How do I get rid of the lines and puffiness under my eyes? (photo)
Doctor Answers 3
Lower Eye puffiness
Based on your question and photos I believe there are a combination of factors causing the puffiness to your lower eyelids. There seems to be some swelling in the cheeks which is often a sign of seasonal allergies, and antihistamine medications can help. Additionally, there is the beginning of a groove between the lower lid and cheek junction often referred to as a tear trough deformity. Early on some volume augmentation with a filler can improve this condition. As it becomes more pronounced then surgery is more effective in restoring volume to the cheek and lower lid junction to blunt the transition and give a smoother and more pleasing transition to the lower eyelid. An in person consultation with an experienced plastic surgeon should help you determine what is best for you.
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Under eye puffiness
Your photo suggests several causes for your eye puffiness.
- cheek swelling from allergies, usually environmental
- that plus excess fat under the eye (lateral septal compartment),
- flat cheek bones,
- that plus sliding of cheek tissue off the cheek bones.
You need a face-to-face examination and history with a plastic surgeon or facial plastic surgeon.
Injected fillers can be injected to improve conditions 3 and 4.
Cheek Creases Under Eyes
We would probably reach for a 1.5 CC syringe of Radiesse for reach cheek. The product would last about 9-12 months and should give you the nice smoothing effect you are looking for. Good luck.