Do I need cheek filler or under eye filler? (Photo)

Thank you for sharing your photo.
There are two ways to look at your options: Surgical vs non surgicalIdeally, surgery will help remove the bags permanently while dermal fillers will provide instant but temporary improvement.Your case is not easy. I advise you seek both options for consultation and then decide which route to proceed. Generally, it is not bad to start with non surgical option with HA fillers to see how refreshed you will look and then get surgery later. There are also different costs between the two.You will need both cheek and under eye fillers for best results. Likely starting between 3-4 ml of fillers first and then assessing for further additional filler if needed. It is best to start slow.Another important factor to consider is seasonal allergies, if you suffer from seasonal allergies , it is best to avoid dermal fillers around the eye area.Hope this helps.Best, Dr. Anna Avaliani, NYC

You’re still quite young where the skin in the lower eyelid is quite tight and it is for those reasons that I would recommend that you have a transconjuctival blepharoplasty. This way you will not have any external incisions. At the same time I would like to urge you to stay away from fillers, and instead consider having fat grafting for the flatness of the cheeks or the face. Fat grafting when done by an expert Plastic surgeon should produce natural and permanent results. I hope this helps in. Good luck from New York City Plastic Surgery.