Hi, I'm 44 years old, and my eyes make me look much older than I am. I have hollows as you can see in the photo. The bigger problem, though, is deep wrinkles when I smile (you can also see from the photo). What are my options? Thank you!
Answer: Hollow lower eyelids HelloAs we age the area beneath the lower eyelid becomes hollow. Some people refer to this as the tear trough. It is important for you to have a complete examination by an experienced eyelid specialist, such as a board certified plastic surgeon to sort out your treatment options. From the pictures you have provided it might be wise to start with something relatively simple. This might very well be a combination of volume restoration with your own fat or with fillers and a relaxant such as Botox to soften excess muscle activity. These are high skill procedures that require an experienced surgeon with good artistic judgement. Best of luck
Helpful 1 person found this helpful
Answer: Hollow lower eyelids HelloAs we age the area beneath the lower eyelid becomes hollow. Some people refer to this as the tear trough. It is important for you to have a complete examination by an experienced eyelid specialist, such as a board certified plastic surgeon to sort out your treatment options. From the pictures you have provided it might be wise to start with something relatively simple. This might very well be a combination of volume restoration with your own fat or with fillers and a relaxant such as Botox to soften excess muscle activity. These are high skill procedures that require an experienced surgeon with good artistic judgement. Best of luck
Helpful 1 person found this helpful
November 20, 2015
Answer: Lower eyelid aging Thank you for your question and the photos. I do not see much in the way of lower lid "bags", but cannot see the full extent of the eyelids either. The tendency of the lids to look "hollow" though, tells me you would be a good candidate for adding some contour enhancement. I think that the careful addition of some of your own fat from another area in your body could "fill in" the contour nicely. The other option would be the use of a "filler" injectable, and there are several different products which are available. There are pros and cons to each of these options, so I recommend you consult with a board-certified plastic surgeon. As far as the wrinkles are concerned, since you only see them with smiling, this means they are what we call "dynamic" lines (not present without muscle action beneath the skin), and this type of line, if not improved with the addition of the fat or filler, could be treated with some "Botox" injections (but we almost never use "Botox" in the eyelid muscles farther in than the level of the pupils). The last option would be to have laser resurfacing, and there are several available (I recommend the CO2 fractional laser), so, once again, have a thorough exam/consultation with a plastic surgeon to discuss your goals and evaluate the options best suited to your situation. Good luck!
Helpful
November 20, 2015
Answer: Lower eyelid aging Thank you for your question and the photos. I do not see much in the way of lower lid "bags", but cannot see the full extent of the eyelids either. The tendency of the lids to look "hollow" though, tells me you would be a good candidate for adding some contour enhancement. I think that the careful addition of some of your own fat from another area in your body could "fill in" the contour nicely. The other option would be the use of a "filler" injectable, and there are several different products which are available. There are pros and cons to each of these options, so I recommend you consult with a board-certified plastic surgeon. As far as the wrinkles are concerned, since you only see them with smiling, this means they are what we call "dynamic" lines (not present without muscle action beneath the skin), and this type of line, if not improved with the addition of the fat or filler, could be treated with some "Botox" injections (but we almost never use "Botox" in the eyelid muscles farther in than the level of the pupils). The last option would be to have laser resurfacing, and there are several available (I recommend the CO2 fractional laser), so, once again, have a thorough exam/consultation with a plastic surgeon to discuss your goals and evaluate the options best suited to your situation. Good luck!
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