Do you hate being told "you look tired"?

ellatorres 29 Apr 2011

Thanks for nice information.

Mary Lupo, MD 28 Jun 2008

Often as we age, we lose volume and fullness of our mid-cheek. This loss of mid cheek volume results in a flattening of the profile and increases the shadowing under the eyes that accentuates undereye circles. This results in a tired, drawn appearance. The loss of mid-cheek volume also accentuates nasolabial folds, giving a sad appearance. The best treatment other than a mid cheek lift surgically (which just tightens skin, but does not restore the cheek volume) is the injection of a dermal filler to fill, restore and lift the mid cheek. I use Juvederm Ultra Plus, Perlane, Radiesse, and Sculptra for this technique. The best choice should be made by you with the guidance of a board certified dermatologist or plastic surgeon familiar with this emerging technique.

View answers from Mary Lupo, MD

Mary Lupo, MD 24 Jun 2008

The most common cause of a tired look is loss of mid-cheek volume, making the central part of the face below the eye look sunken. The concavity or flattening results in shadowing that makes you look flat, gaunt, tired. It also accentuates any darkness or bags under the eye. The quickest effective remedy is filler injections. Restylane, Perlane, Juvederm, Radiesse, and Sculptra can all be effective, depending on technique used and the experience of the dermatiologist. Surgery is also an option that can be explored. Cheek implants and mid-face lift may be alternatives that last longer than fillers.

View answers from Mary Lupo, MD

44jane 19 May 2010

Hi, I went to this surgeon because I wanted upper and lower bleph surgery, or a forehead lift. He said a forehead left with give me the 'surprised look', and recommended upper/lower bleph, chin implant, co2 laser under the eyes, and a mid face/cheek lift. I have bad nasal folds and was asking about filler for the folds, but was told the mid face lift would help the folds and the fillers were only temporary. I planned on spending no more than $8000.00, but was told what a savings to have all done at once, and I would regret not having all done, so I spent the $14,000 and had it all done. It has been 3 weeks since my surgery. I have been to 5 post op visits. I have told them there is no change in the cheek area. He now says I need to add the 'icing' on and get the fillers. I didnt' understand how there is no change at all to the mid face. After looking on the internet, I am fairly certain he did the traditional face lift instead. (my neck even looks better.) But what I paid for was a mid face lift? What should I do? I emailed them and asked them to look at the before/after pic's and the op note and haven't heard back yet. Can I get an opinion from a different surgeon? (I didn't think they liked to get involve, but I need to know if there was a mid face lift done. (I don't think so by the suture lines either.) Help! Thanks!

runningwithscissors 23 Jun 2008

I'm not sure how to do this, but I'm receiving the updates on comments posted. If somebody was asking what it is I use I use the CJ Skin Care Colloidal Oats and Clay facial mask...I swear by it. Not only that, my husband and both my grown sons use it as well. I use it to keep my complexion smooth (plus, it's AFFORDABLE) and they use it to remove blackheads, clear up their acne, AND condition their beads. It seems to be rather multi-purpose. My mother and sisters have just started using this as well and were really surprised by the improvements to their complexions.

Tony Hightower 23 Jun 2008

Hi The name of the product is the Spacesleeper Pillow. It keeps you from touching your face to any surfaces while you sleep. There's no creasing, or stretching of the facial tissues. We damage our face every night that we sleep! This pillow will stop that. Thanks Tony Hightower

Michael A. Persky, MD 13 Jun 2008

Hi Lydia, I agree with the above comment by leepers, once you know that your thyroid is normal, you can have a very small volume of Restylane placed in the hollow. This is done in the office and takes about 10 minutes. Stay off all blood thinning products for 10-14 days before having the treatment. Choose your doctor very carefully as this is a most delicate area, and experience is essential. It should last for a year to 18 months. Godd luck and be well. Dr. P

View answers from Michael A. Persky, MD

Lydia Bracy 12 Jun 2008

I am an African-American female, age 48, looking like I could easily pass for 36 or 36. Blame in on the genes. However, I have a hollowiness under my left eye. I can't tell whether its bags or just hollow. I have bags under my right eye too, just not that bad. Is there a product I can use to put fullness there without having surgery performed or is surgery my only option? Lydia

leepers 13 Jun 2008

Hi Lydia. I just wanted to ask a few questions regarding your concerns about your eyes. Have you had effecient hormone tests ( specifically, but not limited to the thyroid gland; which can be tricky even when the results return fine)performed? What is your sleeping/eating patterns like? Do you sleep less than 7-8 hours a day? Do you crave/consume much carbohydrates/desserts? Feeling depressed/stressed? I ask, because often I have found that people (mostly women)who have had these (along with a few additional) symptoms have a dysfunctional thyroid gland and even additional hormonal conditions which are unwanted. So, I would advise that you search a specialist in hormones who uses the most advanced methods in monitoring/testing. Good luck.

Bettie 5 Jun 2008

I found emu oil to be effective. I use the airbrush from fad2envy and I love how it makes my eyes look.

runningwithscissors 3 Jun 2008

I prefer non-invasive means of looking better myself. After being told I looked tired all the time and trying a ton of different things (and wasting alot of money!) to look better I came across an oatmeal and clay facial mask on a website. Every time I use it my husband says I'm "glowing" and I see a difference immediately! I'm not sure this would work for everybody but it was affordable for me and I really like it :-)

Paulett 31 May 2008

Please send me information onthe German Ultrasound device. 263

44jane 16 May 2008

Hi, I have not received the product yet - (I have my doubts, but I will let you know!) thank you everyone, jane

Lisa0411 11 May 2008

Let's not forget about the importance of nutrition for natural beauty! If you drink alcohol, coffee, caffeinated beverages, smoke, have an immune system compromised due to environmental factors, or suffer from the persistent discomfort of dehydration you owe it to yourself to adopt a proactive wellness strategy. Hyperimmunity Superfood optimized immune health, improves digestive tract health, relieves feeling of discomfort related to dehydration, increases energy, and satisfies hunger.

gossipgirl11 5 May 2008

I am always tired and have horrible allergies to pollen. I find that using one of those gel masks works great! The look of tiredness can be a multitude of issues with your health. You should do a whole overhaul of your diet and sleep regimen and even your exercise routine.

lamia 27 Apr 2008

I ve had a restylane filler under my eyes 3 month ago.It was great , i look less tired and it improved the dark circles under the eyes.BUT I HAD MORE THAN TWO WEEKS downtime. Im using lots of creams for my under eye black circles even after the filler. good luck

Paul (unregistered guest) 24 Apr 2008

Many doctors keep saying Sculptra and Fat Grafting are the two best methods of re-volumizing the deflated aging face. They say sculptra and fat grafting are particularly effective in filling out the hollowness around the eyes... above, below and on the sides of the eyes. Anyone have any further info on how to volumize the hollowness around eyes on an aging face?

Michael A. Persky, MD 6 May 2008

Hi Paul, The use of Restylane in the tear trough hollow around the eye on the aging face is quite effective. Likewise, the use of Radiesse injected from inside of the mouth deep to the muscles of the midface is very effective at reliably restoring volume to the aging face. I too am a big fan of fat transfer when it is performed properly. I do not use Sculptra as I have seen problems from other physicians. Be well and good luck. Dr. P

View answers from Michael A. Persky, MD

Michael Persky, MD, FACS (unregistered guest) 8 Apr 2008

Hi Gemfish, Dark circles under the eyes are a most difficult problem to resolve. If the tear trough hollow is accentuating the shadow, improvement is obtained with a very small amount of Restylane, blending the "bag" with the cheek. If there is an excessive amount of "bag"(fat pad) then surgery can correct it. The most promising "laser eyelift" that is non-surgical is Fraxel re: pair, the brand new fractionated ablative carbon dioxide laser. The early results have been most impressive. Be well and good luck. Dr. P

Gemfish (unregistered guest) 17 Mar 2008

I have had dark under eye circles since I was a young child. People can be rude in commenting, someone once told me I looked tired but then said but i dont know you, maybe you always look like that! Some people just have dark circles as a hereditary thing, in some cases diet and other allergens can really exacerbate the problem, and the posibility of kidney problems should not be overlooked. Topical creams will have little or no effect on true dark circles (dont waste your money),peels may help as might lymphatic drainage massage. Most dark circles are caused by blood pooling in the area so it is really about the particular face you get. The pigment is often worsened by sun damage on top of that and this could maybe be improved by peels or laser. I hope no doctor would do cosmetic surgery on a nine year old, it is sad enough she is so obsessed with her appearance at such a young age. I would suggest pointing out that some celebrities have dark circles (and great makeup artists) and make a scrap book of photos. I have found this useful as a self esteem exercise with young women. Cameron Diaz and Brittany Murphy are both gorgeous and successful but have dark under eye circles. The only treatment I would personally consider is the laser eyelift would love to hear any comments

Helene Knight (unregistered guest) 14 Mar 2008

I recently had my eyebrows shaped by a professional (for the first time in my life). When I went to work the next day, people thought I had done Botox. There is something about shaping the eyebrows that can make you appear younger and less tired.

Tired Only Of Comments (unregistered guest) 10 Mar 2008

I have been told my whole adult life how "tired" I supposedly look, while also being told constantly how "sad" and how "young" I supposedly look. all are horribly irritating to me. I do not understand how being told you look "young" is a compliment. I find all three remarks horribly rude. I am not even willing to consider changing anything about my sleeping habits or my face (no surgery, nothing, ever) to change any of this. I think what needs to change are other people's manners. their perceptions and their manners need to change.

Why are people so rude? (unregistered guest) 16 Apr 2008

I have had the same thing happen to me all of my life. I am so sick of walking down the hall in my office with people saying "smile" or "why so sad?" I finally took a very critical view of my mouth area and I believe that the corners are somewhat turned down when I'm not smiling - thus making me look like I'm pouting or about to cry. One day I was at the grocery store on my way home from work when the 20-something check-out guy put his hand on my arm and said, "Ma'am, you shouldn't be so sad ... it can't be that bad." Can you believe the nerve??? I've thought that may some fillers at the edge of my lips may help them look more turned up. But, if I end up with fat lips like so many other women, I will THEN be sad. I have also inherited the dark circles and fat pads under my eyes. I'm considering Restylane or Juvederm on those, but I worry about doing something to my eyes. Otherwise, I have always been told my eyes are beautiful.

MISS_COLD 9 Mar 2008

i had thermage done and im only 23 its been six months and i now have really bad hollowing under my eyes im unsure to if this will get worse over time. what can i do ? should i have fillers ? but does this really look natural ? i had temporary aquamid in my lips and you get bumps & it doesnt feel naturaul in the lips is it different for the eyes ? whats the best filler for eyes? & what about fat grafts ?? any ideas anyone ? its really getting me down & its not just the eyes i need something for my sunken cheeks 2 i wish i never had thermage done. i dont know what to do ? any advice would be great! thanx

Michael Persky, MD, FACS (unregistered guest) 8 Apr 2008

Hi Miss Cold, It is unfortunate that you suffered hollowing from the Thermage treatment. Fillers, I prefer Restylane, work extremely well and should look natural if performed properly. I would not try aquamid under your eyes. Restylane is the most dependable filler in my hands under the eyes. Fat grafts are a more permanent solution, but again they must be done properly or your complications will be permanent, and/or very difficult to correct. Both of these filling procedures should be performed only by a physician who has experience. For your sunken cheeks, a great filler is Radiesse, injected deep from inside your mouth. For a permanent fix, again fat transfer is the way to go. You can contact me if you would like a recommendation of a referral closest to your part of the country. Be well and good luck. Dr. P

Do you hate being told "you look tired"?

Comments (49)

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Do you hate being told "you look tired"?

Comments (49)

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