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A lady in her 40s is concerned about the sunken appearance of her under eyes. Her doctor says it’s genetic and she wants to know what her options are for smoothening them out. She doesn’t want eye creams, but is concerned about bumpy, swollen, and artificial look surgery could leave her with.

New York oculoplastic and reconstructive surgeon Amiya Prasad, M.D. reviews her concerns in this video, and explains how a sunken appearance of the under eyes can be accentuated by under eye puffiness, and how this can be straightforwardly addressed by preserving under eye anatomy to avoid looking bumpy or swollen, and maintain a natural look:

1:22 — Dr. Prasad details his background training in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience as an eyelid rejuvenation specialist

2:12 — How the eye area is a deceptively complex area to treat

2:30 — How under eye puffiness can accentuate sunken areas to look even more hollow

3:08 — Dr. Prasad explains the importance & value of meeting an eye specialist for this type of concern

4:10 — How under eye puffiness can be addressed by a transconjunctival blepharoplasty

4:43 — How a transconjunctival blepharoplasty can retain the natural shape of the eye

5:22 — The importance of managing expectations and understanding possible outcomes of the procedure

5:51 — How the multitude of complex and delicate structures around the eye need to be balanced

6:33 — How Dr. Prasad performs all of his procedures with local anaesthesia with LITE™ sedation

7:03 — The benefit of local anaesthesia with LITE™ sedation over general anaesthesia

7:44 — Dr. Prasad’s recommendation

8:01 — How no doctor or procedure is without risk of complications

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