Plastic Surgery 101

Plastic surgery 101: Puffy eyes can happen to younger people

Q. I'm 25 and hate the way my eyes look! I know that I'm going to need to get my eyes done but am I too young? I have very puffy eyes in the morning and during the rest of the day they remain puffy. Is there anything I can do now or do I have to wait until I am in my 40s?

A. Eye surgery is not dictated by age. The appearance of your eyes, like many other factors, is dictated by genetics and the aging process. I often see very young people with puffy eyes and with droopy eyelids. Fortunately, there are many techniques we use that will enhance a patient's eyes without changing a person’s own looks.

Puffy eyes are caused by an excess of fat in the lower eye lid. A thorough examination along with blood tests should be done to determine that there is no thyroid problem present. Once it is determined that there is no thyroid condition present, and all nonsurgical and over-the-counter treatments have been tried, surgery may be considered.

If you are like a typical 20-something who has puffy eyes, it is unlikely that you will need to have skin removed. Because no skin has to be removed, a trans- conjunctival blepharoplasty maybe done for you. This procedure has no external incisions because the incisions are made inside the eye. Thus, there are no visible scars. In addition, the shape of your eye has a limited chance of clanging.

The surgery is done as an outpatient procedure. Sedation anesthesia is used as there is no need for general anesthesia. Bruising is often diminished by a week and may be covered by make up. Most patients find this to be a very satisfying long-term solution as it is unlikely that the puffiness will recur.

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Dr. Carlos Wolf is a partner in Miami Plastic Surgery and is board certified. Email your questions to him at:

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