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What Do you Recommend To Address Tired Eyes, Upper Eyelids And Laugh Lines? (photo)

I'm interested in doing as much as possible to improve my appearance. My biggest concern is my tired looking under eye area. I also want to address my upper eyelids and laugh lines. I will do surgery if needed, but I was wondering if injections (under eye and laugh lines), and maybe Botox would significantly improve my appearance? Please let me know what you think. I'm in Texarkana so I'll be seeing a doctor in either Little Rock, Dallas area, or Shreveport. Thank you.

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7 Doctor Answers | Asked by tonygareth in Texarkana, TX

Doctor Answers (7)
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Avoid fillers such as Restylane and Juvederm for puffy lower eyelids

You would need an examination, but if it turns out that your lower eyelid puffiness is from swelling of fluids, which can be from sinus problems or allergies, then fillers such as Restylane could absorb fludis and make your eyelids more puffy. if it is fat herniation that is producing these bulges , then surgical blepharoplasty is expected to give you the best result, and you would be wasting your money on Botox, Fraxel laser and fillers. Your laugh lines can be treated by... more

Suggestions for Tired Eyes

Hi Tony. Our suggestions are as follows. Because the priority is the under eye area, we would suggest Restylane to start. You would probably require between 1-2 cc's of Restylane because there is a lot of volume loss below the eyes. The tear trough area below the eyes is extremely technique dependent so find someone that knows how to inject this area "under the muscle" for best results. Try addressing this issue with filler first and if you are not... more

Harold J. Kaplan, MD

4 reviews

Los Angeles Facial Plastic Surgeon

www.celibre.com

Rejuvenation for Tired Eyes

I feel Botox is the best treatment for laugh lines caused by facial animation. If there are grooves present lateral to the eyes at rest, which I don't see in your picture, fillers are beneficial. Your lower lids would be improved with the injection of fat or fillers like Restylane to minimize the hallow appearance because the loss of volume ages all of us. Compare the faces a child and an older person, man or woman. I do not see any significant fat bulges in the lower lids. Very... more

Richard W. Fleming, MD

10 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

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What Do you Recommend To Address Tired Eyes, Upper Eyelids And Laugh Lines?

IMHO, the upper eyelids are still OK. The lower eyelids show signs of fat bags that would respond well to a transconjunctival lower eyelid surgery. Fillers like Perlane and Radiesse can be used to fill in the laugh lines (NLF's). The lower face appears heavy but the photo is cut off preventing further evaluation.

I recommend caution.

Tony You have a big face and big eyes. It is essential to find a surgeon who is conservative. For the upper eyelids it is essential to maintain as much of an upper eyelid fold as possible. A minimal skin excision is all you need here. The goal is for the upper eyelid fold to expose about one more millimeter of upper eyelid platform. When too much upper eyelid skin is removed, the upper eyelids look feminized. This is not something guys like (think... more

Kenneth D. Steinsapir, MD

9 reviews

Los Angeles Oculoplastic Surgeon

Botox and filler

Botox and Restylane would improve your appearance. The lower lid bags should be treated with Restylane and Botox can be injected above the eyes. However, your photos do demonstrate upper lid redundancy and you may want to inquire about an upper lid blepharoplasty if and when you are ready to undergo surgery.

Botox works for forehead wrinkles for not for under eye bags

If you main concern is your under eye bags and heavy upper eyelids, the answer is not with Botox. You should consider consulting a skilled plastic surgeon about a blepharoplasty. Laugh lines can be promptly corrected with a filler such as Juvederm and Restylane, not Botox. see video

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