. In some people, under-eye bags become prominent as early as their teens and 20’s, unrelated to aging. The puffiness and secondary shadowing contribute to the appearance of dark circles, which may look worse in certain lighting conditions.
Addressing Volume Loss
To address the volume loss, Dr. Levin uses micro-fat transfer with the patient’s own fat. Eyelid rejuvenation cannot be done in isolation without addressing the surrounding areas. This is one of the most important aspects of lower eyelid rejuvenation that is often neglected because the surgeon is only focused on the eyebags. A micro-fat transfer is a highly technical procedure to create a natural feel to the midface without making someone look overfilled. This step, when expertly performed, can make the difference between natural, long-lasting results and looking plastic or hollowed. What type of anesthesia is used?
The surgery can be performed either in our office-based procedure room with light sedation or at the surgery center with deeper anesthesia. Of course, local anesthesia is utilized as well. Although upper eyelid blepharoplasty, when performed alone, is done under just local anesthesia, when it comes to total periocular rejuvenation and lower blepharoplasty, it is easier, and the outcome is much better when these procedures are done with sedation. This reduces the need to inject a lot of local anesthesia, which can distort tissues, affect the procedure's outcome, and result in prolonged healing.
