Restylane: Q&A
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Surgery or Filler? (photo)
Im 32 i have under eye bags and dark circles I dont know what treatment would be recommended for me I feel that I have expirienced some volume loss on my overall face I have an appointment with a plástic surgeon on the 25 but I wish to go with some info and diferent points of view dont know if this can be adressed with fillers or a lowr bleph would be a better option please help Thanks
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9 Doctor Answers |
Asked by
PINUPROCK
in MEXICO
+2
Please don't get lower eyelid surgery.
Properly done lower eyelid fillers will be so much better for you. You eyes are beautiful. Improving them will be difficult with surgery. It is also a distinct possibility that lower eyelid surgery will actually make you look much worse and repairing this type of damage is very difficult and never perfect. Fillers should on be the hyaluronic acid filler Restylane. Silicone oil injections are common in Mexico and these will also destroy your appearance....
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+2
Surgery or filler for under eyes?
It's difficult to tell from your pictures, but it appears that you may have some protrusion of fat under your eyes causing some puffiness. There is an area of depression under the bag, which causes the dark circle. There are two main options in treating this problem. Surgery can be done to remove some of the fat and improve the puffiness. This normally will also help with the dark circle under the area. The other option would be to use a filler, like Restylane,...
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+1
Surgery vs. Restylane to Tear Troughs...
I would highly recommend a non surgical approach, like Restylane injections, for you before even considering getting something as permanent as surgery under your eyes.
Dr. Grant Stevens Marina Plastic Surgery Associates Marina del Rey, CA The Institute
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+1
Under eye treatment
Without first seeing you in person to assess and determine your specific needs, it's difficult to recommend filler versus surgery. It sounds like you're aware that there are options to help improve that area and hopefully you get your questions answered with your scheduled consult.
+1
Under eye fillers
Dear PINUPROCK,
Given your age and anatomy, I would start with Restylane under the eyes
It can produce dramatic results with no surgery
I would wait for surgery until you are older and that is always an option down the road
Best regards,
Nima Shemirani
+1
Surgery or filler for under eye hollows
There are 3 choices for dealing with under eye hollows:
Surgery
Filler
Accepting it
It used to be that the only option was surgery or accepting it, but we now have hyaluronic acid (HA) fillers, such as Restylane and Belotero to fill the hollows and the depressions below under eye bags to camouflage their appearance. Many surgeons are recognizing that fillers may be a better choice than surgery for many patients. The great thing about HA fillers is that in the hands...
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+1
Dark circles on lower eyelids
The cause of dark circles lower eyelids in someone your age is mostly due to congestion of the vessels which causes 'leakage' of a small amount of red blood cells into the surrounding tissue. The muscle around the eye is just below the surface of the skin and the muscle color can add to this 'bruise' effect. All that being said, I would suggest the following before you get into fillers would be: 1. Take low dose antihistamines at bedtime to decrease vascular...
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Fillers Work Well For Dark Circles, Hollows, Tear Troughs and Bags Under the Eyes
Tear troughs, hollows, slight bags, and dark circles are common problems of the lower lids. It has become standard practice to treat this region with lighter weight fillers, like Juvederm or Restylane, to lift, straighten, and contour this region.
Occasionally, if fillers are inadvertently placed too superficially, a bluish discoloration related to light scattering (a phenomenon known as the Tyndall effect) can occur, which can actually make the dark circles more prominent. Belotero, a...
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+1
Try a topical cream first
Based on the photos, I would suggest an eye cream containing, retinol, green tea, and perhaps Vitamin K. There are multiple sources for these. I suggest a six months' trial. The cost is minimal.
Walnut Creek Dermatologic Surgeon
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