I am 40, living in London and look constantly tired due to the bags under my eyes. I have read rave reviews on restylane injections on here but when i asked a cosmetic surgeon in London he was luke warm at the idea of doing the proceedure, and recommended fraxel laser instead. Is restylane the way forward and can anyone recommend me a specialist in London as I've read that you must use someone with a wealth of experience. The cost of the proceedure is unimportant.
Is Restylane a Good Option for Under Eye Bags? (photo)
Doctor Answers (10)
Restylane and lower lids/tear troughs
Based on the photo you've posted, you look like you'd be a great candidate for a dermal filler, done by a well-trained provider. I would visit with another provider and weigh options - done correctly, you'd likely have a nice improvement of this area.
Is Restylane a Good Option for Under Eye Bags?
I certainly agree that you should have only a board certified plastic surgeon with a wealth of experience perform any procedures on you. Fraxel laser resurfacing is certainly a viable option for fine lines and wrinkles, but will not eliminate the “bags”, which are most likely fat deposits in the 3 chambers beneath your eyelids. This is best handled by what is called a blepharoplasty, which is when an incision is made just beneath the lower eyelid and the fat deposits are removed and generally a small portion of skin removed also. Many surgeons will also insert a suture to anchor/pull up the skin and underlying tissues so the skin in this area is no longer sagging.
Jonathan Ross Berman, M.D. , F.A.C.S.
Filler for under eye bags
I think a filler like restylane or juvederm would be reasonable to try in your case as you certainly have a tear-trough deformity. You would definitely have some nice improvement, but the question would be whether the benefit would be sufficient for you, or whether you might consider in addition a blepharoplasty. If you're surgically-averse, definitely worth trying the filler in well-trained hands such as a dermatologist or plastic surgeon.
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Hi Mailwriter in London,
It appears from your photo that you might need a lower blepharoplasty to address the fat pads and the excess skin. I believe that Restylane alone would not address your situtation. After the lower blepharoplasty, Resylane can be injected to minimize the tear trough. It would be a pleasure to take care of you. Good Luck!
Dr. David Alessi
Web reference: http://www.facialinstitute.com
Lower lid issues
Restylane is great when used correctly to treat the depressed tear trough region, but you may be a candidate for a lower lid blepharoplasty treating hernated fat pads and trimming some loose skin. The restylane can be used to supplement in the tear trough once things have healed.
Fraxel will tighten, but that isn't the issue here - you are right!
I agree with you that you would do well with Restylane. While Fraxel could tighten, the issue we have here is volume, not laxity per se. If you fill the area UNDER the eyes, you should have a nice improvement, but keep in mind that you have to avoid the area immediately below the lid and would focus mainly on the upper cheek near the eye to build that area up.
Fraxel could do a decent job on the area below the lids, but that alone won't get you where you want to be. Fillers and volume replenishment are the answer here. Good luck!
See BC Plastic Surgeon Or Ophthalmic PS For Eyelids
You should obtain a consultation with a BC plastic surgeon or ophthalmis plastic surgeon to discuss your options. Restylane will treat only your tear trough and is temporary. It looks as if you are candidate for a lower lid blepharoplasty with attention to the tear trough as well.
Filler for dark circles
Filler (Restylane) under your eyes to fill in the dark hollow circle is a very good nonsurgical option for you. I am sure they are people in London who do it (seek an oculoplastic surgeon).
I do a lot of under eye Restylane and you should do great with it.
The great thing is you can get help with this without surgery. The bad thing is that with thin skin (which you have) the treatment is fussy. It is common to need an adjustment. So it is ideal if you can find a fussy injector who is close to where you live. If you can't find this type of individual, you are welcome to come to Los Angeles for treatment. Plan to spend about 4 days in the area so you can have treatment and be seen before leaving to return to London.
Restylane for lower lid bags
I perform Restylane to the lower lids a lot and I do not think it will work well for you. I think that you would probably do best with transconjunctival blepharoplasty. This is the removal of fat beneath the muscle thru the inside of the eyelid (no visible scars). I do not think Fraxel will work well but it's your money. Good luck.
Web reference: http://www.cosmeticsurgerybaltimore.com/
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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