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Indented Undereye Lines - Is This Due to Fat Loss?

asked 1 year ago by Rosalie2 in New York, NY
Latest answer by Aaron Stone, MD
Question viewed 635 times
Tags: lines, under eyes, fat loss, indentation

I am 43 and this started appearing about a year ago. The indented lines are underneath the eye area and run down to my cheek in the form of a long curved line. I was told that this was due to fat loss in this area (I have no bags). Fillers were recommended. If I stretch my skin slightly from the temples, the indents do not look as bad, but I was told I was not a candidate for a 'slight' face lift? What causes this? Is it fat loss or could it be a loss of nutrients? Topical recommendations?

2 answers to Indented Undereye Lines - Is This Due to Fat Loss?

+1

Treatment of tear troughs

In the young individual the transition between lower eyelid and cheek is imperceptible. The dividing line between these areas in older individuals is the nasojugal crease also called the nasojugal groove or tear trough). It is an early sign of aging around the eyes, lending a fatigued and aged appearance to the face. As part of the aging process ligaments that fix facial skin to the underlying facial bones thin and lengthen or stretch, facial bones recede back and facial fat shrinks.... more
Aaron Stone, MD

Los Angeles Plastic Surgeon
+1

Injectable Fillers may be used to improve lower eyelid grooves that extend down to your cheeks.

I read your concern. It sounds like you're describing typical lower eyelid grooves that can extend down into a curved midface depression. This is due to age-related loss of fat. In my practice, these grooves and depressions are improved with Silikon-1000, an off-label filler, for permanent results. I've attached a photo from my RealSelf gallery of one of my gracious patients with eyelid grooves that descend into midface depressions. She was treated with Silikon-1000 with... more
Eric M. Joseph, MD

West Orange Facial Plastic Surgeon

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