I am only 28. Severe bags under eyes & vein. Almost embarrassed to be in public because I get stares. What can be done? (Photo)

Question

I have severe bags under my eyes, assuming it is genetic because my father has pretty bad eye bags as well. I get stared at in public and never feel comfortable leaving the house without makeup. I also have a vein on the left side of my lip that extends downward at an angle. Can anything be done? Is restalyne a good option for under eyes? I want something that lasts and works. Can anything be done for vein issue? Thanks in advance.

Raffy Karamanoukian, MD, FACS · Answer

Dark under eye circles can make you look tired and older than you are. I would use a combination protocol that includes topical Melarase creams first, followed by a combination of injectable fillers, fractional laser, and RF to blend out the eyelid hollowness and tighten the skin. 
  
Recommended Creams: Melarase Brightening Kit
  
MelaClenz
  Melarase AM
  Melarase PM
  Melapads
  Replenish Retinoid Cream
  Best, 
  
Dr. Karamanoukian
  
Realself100 Surgeon

Jonathan Kulbersh, MD · Answer

Under eye bags and vein can be permanently corrected with surgery or temporarily camouflaged with fillers.There are great non-surgical options to fill in under eye depressions and hollowness. Using dermal fillers, a liquid eye-lift can be performed. A dermal filler such as Restylane would be placed in the cheek and tear trough to hide the depression or bag underneath your eye.
Surgery would require a fat-repositioning lower lid blepharoplasty. In this surgical procedure, fat from the eye area is moved into the tear trough depression filling the actual depression. 
I hope this helps!

Aldo Guerra, MD · Answer

Thanks for this question.For the volume loss in the under eye area, Restylane placed using a cannula technique is a good option. A vascular laser may work for your vein (which I cannot see real well in the photos).I suggest you see an expert. Best wishes, Dr. ALDO

Susan Buenaventura, MD, FACS · Answer

Your foto is difficult to see but severe bags under eyes benefit best from surgery (lower blepharoplasty).   The surgeon will remove fat and a little skin and create a more pleasing contour to the eye.  It usually lasts a very long time.

Camille Cash, MD · Answer

Fillers work well to disguise under eye irregularities.  They can be done right in the office and last about a year. They can be combined with other treatments for more optimal results such as lasers, chemical peels, or microneedling.  The vein may be able to be treated with sclerotherapy or lasers.  An evaluation would be needed first.  I recommend visiting with an expert injector in your area.

Kristine Brecht, MD (license suspended) · Answer

Yes, fat transfer with prp would be a wonderful option for under your eyes, for a longer lasting, natural result.
Prp injected directly in the chin red streak may help.
Choose an expert. Best. Dr Brecht 
Seattle, Wa

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I am only 28. Severe bags under eyes & vein. Almost embarrassed to be in public because I get stares. What can be done? (Photo)

Answers (6)

EYELID SURGERY PROVIDERS NEAR YOU