im 35, i have great skin, minimal fine lines... i just had my first filler placed in my smile lines bc having such full deep cheeks... however i cannot wear enough concealer to cover the deep grooves under my eyes above my cheeks. i was told im not a good candidate for a filler my skin is so thin under eyes because with my ski in tends to be very dark and thin under eyes --it would prob make them look darker and blueish... im looking for some direction..
What Can I Do For My Deep Grooves and Thin Skin Under Eyes? (photo)
Doctor Answers (5)
What Can Be Done For Deep Grooves and Thin Skin Under Eyes?
Filler is actually a reasonable option. It just needs to be placed more deeply to prevent the Tyndall effect - blue discoloration from superficial filler placement. The results should last up to one year. The more durable option is a lower eyelid procedure where the small lower eyelid bag is advanced into the groove to give the lower eyelid/ cheek junction a more youthful appearance. I hope this information is helpful.
Stephen Weber MD, FACS
Weber Facial Plastic Surgery
Fat will do the Trick
Thank you for the photos. Fat is the answer. Fat redraping through a blepahroplasty or fat injection.
Deep grooves and hollowing under eyes
You have significant hollowing in the lower eyelids and upper cheeks which can lead to a "tired" appearance. You would be a good candidate for filler injections, but I would recommend treatment of both the lower eyelids and cheeks to achieve the best results. There is a risk of some bluish discoloration, but I suspect this risk of this being a big issue is fairly small. If you didnt like it, the filler could always be dissolved. Other doctors might recommend fat injection, but I tend to like Restylane better in the under eye area. Aside from the hollowing under the eyes, you have a very youthful looking face and I suspect that treating this one area will make a big difference for you.
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Deep Grooves Under Eyes
Hi Sing. You are a great candidate for tear trough injections. While surgery is an option too, most of our younger patients do not opt for surgery at a young age. Restylane would be a great option to fill in the grooves you highlight in the photo. It's likely that it would take about 2 cc's of product and last about a year. In our practice this procedure costs around $1,000 for 2 cc's.
View the photos below for results with the procedure. Thanks.
You are a candidate for lower blepharoplasty and fat transposition to tear trough. You are also a candidate for non surgical fillers to tear trough. Products like restylane fine line, juviderm refine, teosyal are excellent in this area. There is also a role for PRP to enhance skin quality.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.