How Allergies Can Cause Puffy Eye Bags even after Eyelid Surgery
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A 33-year-old woman who has allergic Conjunctivitis wants to reduce the puffiness of her eyes. She wants to know what is the appropriate procedure recommended for her condition and skin type. • As a cosmetic oculofacial plastic surgeon, Dr. Amiya Prasad deals with a lot of patients who have allergic conjunctivitis history. The first thing he recommends is the management of the allergies because allergic conjunctivitis will cause swelling and puffiness to the eye area even with the reduction of fat. If there's puffiness that's related to fat prolapse, which is fat that's normally behind the eye pushing forward also called fat herniation, then that can be addressed surgically. However, if the goal is to reduce puffy bags from the eyes, then the patient should try to manage it from all angles. He recommends she meet with her ophthalmologist or allergist to get on the right regimen of antihistamines, eye drops and even nasal sprays if there's rhinitis component to get her allergies under control. • After her allergies are under control, Dr. Prasad suggests that if there's still bulging fat that's pushing forward, the most common procedure that he recommends for someone who's young, dark skinned and who has fat prolapse is transconjunctival blepharoplasty. This procedure is the reduction and sculpting of fat from the inside of the eyelid so there's no scar on the outside. When one is young and has dark skin, they're likely to show an incision even if it's done finely and beautifully, and Dr. Prasad wants to avoid that issue. Dr. Prasad performs transconjunctival blepharoplasty routinely in his younger patients with darker skin types to assist them in reducing the area of puffiness. • After eyelid surgery, Dr. Prasad encourages his patients to still manage their allergies because seasonal allergies and other things can affect the final aesthetic result of the eyelid surgery. The surgery can correct the fat prolapse, but the management of the allergies is also critically important for the long-term aesthetic of the eyes. • http://prasadcosmeticsurgery.com/ • More about transconjunctival blepharoplasty here: • http://prasadcosmeticsurgery.com/pras...
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