Question: I am a 42-year-old Asian woman. I have had bags under my eyes for the past 10 years or so, and they seem to be getting worse and worse as I age. The bags have a full appearance to them, not like loose skin. Would lower blepharoplasty work on someone like me?

Answer: Fullness under the eyes is usually caused by excess fat or herniation of the three fat pockets, but can be also due to hypertrophy (thickening) of the muscles around your eyes. This can be hereditary. If the cause is due to excess fat, lower blepharoplsty will help. This can be done using an incision inside the eyelid so no scar will show from the outside. This will be important especially for ethnic skin type.