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Any Help for my Eyes, Always Look Tired/older? (photo)

Hello there, i was wondering if there are any suggestions of what i can get done for my undereye area. restalyne or blephoplasty? The skin is starting to sag, i have hollows and dark circles.. I am in my late 20s and would like to look fresher. i also have milia white spots which i need to get removed as i think these also add to the wrinkles.

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8 Doctor Answers | Asked by worldround

Doctor Answers (8)
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Hello

It’s hard to be exact with your picture, but your puffiness under your eye is visible. You can do blepharoplasty for your concerns. It removes excess skin and fat deposits and gives you a fresher look. You should go see a Certified Plastic Surgeon to get a consultation and go over your option. Filler is not safe to be injected near the eye.

Improving under-eye area with sagging skin

Injectables do not help with rejuvenating the lower eyelid area. Herniated fat pads are best treated with transconjunctival blepharoplasty. There are 3 fat compartments on the lower lids that need to be addressed by removal of a conservative amount of fat to effect the change. When there is scleral show, as present in this picture, it must be addressed through other techniques such as a canthopexy to raise the lower lid. The canthopexy incision is made at the lateral... more

Photo is not ideal

Although this photo is not ideal [I think you may be tilting your chin down a bit in the photo?], and we cannot see your cheek contour, you seem to have mild fat prolapse and tear troughs with lower eyelid retraction with lower lid scleral show [again, this maybe a function of chin down photo]. The hollowing may be addressed in a few ways: 1.Transconjunctival blepharoplasty with fat repositioning [not excision] 2. Fat grafting to the tear troughs [needs an experienced surgeon] 3.... more

A.J. Amadi, MD

14 reviews

Seattle Oculoplastic Surgeon

seattleface.com

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Dark circles under eyes. Any options?

Unwanted "circles" and shadows beneath our eyes can sometimes give us a tired look. This can be caused by (1) thin skin, (2) translucent colors of vessels beneath the skin, (3) fine lines and wrinkles, (4) pigmented skin, (5) extra fatty tissue visible under the skin and muscle, and other varied causes. Sometimes the eye globe is very prominent and the tissue beneath the eyeball is recessive, and this also contributes to a less illuminated midface/lower lid. In a... more

Help For Your Tired Eyes

Given your age, and not wanting to burn any bridges, I would start conservatively by injecting a hyaluronic acid filler (Restylane is probably best for this area) into the hollow areas underneath your eyes. This would not only help with the slightly sunken look but would also help somewhat with the dark circles (less shadow effect once the through is gone). Depending on your happiness with the results, this could be repeated as it wears off or you could consider a lower blepharoplasty. Good... more

Under eye hollows and sagging

Given your one photo and your concerns I suspect your best course of action would be having a facial filler or fat grafting procedure to treat the hollowness under your eyes. This would help improve the contour in the area and also improve the shadowing.

Bags under your eyes

Based on the picture you have shown, you have two options: a conservative transconjunctival blepharoplasty, removing a small amount of fat from the area or another options would be a filler- you have two options of temporary or more permanent. You should discuss these options with a cosmetic surgeon.

Dilip D. Madnani, MD

12 reviews

New York Facial Plastic Surgeon

Dark circles

The milia can be excised/burned in the office. For your lower eyelid dark circles, I recommend filler (Restylane) injections, not surgery, as you are young. See an oculoplastic surgeon.

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