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Richard P. Rand, MD answers: Always look tired with creases and wrinkles under my eyes

Should I go with a filler? I bought creams, and they don't work. What should I do?


Richard P. Rand, MD
7 months ago
By Richard P. Rand, MD - Seattle Plastic Surgeon

There are many treatments for the lower lids and what is best depends on your anatomy.  Fillers are excellent if you have volume loss (tear troughs) and have young healthy skin.  They do not work well in older patients with thin skin. Topical treatments, lasers and peels, and surgery are other ways of rejuvenating the eyes.  Make sure you go to someone who can offer all treatments so you can sort out which is best for you, not just the only one they offer.

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