Eyelid Surgery: Q&A

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Under Eye Hollows/Under Eye Tear Troughs?

I have under eye circles. (To the point where I can see my veins and like a blueish purple skin) and I have the hollows under my eyes now my questions are. 1- What needs to be done in oder to straighten everything out and fix it all? ( I remember reading somewhere that I needed injections anf laser)? 2- "What I need done", would it be considered plastic surgery? and what would the pros and cons be? 3-How much would it cost? and would the outcome always come out right?

9 Doctor Answers | Asked by JessicaSmith in Blakeslee PA
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Under Eye Hollow and Dark Circle Treatment

The lower eyelid area has a variety of treatment options. Your plastic surgeon will help guid your decision based on several factors, most importantly your specific facial anatomy and your personal goals. Non-surgical lower eyelid options included facial filler (ex. Restylane) or laser procedures. Fat injection is another option to add volume and reduce the under eye hollow. Eyelid surgery (blepharoplasty) may be the most expensive with higher risk as compared to non-surgical options, but... more
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Darkness and hollows under eyes

There are many factors that can contribute to the darkened appearance under the eyes. Without photos it is hard to give specific recommendations. In general, loss of volume under the eyes with exposure of the boney rim around the eye can give shadows and a dark circle appearance around the eye. Using a hyaluronic acid filler such as Restylane or Juvederm can significantly improve this hollowed appearance and give a softer more youthful appearance to the eye area.... more
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Treatment for dark circles under the eyes

There are numerous causes for dark circles under the eyes. While lack of sleep is certainly one of them, other common causes include: pigmentation irregularities, sun exposure, visible blood vessels, stress, allergies, atopic dermatitis, pseudoherniation (outpouching) of fat from the eyelid, and heredity, to name a few. Fat can cause the appearance of dark circles, which can be corrected by fat repositioning blepharoplasty. As individuals age, skin tends to thin and... more

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Injectable Fillers Work Well For Treating Tear Trough Derformities, Hollows, and Dark Circles Under the Eyes

Due to age and sun-related thinning of the skin under the eyes and to a loss and downward displacement of fat under the eyes, many people past the age of 40 aesthetically suffer from the appearance of hollows, dark circles, crinkles, and tear trough deformities. Fortunately, in experienced hands, the use of injectable volumizing fillers, such as Radiesse and Perlane L, and fillers, such as Restylane L, can address each of these problems with often extremely gratifying results... more
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Lower Eyelid circles

Without photos it is hard to tell if your lower eyelid circles are just from dark skin and increased vascularity or fat pads. If there are fat pads then the best solution is surgery. If it is only dark skin, then a chemical peel will help. Regards Dr. J Disclaimer: This answer is not intended to give a medical opinion and does not substitute for medical advice. The information presented in this posting is for patients’ education only. As always, I... more
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Dark circles treatment

There are two possible options: 1) under eye filler injections vs 2) lower blepharoplasty with fat transposition where the existing "bags" are moved down to fill the hollow dark circle area. The choice depends on ones individual anatomy and preference. See an oculoplastic surgeon.
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Filler Under Eyes

As the aging process takes effect, volume can be lost under eyes giving you that hollow appearance. I usually suggest 1cc of a dermal hyaluronic filler to be injected under each eye to start. We have our patients followup within 1 month to determine if full correction was made or if additional treatment is needed. Injectable fillers are an economical option if your looking for a smoother, younger looking appearance. see video
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It's all about volume

Our thinking of how we rejuvenate the lower lid has really changed over the last decade. Older approaches would resect skin and fat- often leaving a more hollow eye that didn't look younger. Patients with significant skin excess and protruding fat may still need some element of resection but most patients need volume to the lower lid to really create a softer more youthful look. My techniques include the use of HA fillers (juvederm, restylane) but even better long term results can be... more
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Tear troughs - lower eyelid blepharoplasty and fat grafting

The best options for treating hollowing under the eyelids and deep tear troughs include: -fat grafting (fat transplant, or fat injections) where fat is harvested from another part of your body and carefully injected to restore volume -fat transposition blepharoplasty where fat from the lower eyelids is freed and repositioned to fill in the hollowed areas -Cost are variable depending on which procedures you have and what method of anesthesia you choose to have -Dr. Jamil... more
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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.

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