30 yr old with asymmetrical under eye bags (Photo)

Hello @littletwinklestar123, thank you for your question. It is important to remember that we aren't completely equal on both sides; there are always some differences that may or may not be noticeable. Uneven folds or asymmetry under the eyes can be a common cosmetic concern, especially in individuals from East Asia where there is a greater prevalence of a shallow orbit, a low-lying bony structure beneath the eyes. It is wise to keep this in mind when setting expectations.

Here are some options that may help address uneven folds under the eyes:

Dermal fillers: Hyaluronic acid-based dermal fillers can be used to add volume and restore symmetry to the under-eye area. The procedure involves injecting small amounts of filler into the area to create a more even appearance. Results can last anywhere from 6-12 months, depending on the product used.

Lower eyelid surgery: In some cases, lower eyelid surgery, also known as lower blepharoplasty, may be recommended to address uneven folds under the eyes. The surgery can remove excess skin, fat, and muscle, and tighten the skin in the under-eye area to create a more even appearance. Recovery can take up to several weeks.

Radiofrequency microneedling: Radiofrequency microneedling is a non-surgical procedure that can be used to tighten and rejuvenate the skin in the under-eye area. The procedure uses tiny needles to create micro-injuries in the skin, which stimulates collagen production and helps to tighten and firm the skin. Results can be seen within a few weeks, and several treatments may be required for optimal results.

It is important to consult with a qualified and experienced aesthetic professional or plastic surgeon to determine the best treatment option for your specific concerns and goals. Best wishes!

Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP).

You could be a candidate for lower lid blepharoplasty. This surgery utilizes an incision from behind the eyelid to reposition the fat into the tear trough. Best to see an eyelid expert.

It appears that your asymmetry is more visible than in average person. We all have it. Augmentation of the smaller cheek with fat grafts and lower, transconjuctival blepahroplasty, would be options to consider. Hope this helps.