How to address eye bags ad sudden loss of facial volume? (photos)

Question

I am 38 years old and always looked significantly younger. Both parents also look about 20yrs younger. Almost 2 yrs ago I suddenly developed huge eye bags and a sagging face. Saw my doc b/c it was so sudden. Ran a bunch of tests. Everything is normal. Had 1 treatment of agnes rf for bags so far. Looked great a week after but went right back. I know 2-3 treatments can be required. Should I continue? Is there a better option? Should I do fillers? I dont want fillers or surgery but am at a loss.

Jonathan Kulbersh, MD · Answer

Thank you for submitting your question and photos. When administered correctly, dermal fillers can correct under-eye bags and volume loss with results that last approximately 6-12 months, depending on the formula used. The most natural results are achieved by targeting the specific fat pockets that have lost volume.
Filler injections can be combined with an RF microneedling treatment, which is ideal for increasing collagen production and restoring the skin’s elasticity. RF microneedling results should generally last for 3-5 years. I recommend scheduling an in-person consultation with an experienced, board-certified injector who can assess your concerns and suggest the best approach.

Jason Emer, MD · Answer

"These are all natural parts of the aging process. What we can do is try preventative treatments or get a neck lift / face lift earlier in the aging process. There are numerous non-surgical options available, and some can be used in combination to get best outcomes, but you would need a consultation with an expert.

Some options for skin tightening include:

- Thermage radiofrequency to heat the skin, tighten it over time, and prevent the aging process
- Ultherapy high-intensity ultrasound to contract the muscle, tighten the face and neck, and prevent the aging process
- PDO NovaThreads or InstaLift threads for immediate lifting without surgery and long-term collagen production
- Sculptra injections for collagen production to areas of the face and neck with crepey skin or early sagging
- BTL Exilis Ultra, Venus Legacy, and Thermi250 for monthly collagen stimulation with facials
- ThermiRF, Renuvion (J Plasma), or Inmode BodyTite for internal heating and tightening with or without surgery
- Fillers (or facial implants) to contour the jawline and chin to improve the appearance of the neck
- Face lift / neck lift with fat grafting and fillers if you need a significant improvement​

​I would suggest getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer​​​​"

Ajaya Kashyap, MD · Answer

Thank-you for your query. You will benefit from fillers as well as continuing with your treatment, as recommended by your physician. I have also used autologous fat with good, long lasting results in this situation. You will, of course, need a careful assessment of your face before further treatment is undertaken. All the best!

Camille Cash, MD · Answer

From your photos it appears you would have the best result from a combination of treatments.  Fillers can be used to help replace lost volume under the eyes and balance more harmoniously with adjacent areas.  Morpheus8 treatments combine microneedling with RF technology.  This works to improve overall skin tone and texture.  We also recommend using medical grade skin care products and wearing sunscreen every day.

How to address eye bags ad sudden loss of facial volume? (photos)

Answers (4)

Answer: Under eye concerns

Answer: Under eye concerns

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How to address eye bags ad sudden loss of facial volume? (photos)

Answers (4)

Answer: Under eye concerns

Answer: Under eye concerns

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Recommended reading

Everything you need to know about Agnes RF

Our mission is to create a world where every investment in modern beauty is Worth It.