Eye Bags Treatment: Q&A
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Under Eye Hollows? (photo)
Hello. I have under eye dark circles and hollows. I was wondering what would be the safest and the most long lasting option for the treatment of under eye hollows. Meanwhile, which kind of personal care (such as creams, or facial exercises) should I use (before getting the treatment) to not make it worse or possibly to improve it? Thank you so much.
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8 Doctor Answers |
Asked by
samarehkh
in NYC, US
+1
Under Eye Hollows
Lower lid hollowness can be improved with structural fat grafting. One must exercise care and caution, as lower lid skin and the underlying soft tissues are usually quite thin, and thus the lower lids are less able to conceal grafted fat. Fat grafting must be preformed conservatively here, with a plan for secondary and occasionally tertiary fat grafting procedures depending on the 'take' of the initial fat grafting surgery.
Please be sure to view many, mnay photos of under eye fat...
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Under eye bags vs hollows
Dark circles will not go away with surgery or creams. Retin-A will help with fine lines, but must be used for several months to see any changes. Any puffiness that is in the lower lids caused by fatty deposits can be removed or re-positioned with a lower blepharoplasty. This will depend on your anatomy.
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Safest eyelid bag treatment.
Options for treating the troughs below the eyelids in increasing order of risk and longevity are
the fillers, Restylane, Radiesse
collagen stimulator and volumizers Scupltra and fat injections
the cellulaze sidelaze laser to flatten the bulges
lower lid blepharoplasty with fat transposition
midface lift
Please consult in person with a Board Certified Plastic Surgeon prior to making treatment decisions.
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Lower eyelid bags
Dear samarehkh,
Although you could try Restylane, it may not give a full correction that you are happy with
I would do a lower blepharoplasty with fat transfer to remove the fat, then use the fat transfer to sculpt the lower eyelid and cheek
Surgery, although more expensive with longer recovery would give you the longest lasting results
Best regards,
Nima Shemirani
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Dark Bags Under Eyes
In terms of creams, nothing is effective enough to recommend to you for the darkness and hollowness under the eyes. The fact is, hollowness and darkness is caused by anatomic changes, and that is something that a cream has no bearing on.
Medically, fillers are a quick and simple option (see the video I posted below), but they are temporary. A lower blepharoplasty could be effective and long-lasting, but it also requires more money and recovery time. You can read about both options...
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Lower eyelid puffiness
You might try a filler from an expert injector. It looks like you have a degree of volume loss in your upper cheeks and tear trough area that accentuate the appearance of fullness in the lower eyelid. A hill looks higher if there is a valley next to it. Fat is the best filler, but requires expertise. Hyaluronic fillers like restylane and juvederm usually last about a year in this area.
Lower eyelid surgery will provide longer term results. With your anatomy...
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Two options
You have two options:
Surgery [lower eyelid blepharoplasty with fat repositioning
Fillers [filling in the hollow region with Restylane or Juvederm]
Surgery is more expensive in the short run, but is a longer lasting option
Fillers are more less expensive in the short run but would need to be repeated every 6-12 months.
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Treatments for under eye hollows
It's difficult to fully evaluate you with just those pictures, but it appears that there may be some fat herniation that is creating some puffiness with the hollowness forming beneath it. One option to improve it is to surgically remove some of the fat so that the puffiness is reduced, which in turn, reduces the hollowness. The other option is to inject a filler into the hollow area to improve the appearance. Both options would be safe, but the surgical option would have...
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