Bad Tissue Under my Eyes

Question

Hi all, I'm 25 years old and as you can see from the photo, I have dark circles, lines and a deep hollow in the tear trough. I'm following a healthy diet, excersize 4-5 times a week, sleep well, drink lots of water, etc. But I'm so stressed at work my eyes are getting too tired in front of the computer. I use a sunscreen and a moisturizer only; nothing special for my eyes. Considering my age, what kind of a treatment do you recommend? Retin-a, vitamin-c or something completely different?

Kenneth D. Steinsapir, MD · Answer

It is important that the punishment should fit the crime. Your lower eyelids are hardly guilty of a crime, so don't over punish them. I agree that some lower eyelid filler will help you. Don't let anyone cut your lower eyelids at this point.

Aaron Stone, MD · Answer

At your age with this degree of visible tear trough your best option is a filler. Under no circumstances should you have surgery at the current time.

Otto Joseph Placik, MD · Answer

Dark circles under the eyes may be due to a variety of causes, As mentioned by Dr. Rand, fillers are excellent for the depressed tear trough. Occasionally a transconjunctival bleph may remove excess fatty deposits that make the circles appear worse. In some instances, supervised application of Retin-A or retinoids are beneficial in thickening the skin.

Richard P. Rand, MD, FACS (retired) · Answer

Continue to take the best care of your health possible and consider going to a plastic surgeon for some Restylane filler for the tear troughs below the lower lids.

Bad Tissue Under my Eyes

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