What are options for under eye bags, circles and wrinkles? (Photo)
Doctor Answers (8)
Options for Under the Eyes
Thank you for your question.
As a father, I can relate to not getting enough sleep! You are also in good company when it comes to your cosmetic concern. Often, my patients start to notice a significant change in their skin around the age of 40, and this often includes thinning of the delicate skin beneath the eyes. Also, you lose fat in this area as you age, so you get a hollow area that creates a dark shadow. The remaining fat often looks like puffiness or "bags," when it's actually just pre-existing fat that appears more pronounced now that the surrounding area is receding.
The good news is that there are many minimally invasive treatment options available to you that can achieve what makeup cannot. I recommend a dermal filler, such as JUVÉDERM® or Restylane®, to restore the insulating fat layer beneath the eyes, reducing the appearance of bags, shadows, and circles under the eyes. Sometimes enhancing the cheek projection with these fillers also helps the appearance of the under-eye area. This type of facial sculpting is truly an art form, so be sure to seek a board-certified facial plastic surgeon. You can view my photo gallery and watch this video to see the difference dermafillers can make.
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What are options for under eye bags, circles and wrinkles?
Following the advice of anyone who would presume to tell you exactly what to do based on a limited 2 dimensional photo without taking a full medical history, examining you, feeling and assessing your tissue tone, discussing your desired outcome and fully informing you about the pros and cons of each option would not be in your best interest. Find a plastic surgeon that you are comfortable with and one that you trust and listen to his or her advice. The surgeon should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) through Smart Beauty Guide. You should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
La Jolla, California
Blepharoplasty or fillers
Fillers or surgery can provide you help.
Surgery is generally transconjunctival arcus maginalis release surgery. It is important to assess the skin quality also and decide if something needs to be does to address this as well. Surgery is performed on an outpatient basis under IV sedation. It is generally about two weeks before people stop asking what just happened to you.
It is common now to perform surgery and also fillers. I would encourage you to see if fillers will work for you saving you the need for a surgical procedure for hopefully quite some time.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.