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Safe Sunken Eyes Treatment for Thin Skin?

asked 1 year ago by Helicobacter20 in Vancouver
Latest answer by Michael Law, MD
Question viewed 979 times
Tags: age 25-34, eyes, female, sunken

I am a 28 year old woman with dark, sunken looking eyes. I have used Botox around the brow and to eliminate crows feet. When I retain water, my eyes look great due to the extra volume, so I am guessing that a filler of some kind would be in order. I am concerned about the type of filler though, as my skin is thin and pale. What would be the best procedure?

18 answers to Safe Sunken Eyes Treatment for Thin Skin?

Nice handle-microbiologist I presume?

Despite your thin lower eyelid skin, Restylane filler is the way to go. Don't have Juvederm in this area. The smooth characteristic of that products also makes it a little runny and it tends not to hold in a precise way which is a problem for under eye treatment. The under eye fillers are now so good that I strongly discourage most people from having lower eyelid surgery unless they have very particular findings that make this a more reasonable choice. Fat is also... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Sunken Lower Lids

Many patients with mild to moderate aging changes can obtain youthful and natural-appearing results by means of structural fat grafting - to fill in the tear trough, and to blend the contour at the lower lid / cheek junction. This can be especially useful for patients with a hollow or gaunt appearance at the junction of the lower lid and cheek, and for those with poorly projecting cheekbones that provide minimal support for the lower lid. If this area is inherently hollow, then... more

Michael Law, MD
Raleigh-Durham Plastic Surgeon

michaellawmd.com

Silikon-1000 may be used by experienced physicians to fill lower eyelid hollows. Video attached.

Silikon-1000 is an off-label filler for permanent results. This is my personal preference for filling lower eyelid hollows. Your results from Silikon-1000, good or bad, are permanent so you must choose a physician familliar with the microdroplet, serial-puncture technique. Your lower eyelid area is delicate and unforgiving, so the experience of your surgeon is of utmost importance. I hope this is helpful for you. Regards from NJ: see video

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

Fillers are great for treating tear troughs

Deep tear troughs are a common problem, one which makes people look tired even if they are well rested. I have used most fillers for treating this area (Restylane, Perlane, Juvederm, Radiesse, and the volume enhancer Sculptra). My preferred treatment isRadiesse as the clear colored hyaluronic acid fillers can cause this area to darken slightly. That being said, I think all of the fillers are good for treating the tear troughs and I would suggest that you see a physician who... more

Jonathan Sonne, MD
Naples Facial Plastic Surgeon

Radiesse for the tear trough areas

I prefer judicious use of Radiesse ,0.1- 0.2 cc, for your condition. Juvederm may leave a Tyndall effect, or a bluish hue, which can accentuate the pre-existing discoloration. Building the area slowly over time is preferred.

Edward J. Gross, MD
Orlando Facial Plastic Surgeon

Fat transfer to lower eye area...

I would suggest fat transfer to that area. With Juvederm you can have swelling that is prolonged and Restylane will last for only a short period of time. A fat transfer will have longer lasting affects, averaging 2-3 years, sometimes longer, and is the safest treatment being that you are using your body's fat instead of a filler to such a sensitive area. Having a few sessions throughout the year will help you achieve results that will look... more

Andrew Miller, MD
Edison Facial Plastic Surgeon

www.associatesinplasticsurgery.com

Best Treatment for Lower Eyelid Hollows

Hi Helio, Restylane is best for your lower eye hollows. It must be injected conservatively. Make sure that you choose your injecting physician most carefully in this most delicate and unforgiving area. In some patients, Sculptra is an excellent choice. Good luck and be well. Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Juvederm or Restylane for sunken eye fillers

I would recommend a hyaluronic filler like Juvederm or Restylane either one of these would be a good choice. I would stay away from Radiesse in this area as I see a lot of unhappy patients from other surgeons who have had this injected into the tear trough and have had lumpiness and other complications. Fat transfer is another option however I would try one of the other fillers first and make sure you are happy with the aesthetic result. A good surgeon should be able to advise you of your... more

Michael Elam, MD
Orange County Facial Plastic Surgeon

Short term vs Long Term solution

Hyaluronic acid [Restylane or Juviderm] is probably your best short term [6-9 months] solution and is a great first time option. They are also reversible if you do not feel your results are what you expected. Although Radiesse has been used successfully in this region, the risks are greater as it is a more permanent filler. A highly experienced surgeon/injector might be comfortable with this product, but I would research heavily. Finally fat injections have been used quite... more

A.J. Amadi, MD
Seattle Oculoplastic Surgeon

Blend the lower eyelid junction with the thick cheek skin

Your photo seems to show contrast between the lower eyelid skin and the thicker cheek skin creating a so called tear trough deformity. Don't do anything to your eyelids but judicious placement of a filler on the orbital bone immediately behind the depressed groove should help transition these two areas more harmoniously. One of the hyaluronic acid gels would work just fine. Do NOT use Radiesse in the tear trough grooves ever!

Harlow Hollis, MD
Victoria Plastic Surgeon

Lower eyelid filler

I would recommend hyaluronic acid for filling the lower eyelids and Restylane works very well in this location. Thin skin is not a contraindication if the filler is placed below the muscle, and done in small amounts per pass. Fat transplantation is also a good alternative for filling hollow lower eyelids, but again, it has to be placed below the muscle and not just under the skin.

Keith A. LaFerriere, MD
Springfield Facial Plastic Surgeon

www.facialplasticsurgeon.com

Lower Eyelid Fillers

From your description. a filler would be very reasonable. I use both Juvederm and Radiesse very successfully for this area. The problem with the “thin skin” in this area is that anything done must be placed deep, just above the bony orbital rim to prevent the filler being visible. I also do the injection with a very small blunt needle to reduce bruising and improve safety.

Robert T. Buchanan, MD
Highlands Plastic Surgeon

Sunken lower lids, best treatment?

Thanks for the photo. I agree with the other surgeons that your best option would to use a hyaluronic acid filler like Restylane. Ther's no down time with this injection and can last up to 9 months. The key is to find the surgeon or dermatologist who has a vast experience injecting around the eyes. A more permanent option would be autologous fat injections to blend the lid-cheek junction.

George Marosan, MD
Bellevue Plastic Surgeon

Sunken eyes and fillers

If you are unhappy with the lower lids because of a tear trough deformity, sometimes fillers like restylane are good things to use to improve this region.

Steven Wallach, MD
Manhattan Plastic Surgeon

Filler can be used around the eyes

In general, I tend to recommend a hyaluronic acid filler (most commonly Juvederm or Restylane) to fill the depressed tear trough area. However, you should be aware that this area is more complex, especially in those with thin skin, and you should seek an experienced physician to administer the treatment. The added benefit to the use of a hyaluronic acid in this area is that any slight changes you find undesirable can often be remedied by "removing" the filler. This cannot... more

Jen Yuan Chow, MD
Pasadena Facial Plastic Surgeon

Lower eyelid hollow

A common technique used to fill in the area below the eyes is the use of a filler. Many different kinds can be used, based on surgeon preference. This is injected deep over the bone of the face. If the result is something you would like to be permanenet, Ione can consider fat grafting in the area. Make sure you are seeing a surgeon certified by the American Board of Plastic Surgery. Samer W. Cabbabe, M.D. Board - Certified Plastic Surgeon St. Louis Plastic... more

Samer W. Cabbabe, MD
Saint Louis Plastic Surgeon

Dark circles and sunken eyes

At 28 years old, it is likely to early to consider a blepharoplasty or eyelid lift. A great alternative would be filler (preferably a hyaluronic acid filler) injection into the depressed tear trough area in your lower eyelid. This is an advanced injection and should likely be performed by your physician or an experienced injector. Results should look wonderful though.

Etai Funk, MD
Houston Facial Plastic Surgeon

Fillers for lid-cheek junction

You are correct in that fillers are sometimes appropriate for the lid-cheek junction. As we age, the malar fat pad (the volume high in the cheek) descends. This exposes what we see as hollowing or a "sunken look" of the lower eyelids. I prefer Juvederm to this region because it is soft and potentially correctable. That is, if you hate the outcome, it can easily be removed. Fillers such as Radiesse and ArteFill are generally not recommended here due to... more