Can fillers help my hollow below eyes and the festoon or fat pad? (Photo)

Question

Nima Shemirani, MD · Answer

Hi @poison4040. Thank you for sending your photos-- you would be a great candidate for a transconjunctival lower blepharoplasty with fat transfer. A lower blepharoplasty will address the herniated fat pads and excess skin under your eyes giving you a more refreshed and rested appearance. Best of luck, Dr. Nima!

Juan Carlos Fuentes, MD · Answer

In your case the hollow below the eyelids is the combination of the herniated fat pads in the lower eyelids and the lack of fat just below them. You will need to have the lower fat removed to reduce the bags under the eyelids and a filler like Belotero or Juvederm Volbella, to improve the contour of the lower eyelid and cheek junction. The festoon, can improve by injecting a filler like Juvederm Voluma in cheek area.

Jason Emer, MD · Answer

There are many ways to treat dark circles, as well as under eye wrinkles and bags. It is important to note however, that the majority of times the cause for discoloration is genetic and due to the viability of the blood vessels below the skin. A combination approach is always needed to get the best results in this area and this includes: topical skin care, laser and/or radiofrequency treatments, and fillers if placed appropriately. All my patients are on topical lightening agents, typically a vitamin C serum product in the AM and a brightening agent and/or a vitamin A based product in the PM. Sun protection is essential.Resurfacing and tightening are essential. My patients get offered a menu of options, for which a combination gives the best results. Light salicylic acid peels help give textural and pigment improvement; nonablative lasers (Fraxel or Clear + Brilliant) can be used to tighten and improve fine lines/wrinkles and crepe skin; fractional radiofrequency devices (Sublative, Viva) are cutting edge and improve texture, tone, and wrinkles with very little downtime; radiofrequency with pulsed electromagnetic fields (Venus) are amazing for puffiness and bags, in patients who do not want eyelid surgery; appropriately placed fillers can replace lost volume, cover up the vessels and fat pads below improving the appearance -- patients should pick a well experienced practitioner to prevent complications such as Tyndall (blue discoloration) and irregularities, one that uses a cannula for injection will help give results with little bruising or swelling; microsecond Nd:YAG laser treatments (Laser genesis) has produced dramatic improvement in discoloration in some of my patients and is safe in dark skin types, similar to the radiofrequency devices. For lifting, ablative laser resurfacing such as co2 laser combined with monopoloar radiofrequency deep heating (thermage) give amazing results. The key is for a patient to see a cosmetic dermatologist with experience in all the latest devices and techniques so the persons goals can be met by a combination approach of individualized treatments and skin care. In some cases, those who smile and have crepe skin or under eye wrinkles, a small amount of neurotoxin (botox, dysport, xeomin) strategically placed in the lower eyelid skin can improve wrinkles dramatically and give the eye a more "open" appearance.

Malena Amato, MD, FACS · Answer

A consultation would be the ideal method to realize your best options. But, reviewing your photos, a non surgical option would be to fill the voids around the bags to lessen the contour differences such as Belotero, or Restylane fine lines. Lower eyelid blepharoplasty can be performed by transposing the fat to the hollow and reducing the fatty bag for a more permanent effect. Consultation with an eyelid specialist, or oculoplastic surgeon would be your best place to start.

Can fillers help my hollow below eyes and the festoon or fat pad? (Photo)

Answers (4)

Answer: Lower eyelid solutions

Answer: Lower eyelid solutions

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Our mission is to create a world where every investment in modern beauty is Worth It.

Can fillers help my hollow below eyes and the festoon or fat pad? (Photo)

Answers (4)

Answer: Lower eyelid solutions

Answer: Lower eyelid solutions

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Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.