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?

3 answers to “Always look tired with creases and...”

A: Lower eyelid creases and wrinkles

Brent Moelleken, MD

Patients not desiring surgery benefit most from fillers, chemical peels and Botox. Patients with a fat bulge often benefit from transconjunctival fat reduction or fat redistribution procedures. Patients who have loose lower eyelid skin are often candidates for a cheeklift with tightening of the lower eyelid... more

A: Lower Eyelid Rejuvenation Requires Careful Consultation

S. Randolph Waldman, MD

No one treatment is the answer for every lower eyelid concern.  In fact I give talks on this subject in which I describe the thought process that I go through when evaluating my own patients.  If the problem is puffiness alone,  then the correction involves a transconjunctival (incision... more

A: We need a picture of you to say what is best

Richard P. Rand, MD

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... more

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