Do I need lower blepharoplasty or laser surgery for the sleep lines & darkness under my eyes?

Question

I am a 27 year old male. I have small wrinkles and darkness under my eyes that came from bad sleeping habits. I look at pictures from 2 years ago and they weren’t there. I have darkness under my eyes that go away when I stretch the skin so I’m assuming I have excess skin. My eyes also appear to be slightly sunken in with a shadowy look. Is skin pinch blepharoplasty or laser preferred. I don’t think sleep will reverse this unless I can over sleep which is hard. I want a permanent solution please.

Sean T. Lille, MD · Answer

Surgery is not a solution for lack of sleep, poor skin health, or nutrition. I would recommend starting with good skincare products around your eyes. Botox may help around the eyes for wrinkles caused by muscles (crow's feet) but surgery is not typically indicated for these issues. See someone who specializes in skin care and topical dermal treatments.

Jason Emer, MD · Answer

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. 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 lower eyelid blepharoplasty with or without fat pad repositioning 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 (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells 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. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Do I need lower blepharoplasty or laser surgery for the sleep lines & darkness under my eyes?

Answers (2)

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