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35 - deep creases and hollowness under eyes. What surgery or treatment would you recommend?

username19xSep 2, 2025
I’m 35 and my under eyes age me considerably. I have deep creases that Botox does not resolve and hollowness. Is surgery the answer?

Answers (4)

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Dr. Lexie Wang, MD
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Dr. Lexie Wang, MD
Board Certified Facial Plastic Surgeon, Board Certified Otolaryngologist
5.0 | 21 Reviews
Answered on Oct 1, 2025
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Dr. Gary M. Horndeski, MD
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Dr. Gary M. Horndeski, MD
Board Certified Plastic Surgeon
4.6 | 319 Reviews
Answered on Sep 5, 2025
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Dr. Nelson Lee Novick, MD
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Dr. Nelson Lee Novick, MD
Dermatologic Surgeon, Board Certified in Dermatology
4.7 | 119 Reviews
Answered on Sep 5, 2025
Answer
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Dr. Kyle Kimura, MD
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Dr. Kyle Kimura, MD
Board Certified Facial Plastic Surgeon
5.0 | 37 Reviews
Answered on Sep 5, 2025
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Yucel Sarialtin, MD

Hello , thank you for sharing your photos and concern Based on what you’ve described and shown in the image, your concerns are very valid and shared by many after lower blepharoplasty and brow lift, especially when volume loss and midface deficiency are also at play. I wpuld recommand you to c...

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Lexie Wang, MD

When you're trying to address dynamic wrinkles/lines, you almost always have to consider: (1) how to reduce the movement that causes the lines -- in this case it would be doing botox -- and (2) how can you build up the strength/resiliency of the skin quality and tone so that it is less likely to...

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Lexie Wang, MD

You could do an upper bleph alone but doing a browlift may be helpful to get a longer lasting result bc you'll have to do the brows at some point and you're kind of borderline already a candidate for that. as for the lower eyelid/cheek area - this is almost certainly because you have a deficient...

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Zoran Potparic, MD

Asymmetry of eyes based on size and shape is seen all the time. It does not look that in your case it is so significant that would benefit from surgical intervention. Good luck.

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Zoran Potparic, MD

It does appear, based on this photo, that upper eyelid ptosis is the cause of your eyelid asymmetry. That is a reason that eyebrow on that side is in higher position. Hope this helps. Good luck.

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Chet Mays, MD

Thank you for your inquiry! We would love to sit down with you to discuss your concerns. A blepharoplasty removes fullness and excess skin. It uncovers the shape of your natural eye. Schedule a consultation with a Board Certified Plastic Surgeon to help you reach your goals.

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