How to Improve Hollow Below Eye Area and Skin Fold? (photo) Doctor Answers, Tips
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How to Improve Hollow Below Eye Area and Skin Fold? (photo)

As you can see in my photo my lower eye area is really ugly. How can I fix this area? I have had this fold that runs from the corner of my eye to my nose and therefore makes a hollow valley under my eyes and I always look tired or scary. Please help!

5 Doctor Answers | Asked by Chashatesherself in Worldwide
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Tear Trough Improvement

In young patients, the tear trough can be improved with hyaluronic acid fillers like Restylane. I would try this first. Fat grafting can be done in the future. Kenneth Hughes, MD Los Angeles, CA
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Fat injections under the eyes

Dear Chashatesherself, You have 2 options for something like this: Restylane injections that can last 1-2 years and is non surgical A fat transfer would be a great option as well, it is permanent and natural looking Best, Nima Shemirani
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Tear Trough Correction

In patients who have developed deep 'tear troughs' at the junction of the lower lid and cheek, adjacent to the side of the nose, the meticulous grafting of fat harvested from the patient's abdomen, hips or thighs can build this area back up and nicely restore a more youthful contour. In some blepharoplasty patients this depression or 'hollow' extends horizontally across the entire junction of the lower lid and cheek, and this must be corrected to obtain the ideal postoperative result. In... more

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Two options

You have two options: 1. Hyaluronic acid fillers [Restylane, Juvederm, Boletero] 2. Fat grafting Option 1 is temporary [6-12 months usually] and is an office procedure that is less expensive, but requires repeat injections. It is easily reversible Option 2 is a more permanent fix, and in experienced hands should last you a long time. Its a greater cost up front, but in the long run probably more cost effective. Both are great options and you should choose which... more
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Under-eye Hollows

Hi Chas. Not to worry, you do have options. You look fairly young so if surgery is out of the question then we would recommend Restylane. We have had patients as young as 18 and in the same situation as you consider this procedure. It's called the tear trough procedure and it helps to provide volume under the eyes where it has been lost due to age or in your situation, where the area is sunken because of your facial anatomy. Find a good injector as the... more
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