Eyebags, crease and loss of volume at eye-cheek junction in early 20s. Which treatment is best? (Photo)
Doctor Answers (3)
Your problem is more about relative hollowness, and your eye bags are mild enough to be treated non-surgically
In my practice, I routinely use hyaluronic acid such as Restylane. I’ve also been doing a combination of hyaluronic acid with platelet-rich plasma. There has been some very well established information in the literature of the synergistic effect of the combination of platelet-rich plasma. Platelet-rich plasma is derived from your own blood and contains growth factors and helps improve skin quality. Hyaluronic acid provides some volume and there’s collagen deposition that helps to improve these areas more long-term. A lot of our younger patients appreciate avoiding surgery and having this type of treatment. If the fat pockets underneath their eyes are too prominent, then we recommend a surgical procedure.
I would caution you about fat grafting. Lower eyelid skin is the thinnest skin in the body and is about half a millimeter in thickness. In my experience, I had many patients from all over the world that have me treat them because they had fat grafting and they ended up with a lot of irregularities, scars, lumps and basically things that are very complex to deal with.
I think that your puffy under eye bags are not that prominent and you can use hyaluronic acid fillers, but there’s an art to doing this. It may take a doctor more than one treatment to get it right just for you, but I think it’s the least invasive and most effective way to treat you. Hyaluronic acid can last from months to over a year, but there’s some variability. If you are doing anything that is any way toxic to your skin then it’s advisable to stop, including: smoking, rying to lose weight and doing any crash dieting or even drinking excess alcohol. These things are very toxic and can advance the aging process.
So think about fillers as a starting off point before moving ahead with surgery. Again, in the absence of a physical examination, it’s hard to appreciate your situation in 3-dimensions.
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Dermal fillers for eyelid hollows
IPL treatments can improve the purple color of your eyelid that is caused by small venule's or blood vessels.
Please see an expert board certified plastic surgeon who is experienced an oculoplastic surgery.
Hydroquinone cream can be used as well.
I recommend Belotero to fill your tear trough.
Having given you treatment suggestions I suggest you avoid rubbing your eyes to avoid worsening your condition.