What Can I Do to Fix my Under Eye Area. I Have Wrinkles and Dark Circles? (photo) Doctor Answers, Tips
Eye Bags Treatment: Q&A
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What Can I Do to Fix my Under Eye Area. I Have Wrinkles and Dark Circles? (photo)

Can I do anything that is non surgical to improve my under eye area?

8 Doctor Answers | Asked by Adagietta in Texas
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FIllers vs.Surgery for Lower Eyelid Issues (Eye Bags)

Thank you for your question and the photo. There are non-surgical options for camouflage of the contour issues and skin texture in the lower eyelid region, including fillers and resurfacing procedures. The results of these treatments, however, may be disappointing if you have excess skin, loose eyelids, or too much fat. These issues are best addressed with a lower eyelid lift. For my patients, I recommend a procedure that uses the excess orbital fat to help fill in the hollow... more
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Dark circles

There are several issues that will need to be addressed. First a transconjunctical lower blepharoplasty will remove the fat bags. Second, excess skin will need to be tightened up thru a pinch technique and a canthopexy to tighten the outer corner of the eyelid. Any residual wrinkles , if present, could be treated with a fractionated laser
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Non-surgical treatments for wrinkles and dark circles, but puffy eye bags require surgery

Thank you for your question. You are asking if there are non-surgical treatments to treat dark circles and wrinkles under your eyes, and indeed there are. However, judging from your photo alone, there are other procedures you should consider to treat your under eye area as a whole. In my practice I would treat the two concerns you mentioned non-surgically. I treat wrinkles under the eyes using a fractional CO2 laser. For dark circles, I use another cutting edge... more

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Hello

The procedure that will give you the best and longer lasting results would be the blepharoplasty (eyelid lift). You do have other options but it all depends on what kind of results you are looking for.
+1

Photos Show Much More Than Dark Circles

It is true that you have dark circles and wrinkles. More importantly your photos show a fairly obvious asymmetry between your eyes, some lid retraction and significant fat bags which are the main cause of your dark circles. What you have is definitely a surgical problem and could be the subtle indication of a thyroid problem. I would recommend a complete eye exam, thyroid studies and to stay away from anyone who thinks fillers is the answer.
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Fillers would be disappointing

Honestly, although I love using fillers in my practice, this is not a great indication for it. Although the easy answer is "lower eyelid blepharoplasty", your anatomy is a challenging one because you have prominent eyes, lower lid fat prolapse and wrinkling with mild eyelid retraction, and midface volume loss. All these factors make you a set up for worsening lower lid retraction if it is not addressed at the time of surgery. What I would recommend is lower lid retraction repair with... more
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Under eye bags

Dear Adagietta, In my experience, Restylane may not give you the results you are looking for I have injected Restylane in eyes that look like yours and although there is improvement, it does not fully correct it A lower blepharoplasty with a fat transfer will give you the results that you are looking for Best regards, Nima Shemirani
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Non-surgical treatments for under eyes

The only non-surgical treatment to help with the hollowness beneath your eyes would be to use an injectable filler. There are a variety of options for the fillers, but my recommendation would be to use one of the hyaluronic acid fillers (Restylane, Juvederm, or Belotero).
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Comments (6)

Megan P (Community Manager) 1 Nov 2012

It sounds like the opinions the doctors have shared with you have hurt your feelings and greatly offended you. I'm so sorry to see that. :(  Please try to keep in mind that they are doing the best they can to give honest feedback from your question and photo. Obviously they aren't benefiting anything from answering your question, they volunteer to answer the questions submitted to try to help our community members get good information and have realistic expectation of what can be expected and achieved, and what can not. I truly believe they have good intentions to try to help with the information they have shared, and would not intentionally hurt your feelings or try to offend you.

Sending you a hug and hoping you feel better as the day goes on.

Adagietta 1 Nov 2012
Thanks Megan. I know they ate trying to be honest. It is hard to have a professional point out all your imperfections. Especially when you ate hard on yourself. I wish I had the money to have them re do my whole face and body. But that is certainly not an option as I would never take out a loan to do that sort of thing. If only insurance would help pay for it. Thanks Megan.
Megan P (Community Manager) 1 Nov 2012

I understand, its amazing how hard we can be on ourselves, isn't it? Well, I know you know this - but remember there is way more to us than just our outsides. Plus, I can see your profile picture, you are a gorgeous woman! :)

Adagietta 2 Nov 2012
Awwww, Thanks Megan. That is so sweet. We are very hard on ourselves. Society makes us that way I guess. Lots of pressure to stay young and skinny. You are gorgeous! I can't imagine anything you would want to change about the way you look.
Adagietta 1 Nov 2012
WOW! From the last Doctors Answer I feel like I look like a monster. ( Dr. Paul S. Howard ) But to clarify... I do not have a thyroid problem. I have reqular checkups and bloodwork done every 6 months! I also had an eye exam 4 months ago and my eyes are very healthy. There is nothing wrong with them. I know I have a face that is not symetrical... but most people don't. Asking questions of Doctors just make you feel worse about yourself than you already did. I just wanted some advice to help with the dark circles and wrinkles. I guess I should just hide in the house with my shitty face.
Adagietta 31 Oct 2012
So, from my comments so far....it looks like my only hope for any improvement is to go under the knife? Is this a correct assumption?

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