Blepharoplasty or fillers for eye-bags? (photo)
Doctor Answers (8)
Filler or blepharoplasty for under eye hollows
Tear trough vs. mini-eyebag. Is the cup half empty or half full?
In your photos you can see very small groove (tear trough) between your upper cheek to the lower eyelid "bag." It may be due a slightly weak cheek bone which is causing the appearance of a small eyebag.
I think it would be best to do nothing. If you are intent on trying to improve this area, you can try some temporary filler to smooth out the groove below your very small eyebag. What this will do is blend the side of the your nose to the eye bag for a seamless transition.
If you see a pebble on the surface of the beach if you bury the pebble, the pebble will be under the surface of the beach and appear flat.
People who have naturally high cheekbones rarely show eyebags, because their cheek protrudes further out than their lower eyelids, which makes the eyebag hard to form.
Temporary fillers come in 1 cc and half syringe sizes. My preference for this area is Restylane. Most likely you would only use 0.15-0.25 cc to smooth that area out and blend the transition. I have a before and after photo of a young man in his 30's with an equally small tear trough groove which needed very little filler to treat the area.
Click on the link to see an nice example of what fillers can do for a more severe eyebag. The goal is simply to transition the cheek to the lower eyelid for a smooth appearance, so that you can not tell where the lower eyelid begins and the cheek ends.
Lower lid bags
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Hereditary fat prolapse
"Dark circles" may be due to pigment of skin, visualization of underlying muscle, prolapsed eyelid fat, and sometimes just due to shadowing due to a hollow contour.
From your photos, it seems to me that you may have mild fat prolapse with slight visualization of underlying muscle.
Though injectible fillers are excellent in this area, I believe that fat repositioning lower blepharoplasty would give you an excellent long term result, avoiding the need to perform injections repeatedly over the years. I've attached a copy of patient with fat repositioning lower blepharoplasty.