I am really bothered by the bags and dark circles under my eyes and the shape of my mouth. (Photos)

Question

My mouth always hangs open and looks unnatural when I close my lips. It is also very narrow and points downwards. I’m happy with the shape of my mouth only when I am smiling. Please help.

Aldo Guerra, MD · Answer

I see your areas of concern. I would suggest a formal consultation for dermal fillers and Dysport/Botox. Best wishes. Dr. Aldo

Camille Cash, MD · Answer

There are options available depending on your goals.  Fillers can be used to help disguise under eye irregularities.  Surgery called a lower blepaharoplasty will provide the most permanent results.  Another option is ALMI.  This non surgical procedure uses your own tissue to improve contours.  It also addresses the quality of skin tone and texture.

Mehryar (Ray) Taban, MD, FACS · Answer

For the bags and hollowness (dark circles) under your eyes, the best long-term treatment is transconjunctival lower blepharoplasty with repositioning of the fat bags to the hollow area.

Jonathan Kulbersh, MD · Answer

Under eye bags and circless can be permanently corrected with surgery or temporarily camouflaged with fillers.There are great non-surgical options to fill in under eye depressions and hollowness. Using dermal fillers, a liquid eye-lift can be performed. A dermal filler such as Restylane would be placed in the cheek and tear trough to hide the depression or bag underneath your eye.
Surgery would require a fat-repositioning lower lid blepharoplasty. In this surgical procedure, fat from the eye area is moved into the tear trough depression filling the actual depression. Lip augmentations with fillers is a great option to improve the fullness, suppleness and symmetry of the lips. I prefer to use a micro cannula to inject the lips to prevent bruising. Look for a cosmetic dermatologist or plastic surgeon who is an expert in fillers. 
I hope this helps.

Jason Emer, MD · Answer

A combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. These lip fillers (Volbella, Restylane, Juvederm) are good for creating a symmetrical and full lip. Nova threads can be used to improve lift and shape. Implants or fat are alternatives. I recommend getting a formal evaluation with a facial sculpting expert to go over your desired results. Best, Dr. Emer

I am really bothered by the bags and dark circles under my eyes and the shape of my mouth. (Photos)

Answers (7)