Botox and filler.

Richard Gentile, MD answers: Options for under eye bags caused by muscle hypertrophy?

Hi, This has been a problem since I was a little girl, now I'm 40 and want to improve the appearance of my under eye bags, whether it is with surgery or fillers.

I look tired all the time and my bags just keep getting bigger as I age. I went to my consultation for blepharoplasty (Eyelid Surgery).

She told me there's nothing that can be done, because it's all muscle and not fat. Could I have hypertrophy? What can I do? I can't stand to look at myself or have others look at me. If there is surgery for this, what is it called?


Richard Gentile, MD
3 months ago
By Richard Gentile, MD - Cleveland Facial Plastic Surgeon

Hi Shellee:

would consider a little filler under your rim and some botox to decreasing the orbicularis contraction that is causing you to have a more significant orbital rim depression.  Surgery a bit drastic for you slight problem.  I prefer to use Radiesse under the muscle and just below the rim.

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