Dark circles, wrinkles & uneven skin tone - would a blepharoplasty be a good option for me? (photos)

Lower eyelid surgery is a cosmetic procedure that can address various aesthetic concerns by tightening and smoothing the skin beneath the lower eyelid. These include:

-Drooping lower eyelids
-Loose skin
-Deep creases
-Under-eye bags

You are a good candidate for a blepharoplasty.

About your skin, you would greatly benefit from a laser resurfacing procedure.

Laser resurfacing, also known as "laser peel," involves the use of a carbon dioxide (CO2) laser to remove layers of damaged or wrinkled skin. This procedure is typically used to reduce the appearance of fine lines, particularly around the eyes and mouth, but it can also effectively treat facial scars or uneven pigmentation. Laser resurfacing may be performed on specific regions or the entire face.

Hello! Thank you for your question.From the photos It is hard to make a proper evaluation. If you can provide photos with better lighting, from the side of your face and 1 meter away I would be able to make a proper evaluation. However, It seems like you may need fat injection to under your eyes for dark and hollow circles. As for the extra saggy skin above your eyes I suggest you upper eyelid blepharoplasty.Best Regards!

This is a common question. Eyelid puffiness and hollowness may be corrected with blepharoplasty or cosmetic eyelid surgery. It is one of the first cosmetic surgeries people usually get. While the average age might be 30 to 50's, some patients get this done in their 20s. It really depends on your unique anatomy as well as what exactly is bothering you.

Injectables such as neuromodulators or filler as well as laser treatments can also be a tremendous benefit if you are not interested in surgery. Of course, there are also many combinations.

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 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.

The eye area needs significant combinations to get improvement. Lasers like erbium, co2, halo, profractional/contour, or Fraxel can all be used to build collagen long term. Plasma pen is a newer less invasive option but will take many treatments and require proper skincare. Plasma Pen is focused electrical plasma energy to tighten skin, producing small columns of energy just above the skin, allowing the skin to tighten to help improve wrinkles. This area will have 3-5 days of small “dots” that will then scab and peel, then the skin will tighter and brighter after. Numerous treatments are needed over lasers where only one or two give a bigger result, but more downtime. After plasma pen you NEED peels 2 weeks like later Cosmelan, enlighten or aerify, see emeragecosmetics (link). At home derma rolling should be started weekly even after plasma pen or lasers to further increase collagen, see emeragecosmetics AERIFY x anteagemd stem cell ampules. To properly heal you need light Stim red LED, EmerageSkin refit face, refit eye; AnteageMD serum, silagen silicone gel, jan Marini bioshield, EmerageSkin enzymatic polish, and EmerageSkin hyla b and AOX, and Sente dermal repair. Otherwise there is EXTREME risk of pigmentation issues and “dots” in the treatment area. at home peels like cosmelan, enlighten and aerify along with dermarolling (AERIFY emerageskin roller with Anteage MD ampules) should be started now regardless for antiaging, sun damage, and wrinkle prevention. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as eyelid blepharoplasty with or without fat pad repositioning (if doing lower eyelid surgery) will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora, PiXel8 or morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Hello. You have excess skin and puffy eyebags on your lower eyelids. You should have a plastic surgery in which the fat in your lower eyelid is transposed. Never have techniques where the fat is resected. Transposition is your surgery. Please check our Instagram account and RealSelf photos. You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile. You can also book an online consultation and discuss your problems with me. Best regards.

Thank you for your question and photograph.

Of course and in person examination is necessary to properly answer your question.

That said based on your photographs a procedure called a transconjunctival lower blepharoplasty with arcus marginalis release and fat grafting in my opinion would be the most appropriate to procedure to correct the puffiness and dark circles underneath your lower eyelids.

After examination if it is determined that you have loose skin as well a small skin pinch blepharoplasty of the lower eyelid could also be done at the same time.