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Chicken skin is best corrected by surgery but there are some nonsurgical options that work sometimes. A midface lift is also a great option for many people to correct malar bags & usually leads to a more dramatic reduction of lower eyelid fat bags compared to just a blepharoplasty. The recovery & downtime is very minimal. There are usually no drains, most people can go out the same day, you can shower the next day and most patients take no pain medicine. There are never any guarantees of course with any procedure whether it is surgical or nonsurgical in nature. Surgery is not for everyone. In today's day and age, there are many nonsurgical options to consider although surgery usually gets the most improvement specifically of the malar or lower eye fat bags.I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of mini facelifts and eyelid lifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations. I hope this helps and wish you all the best in your surgery and event. If it does, please take a moment to up vote this answer on the “respond” button on the top right.
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 KitMelaClenzMelarase AMMelarase PMMelapadsReplenish Retinoid CreamBest, Dr. KaramanoukianRealself100 Surgeon
My patients try to get non surgical treatments to avoid surgery. Eyelid surgery (eye lift or blepharoplasty) will reduce the bagginess from under the eyes, but will not eliminate dark circles, crow's feet, or other facial wrinkles. A combination approach will give the most improvement. Fillers (Belotero, Volbella, Restylane Silk), lasers, and microneedling/PRP can improve under the eyes. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer
Thank you for submitting pictures with your area of concern. This day in age there are non surgical options to help lift the face after we lose volume in our face. Your under eye bags can be filled in with a HA filler. One option in Voluma, another Belotero. Schedule a consultation with a board certified dermatologist in your area. There are other skin tightening procedures you may be a candidate for. Best of luck to you.
Dear Tsoneva ,It appears that you have evidence o festoons/malar mounds on the cheek. These changes can make a person appear tired, sick and older even when they feel fine inside. Festoons and Malar mounds are a medical condition in which the skin of the lower eyelid becomes significantly damaged, usually by the sun. This damaged skin can result in folds in the lower eyelids and can lead to swollen mounds on the cheeks. They often occur with age and are more common in people with lighter skin types.Festoons occur in many people seeking lower eyelid rejuvenation and if not corrected at the time that lower lid surgery is performed, the condition can become exacerbated and make the lower eyelids look worse after surgery. The reason then why many people are dissatisfied after undergoing lower eyelid surgery to improve the appearance of their lower lids is the result of two main issues: Swelling that occurs in the face after lower eyelid surgery often accumulates in the lower eyelid region and can take a while to resolve. The subconscious brain constantly looks for balance in a face, and when lower eyelid fullness and festoons exist they are seen to belong together, as both are usually age-related phenomena. When only one is then corrected (usually the lower eyelid bags), the other is seen in even greater contrast. The subconscious brain then focuses in on this condition and tells the conscious brain the face is out of balance. Festoons and malar mounds have been a frustration for surgeons for many years. Thanks to the initial work of Dr. Sterling Baker (a person with whom I trained) and my own improvement and refinement on that work over the last decade, I now have a sophisticated, technically-challenging but effective treatment for festoons and malar mounds. Many people don’t fully understand or recognize the differences between these two conditions. The first difference is in their cause or etiology; festoons are a result of sun-damaged skin on the lower eyelid and on the cheek and are believed to be affected by underlying contrasting muscle forces over the years of a person’s life. In contrast, lower eyelid bags are due to age-related fat protruding through the skin in the lower eyelid region. New research has shown that fat can grow and atrophy during our lives in asymmetric ways. The growth of fat in the orbit around the eye along with atrophy of fat in the facial regions around the eye, as well as weakness in some of the orbital containing structures, contribute the fullness we see in the lower eyelid with age. For some individuals, this fat shows up at a very young age and this is believed to a result of genetic changes in the development of the eye area in those individuals. The second difference is the location on the face where they form. Lower eyelid festoons can be seen primarily on the cheek with some presence in the lower eyelid region. Lower eyelid bags are located directly below the lower eyelid lashes and are noticed to become more prominent when someone with these bags looks upwards. Conversely, festoons are minimally affected when a person looks upwards. The third difference is the feel of these conditions when they are touched. Festoons are squishy and can be made to move side to side. Lower eyelid bags are firmer, deeper in location beneath the skin and can’t be moved easily side to side when touched. It is important to understand the differences between these two conditions. The best rejuvenation and most natural results occur when both eyelid bags and festoons are corrected simultaneously. I'll include some links below. I hope this was helpful.
The skin under the eye can be permanently corrected with surgery or temporarily camouflaged with fillers (Restylane, Belotero, Volbella).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!
Thank you for your question and for sharing photos.I recommend a facial filler, such as Juvederm in the area below the eyes would help significantly reduce the "chicken skin" appearance you mention. This is a non surgical procedure that takes about 30 minutes to complete and swelling and bruising typically will subside at about 2 to 3 days. Results will last you about 1 year before you would need to touch up.Best of luck!
Thank you for your question. What I see in your photograph is a depression running down beneath the lower eyelid into the cheek called a tear trough deformity. At your age I would suggest filler injections to pump this depression
Thank you for your question, You have 2 great optionsNon surgically, you can get juvederm injected, this will last almost 6-9 months. if its properly done, it is a great treatmenta better option is to do subconjunctival blepharoplasty. This is a scarless procedure, with permanent removal of eye bags. The swelling is also very limited here, usually settling in 3 days