Healing After Eye Bag Removal Surgery, Reducing Downtime, and Avoiding Common Complications
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- Опубликовано: 13 окт 2024
- For more on lower eyelid surgery: puffyeyes.com/...
For more on under eye fillers, please go to: puffyeyes.com/...
For more about Dr. Prasad's experience and training in eyelid surgery, please go to: puffyeyes.com/a...
New York oculoplastic and reconstructive surgeon Amiya Prasad, M.D. reviews common concerns about lower eyelid surgery healing; the patient advantages of having the surgery done under local anesthesia; and how downtime after under eye bag surgery can be minimized:
0:20 - Introduction to healing after under eye bag surgery
0:39 - What eye bags are
1:07 - The common lower eyelid surgery concerns
1:36 - Dr. Prasad's credentials in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience in treating under eye bags
2:45 - What lower eyelid fat prolapse is
3:09 - How fillers can help camouflage minimal fat prolapse
3:14 - What the tear trough is
3:45 - How a surgical procedure is recommended when the fat pockets are too prominent
4:09 - How Dr. Prasad optimizes lower eyelid surgery to reduce risk and recovery time
4:19 - What transconjunctival blepharoplasty is
4:55 - Why Dr. Prasad uses local anesthesia with LITE™ IV sedation during surgery
5:22 - How many surgeons later adopted local anesthesia for its safety and convenience
5:41 - How patients can return to work about a week after surgery, and how there is little to no bruising
6:04 - The advantages of transconjunctival blepharoplasty compared to procedures that require an external incision
6:43 - What lower eyelid retraction is
7:05 - Why under eye wrinkles are a skin quality issue, and not caused by excess skin quantity
7:38 - Conclusion
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I had a procedure performed by Dr. Prasad and have to say Dr. Prasad is a talented and skilled surgeon. He doesn’t over sell and is realistic about what is possible to achieve. He’s thorough during your consultation and delivers natural results.
You’re so lucky
I pray that I get to do this procedure with you 🙏🏽🙏🏽🙏🏽🙏🏽. Your videos are such a wonderful way to allow people to get a feel for you and how you work. Thank you Dr. Prasad!
Thank you for your kind words, SWEETMA4LIFE! And thanks for watching!
Really helpful and honest and logical approach
Thank you, @charlottelostitch2419. I'm glad you found the video informative. The specialized approach really does avoid common complications associated with lower eyelid surgery.
Yes. I found this video very helpful.
Thank you 😊
You're welcome, poodle dog! I'm glad you found the video helpful.
Thank you this was indeed very helpful .
You're welcome, Angel Bedi! I'm glad you found the video helpful!
No Physician in Vermont does under eye surgery w/Co2 laser and PRP. My Doctor told me I wasn't a good candidate due to my thin crepey skin. She said once the bags she were removed I wouldn't be happy with the result and I agreed. I believe factoring in the other two components would be a game changer. Might be worth the drive to NY!
Hi Jessie Kaufman,
Yes, lower eyelid skin quality is important, as well as leaving a little fat during surgery to prevent a hollow appearance. Lower eyelid surgery is an art in leaving a little fat for a nice contour under the eyes. I hope to see you sometime soon!
I have watched many of your YT videos and seriously considered making an appointment for consultation but since I live in Illinois and your office is in NY and Long Island, I wonder if I will be able to follow the pre and post op procedures given that I would have to travel. What do you do with patients that have to travel? Thanks for the videos and your time!
Hi Lagordis70,
Thanks for watching! Post-operative care for eyelid surgery is pretty straightforward, and in most cases of lower eyelid surgery in my practice, there are no sutures that require removal about a week after surgery. Follow up can be done through Skype, FaceTime, or email. if you're out of state. I hope this clarifies things for you
Thankyou Dr, for another important video 🌷
You're welcome, Mel T! And thanks for always watching!
@@AmiyaPrasadMD I’ll always watch 😊🌷
Minoxidil can increase chance of dark circles doc ? Is it true
Minoxidil will cause face hair growth even when it doesn't trickle down onto face...is it true dr ?
Hi Anju m,
Minoxidil won't cause dark circles, but it can cause unwanted body hair growth in some people. I hope this clarifies things for you.
Hi Dr. Prasad, what do you think about acculift - a noninvasive eyebags removal for permanent result? Thanks!
Hi @kikilala365,
While I don't use Accutite in my practice, it is impossible to treat prolapsed orbital fat in the lower eyelid with a non-invasive treatment. Even filler to camouflage eye bags requires penetrating the skin barrier with a needle or cannula. Prolapsed orbital fat can be sculpted with a laser, but it's still surgery. It isn't possible to heat prolapsed orbital fat non-surgically and safely, without harming the thin eyelid skin, or the risks of imprecise treatment of prolapsed orbital fat. You can refer to this video about why non-surgical skin treatments can't treat eye bags - ruclips.net/video/cU0B9-IahGk/видео.html
with the different office locations. are you the only doctor to perform the surgery? or will it be who ever is available. and are other doctors just as experienced if they are to perform such surgery thx
Hi @dailodai9586,
I'm in all of our locations regularly, so I am available to perform your procedure. I hope to hear from you soon.
Hi, where’s the location of your clinic please thanks
Hi apshir Jr,
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.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.
Dr...what is the best treatment for face sagging ? Is it hifu, and RF ?....can it be done yearly lifelong?
Hi val sala,
The best treatment depends on your age and skin type. I don't use high frequency ultrasound in my practice as it heats too suddenly, and has less temperature control. You can refer to these videos about treating facial sagging:
ruclips.net/video/bMBm37wFwNE/видео.html
ruclips.net/video/d8Cg_31nhzI/видео.html
ruclips.net/video/Z5lx39-c0sE/видео.html
What about infections? How do you minimize that?
Hi @AzamKhan-sy2tb,
My patients don't have infections from lower eyelid surgery. By operating in a sterile environment, making the incision on the inside of the eyelid, and often using a laser to close the incision, infections are avoidable. I hope this clarifies things for you.
Hi. I always had some very very mild malar bags genetically! The past five months i was very stressed.Before that i used to sleep 8-9 hours every night, but when my stress started i was sleeping hardly 6 hours(or less),7 if i was super lucky.I noticed that my malar bags are more prominent now. I don't smoke,I don't drink alcohol, i use 50 SPF every few hours, i exercise a lot , i drink a lot of water and i eat healthy.So the only thing that changed was stress and sleeping pattern.I am only 21 years old.The rest of my face doesn't have any wrinkles or anything.So did my malar bags got worse FOREVER? Or is this reversible if i sleep 9 hours again and stop being stressed?! Btw these 5 months i used 0.05% tretinoin , could this also be the reason my malar bags are a little more prominent? Because the one side (where i used to apply tretinoin to more parts due to acne) is worse than the other... So yeah i am wondering if this is forever or if it just some irritation/tiredness that can go back to normal.
Hi Jo Cot,
Sorry to hear about your problem. Tretinoin should not cause malar bags, or make them worse, but examination is needed to determine the cause, and possible treatment. You can try getting more rest as it will have other benefits for your health as well. I hope this helps you.
@@AmiyaPrasadMD so more rest can actually make a difference? Could the worsening of my case be temporary?
Hi@@jinoula10,
I suggested getting more rest as something you could try. If you want more specific answers and recommendations, I would have to see you in a consultation where I can examine your case. I hope this clarifies things for you.
@@AmiyaPrasadMD I am located far.Could i send you photos?
Hi@@jinoula10,
I won't be able to determine the cause of malar bags from pictures alone, so I won't be able to recommend treatment. If you can't come see us, you will need to have them examined by a local doctor if you really want help with them. I hope this clarifies things for you.
Hello Dr Prasad. Thank you for these very informative videos. My question is, do you perform the laser treatments at the time of surgery or is it an after care treatment? Thank you
Hi Elaine Seyforth,
Laser treatment for the lower eyelids can be included at the same time as lower eyelid surgery. I hope this clarifies things for you.
@@AmiyaPrasadMD thank you so much for your reply!
You're welcome,@@elaineseyforth7169
How many days later can I go back to work after eye bag surgery Doc ? I’m a nanny and I have a 2 year old I have to pick up every day , can I get my eye bags removed Friday and go back to work Monday so like 3 days later ? Thanks a lot .
Hi Angelique Layebska,
I answered your other comment, but you can refer to this video for details about why my patients usually take a week off work, even with minimally invasive surgery, and faster recovery with local anesthesia. I hope this helps you.
@@AmiyaPrasadMD thank you SO much for responding!
You're welcome,@@angeliquelayebska5662
Dr. Any other options for lip enhancement other than injectables ?
Hi val sala,
You can refer to these videos on treating the lips:
ruclips.net/video/ZVb57Amvt1w/видео.html
ruclips.net/video/fqS9hs1nl54/видео.html
ruclips.net/video/GvTeylE7Mjg/видео.html
Do you do fat transfer or repositioning as well?
Hi Sarah Yang,
I actually don't advise both surgeries due to the high rate of complications, and ineffectiveness. I made videos about the problems, and limitations of both procedures:
ruclips.net/video/mNo_EBcDi1k/видео.html
ruclips.net/video/m-_mFe4eWmo/видео.html
Hi, I have a question. If I get an epicanthoplasty before nose bridge surgery, will my eyes be stretched too close together? I ask because I would also like an alarplasty along with the nose bridge surgery, but I heard that surgeons measure the space between the eyes to determine ideal alar width. In my case, I would like my post-op alars to be determined by my post-op eyes.
Hi Blue Aether,
It's difficult to envision your question, and answer this without a physical examination. This can be more clearly understood and answered during consultation when I examine your eyes and nose area, and I can show you the answer you are looking for. I hope this helps you.
Hi doctor can weaken hair follicles be cured and grow hairs back? Or will it stay weak and die? Can weak hair follicles cure on its own
Hi ROHINTRAN SARAVANAN,
It depends on if follicles are weakened by tension from tight hairstyles or pulling, which may be injured if the tension was constant; or if they are miniaturized from pattern hair loss. If extent of damage of tension is not so severe, they may still recover on its own; but miniaturizing hair follicles due to pattern hair loss does need treatment for thicker hair growth. I hope this clarifies things for you.
@@AmiyaPrasadMD Like heat damaged weakened hair follicles can still recover doctor?
Hi@@rohintransaravanan5802,
It depends on the extent of the damage. There is no way of telling since follicles are beneath the skin, so the best is to wait and observe regrowth. I hope this clarifies things for you.
dr Does Losing weight like 10 kg will cause face sagging due to weight loss alone ? I am already in normal weight
Hi Anju m,
10kg is a lot of weight, especially if you are already at a healthy weight now. I don't recommend it for your overall health, and losing volume not only makes you unhealthy, and appear unhealthy, but it also makes you older. I hope this clarifies things for you.
@@AmiyaPrasadMDDr i like to lose weight to reduce face fat . Now my bmi is 21.6 ....and if I lose 10kg, still my bmi will be in normal range that is 18.6
Hi@@anum3702,
I hope you understand that I can't make specific recommendations to you without a physical examination. Specific advice given without a proper evaluation has the potential to be harmful to you. I hope you understand.
Do you do revision for sunken eyes? I did a trans conjunctival lower blepharoplasty and it left me with severe sunken eyes on the upper part of my eyes. I’m dealing with superior sulcus issue even tho the upper lids were not touched. Can this be fixed? Is this a common issue?
@@AmiyaPrasadMD can you answer my question?
Hi@@chelseychelsey537,
Sorry, RUclips error put a reply for someone else. Having your upper eyelid affected by lower blepharoplasty is not a common issue, so I would have to examine your eyelids to determine what the best approach is for you. While I do have videos on this happening due to overly aggressive upper eyelid surgery, the corrective options in the videos may still help in clarifying what can be possibly done to treat this issue:
ruclips.net/video/dCDRBngaq60/видео.html
ruclips.net/video/x7Jpy8e4Q-E/видео.html
Doctor when I can resume workout after a prp session?
Hi dream catcher,
Generally you can work out after PRP treatment, as long as you don't have any swelling in the treatment site. I hope this clarifies things for you.
About how much would only the lower lid surgery cost on average?
Hi The Blk Bohemian,
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.
Hello Doctor,
First of all, I'm so sick of dermatologists and plastic surgeons in my country, who don't even know what they're doing. And secondly, I have a question since no doctor would answer me.
I'm 26. My nasojugal grooves are suddenly more prominent or I'd say they weren't there before December and became visible overnight and previously i took them as malar edema. My skin being dry + winter + doxycycline + caffeine intake + stress and sleep deprivation during that time was severe. Now I don't know if that's just dehydration making it visible (stopped everything and winter's gone too here in Pakistan)
But it's not going. I just want to know if that's the case of fat loss, making nasojugal grooves visible, and if that is, how's that even possible. Please tell me that's just dehydration. But I've been doing everything right since then.
Kindly reply, I'd very much appreciate it. Wish i could get to you in person.
Hi Mariah,
Nasojugal grooves are usually due to soft tissue, and bone loss due to aging, but since you're only 26, you shouldn't be having this issue. Dry skin alone shouldn't be the cause. I would have to examine your face in consultation for a definitive diagnosis of this issue. I hope this helps you.
@@AmiyaPrasadMD I very much appreciate your response.
You're welcome,@@Maria_Shoaib
I am from India what is cost for tear trough implants?
Hi Param Singh,
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.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.
Do you have any center in India?
Hi MS,
Sorry, but I only practice medicine in the US.
@@AmiyaPrasadMD Thank you for reply.
You're welcome,@@MS-ol1ik
How can i contact you...i want my eye bags procedure done...i mailed but no reply came.???
Hi Rakesh kumar,
Sorry, but our offices are closed on weekends. Someone from our office will contact you after the weekend. Thanks for your patience.
How much do you charge
Hi Pooja Hampshire,
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.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.
i done my surgery on 16.march 2023 but till now my eye still swollen😢
Hi Hayuri Love,
You're still very early in your healing process, so swelling should be expected. If you are using antibiotic ointment, you shouldn't as it can cause an allergic reaction if used too long. You can follow up with your surgeon to monitor your healing process. I hope this clarifies things for you.
* It is okay to lose 20 - 30 hair a day in 20s ?
Hi Ashmit Khalkho,
You aren't losing 20-30 hairs a day. It is normal to shed 50-100 hairs a day, and they do grow back. Pattern hair loss happens when the shed hair grows back thinner, and there is a delay in regrowth. Male pattern hair loss is progressive hair thinning, not hair shedding. I hope this clarifies things for you.