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Options for Muscle Loss Under Eyes?

asked 10 months ago by pleaseeehelp in london
Latest answer by William Portuese, MD
Question viewed 501 times
Tags: age 18-24, under eyes, female, dry skin, hollow, muscle loss, options

Hello, i am 24 i feel like i have muscle loss under the eyes..it's very hollow looking. no one in my family has this problem.my skin on face is very dehydrated and constantly feel like its pulling down. it all started 5 months after i got off accutane. please help.

6 answers to Options for Muscle Loss Under Eyes?

+1

Loss of volume under the eyes

It is unlikely you have muscle loss underneath the eyelids. When the eyes become more prominent it is important to be evaluated for possible thyroid conditions. The fat pads and bags underneath the lower lids are best treated with a transconjunctival approach. Accutane usually has no effect on the lower eyelid muscles.
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It is not the muscle loss, but droopy midcheek

When the midcheek travels to south, it no longer covers the orbital rim region, and causes tear trough deformity, or hollow look. The best think is subperiosteal midcheek lift with canthopexy. you can read about MAG-5 procedure, designed by Dr. Flowers.
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Treatment of tear troughs

Your posted photo shows what appears to be lack of bone support of the lower eyelids with a visible tear trough and darkening of the lower eyelids from a shadow created by the way the light falls in this photo. There is no visible muscle loss in this photo. From a single one angle view photo one cannot say exactly what your best option is. I suspect you need filler injections, fat grafting, an implant or some combination of these to correct the issue. If you have any allergic issues these... more
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Under eye volume loss

Your picture shows prominent tear trough grooves and lack of volume in the lower eyelid. I don't think there was an actual loss of volume since you are too young for that; most likely this is your natural anatomy. One of the side effects of Accutane treatment is thinning of the skin and subcutaneous tissues -- this could have exacerbated the problem. What you need is volume replacement in the lower eyelid- midface area, which can be successfully done in the... more
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There is no bone loss here.

You don't need a "medical grade skin care program," that is just a way of keeping patients close to surgeons until they break down and have a surgery. Not that there is anything inherently wrong with skin care but really all you need is a good moisturizer and possibly an under eye concealer. Your issue is lack of bone projection at the orbital rim which brings out the appearance of the under eye circle. The best option for a 24 year old is to start with the... more
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Under Eye Tear Trough Hollowness

Pleaseeehelp, you are not alone. The under eye hollowness is an area of concern for many people. First, I would recommend you start a good medical grade skin care regimen with active ingredients. Most plastic surgeon offices carry medical grade products that are geared towards getting you results. While it would be important to see your entire face to better assess this area and achieve balance, the undereye hollowness in the tear trough area can be addressed by... more

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