29 years old female, looking for permanent solutions for under eye hallows and lines. Options?

Another option for this area is facial fat grafting, which injects your own fat cells into the tear trough to add subtle volume and refresh the eyes. The results with fat tend to be much longer-lasting than what you see with filler. However, fat can also be less predictable, and there is no way to reverse it if you don't like the results. Make sure you work with a very experienced, facial plastic surgeon with the expertise to produce the best possible result for you.

Thank you very much for your answer, in your case I recommend performing a treatment in combination of techniques and technologies that allow us to object to a rejuvenation of the mada, in this case it would be botox to control the lines of expression of the ocular contour and perform a blepharoplasty to extract the bags of the lower eyelid.Blepharoplasty is a surgical procedure that aims to improve the aged appearance of the eyelids by removing fat bags and excess skin from them. It can be done in isolation or in combination with some other facial cosmetic surgery.In the consultation, the specialist assesses the individual characteristics of your eyelids, as well as their general condition.You are also informed about the usual preoperative rules about taking or suppressing medicines, tobacco, taking liquids and food.DuringBlepharoplasty is performed in the operating room, under general anesthesia, and usually lasts 1 to 3 hours.AfterThe eyelids will be swollen and bruises will appear that will resolve in a few days. You may notice alterations in your visual acuity, tearing, hypersensitivity to light during the first 2 or 3 weeks, you should wear sunglasses while the bruises persist.It is important to keep relative rest 2 or 3 days and avoid efforts for 1 month. You will be able to return to work in about 1 week or 10 days.RisksBlepharoplasty is a safe surgery and risks are minimized by following the surgeon's instructions.Among the minor complications that may occur are: blurred vision, edema or slight asymmetries in healing.ResultsThe scar in a few months will be practically invisible. The results after a blepharoplasty are favorable and last for years, in many cases, they are permanent. Bags don't usually reappear.

For a more permanent solution to your concerns you can consider fat grafting. Fillers do a nice job of adding volume, but they are temporary. See a board certified plastic surgeon near you to discuss your options including fat transfer.