I'm 32, was an overweight preteen/teen, lost that weight and am genetically predisposed to low facial fat and flat cheekbones (below eyes). I have major bagging and crepey lower eyelid skin when I smile - makes me look old. I don't have "extra" skin piles at rest, but info have some fine lines. I have decent cheek "apples" when I smile, but the space from my lower lid to just beyond my orbital rim is hollowish. I have used Rx retinoids nightly for the last 5 years, and Rx eye cream.
Answer: Dark Circles, Eyelid Wrinkles/Bags Treatment -- Restylane or Belotero with Cannulas, Clear+Brilliant, Eclipse Micropen, Viva There are many ways to treat dark circles, as well as under eye wrinkles and bags. It is important to note however, that the majority of times the cause for discoloration is genetic and due to the viability of the blood vessels below the skin. A combination approach is always needed to get the best results in this area and this includes: topical skin care, laser and/or radiofrequency treatments, and fillers if placed appropriately. All my patients are on topical lightening agents, typically a vitamin C serum product in the AM and a brightening agent and/or a vitamin A based product in the PM. Sun protection is essential.Resurfacing and tightening are essential. My patients get offered a menu of options, for which a combination gives the best results. Light salicylic acid peels help give textural and pigment improvement; nonablative lasers (Fraxel or Clear + Brilliant) can be used to tighten and improve fine lines/wrinkles and crepe skin; fractional radiofrequency devices (Sublative, Viva) are cutting edge and improve texture, tone, and wrinkles with very little downtime; radiofrequency with pulsed electromagnetic fields (Venus) are amazing for puffiness and bags, in patients who do not want eyelid surgery; appropriately placed fillers can replace lost volume, cover up the vessels and fat pads below improving the appearance -- patients should pick a well experienced practitioner to prevent complications such as Tyndall (blue discoloration) and irregularities, one that uses a cannula for injection will help give results with little bruising or swelling; microsecond Nd:YAG laser treatments (Laser genesis) has produced dramatic improvement in discoloration in some of my patients and is safe in dark skin types, similar to the radiofrequency devices. For lifting, ablative laser resurfacing such as co2 laser combined with monopoloar radiofrequency deep heating (thermage) give amazing results. The key is for a patient to see a cosmetic dermatologist with experience in all the latest devices and techniques so the persons goals can be met by a combination approach of individualized treatments and skin care. In some cases, those who smile and have crepe skin or under eye wrinkles, a small amount of neurotoxin (botox, dysport, xeomin) strategically placed in the lower eyelid skin can improve wrinkles dramatically and give the eye a more "open" appearance.
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CONTACT NOW Answer: Dark Circles, Eyelid Wrinkles/Bags Treatment -- Restylane or Belotero with Cannulas, Clear+Brilliant, Eclipse Micropen, Viva There are many ways to treat dark circles, as well as under eye wrinkles and bags. It is important to note however, that the majority of times the cause for discoloration is genetic and due to the viability of the blood vessels below the skin. A combination approach is always needed to get the best results in this area and this includes: topical skin care, laser and/or radiofrequency treatments, and fillers if placed appropriately. All my patients are on topical lightening agents, typically a vitamin C serum product in the AM and a brightening agent and/or a vitamin A based product in the PM. Sun protection is essential.Resurfacing and tightening are essential. My patients get offered a menu of options, for which a combination gives the best results. Light salicylic acid peels help give textural and pigment improvement; nonablative lasers (Fraxel or Clear + Brilliant) can be used to tighten and improve fine lines/wrinkles and crepe skin; fractional radiofrequency devices (Sublative, Viva) are cutting edge and improve texture, tone, and wrinkles with very little downtime; radiofrequency with pulsed electromagnetic fields (Venus) are amazing for puffiness and bags, in patients who do not want eyelid surgery; appropriately placed fillers can replace lost volume, cover up the vessels and fat pads below improving the appearance -- patients should pick a well experienced practitioner to prevent complications such as Tyndall (blue discoloration) and irregularities, one that uses a cannula for injection will help give results with little bruising or swelling; microsecond Nd:YAG laser treatments (Laser genesis) has produced dramatic improvement in discoloration in some of my patients and is safe in dark skin types, similar to the radiofrequency devices. For lifting, ablative laser resurfacing such as co2 laser combined with monopoloar radiofrequency deep heating (thermage) give amazing results. The key is for a patient to see a cosmetic dermatologist with experience in all the latest devices and techniques so the persons goals can be met by a combination approach of individualized treatments and skin care. In some cases, those who smile and have crepe skin or under eye wrinkles, a small amount of neurotoxin (botox, dysport, xeomin) strategically placed in the lower eyelid skin can improve wrinkles dramatically and give the eye a more "open" appearance.
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CONTACT NOW Answer: Combination Treatment Botox Radiesse Voluma Thank you for your question and posting appropriate pictures. Neuromodulators such as Botox and Xeomin can help improve the fine lines. Dermal fillers like Juvaderm Voluma and Radiesse can enhance the hollowness of the cheeks or midface due to volume loss. This combination can make one look young and well rested. You would need a consultation for precise recommendations.
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CONTACT NOW Answer: Combination Treatment Botox Radiesse Voluma Thank you for your question and posting appropriate pictures. Neuromodulators such as Botox and Xeomin can help improve the fine lines. Dermal fillers like Juvaderm Voluma and Radiesse can enhance the hollowness of the cheeks or midface due to volume loss. This combination can make one look young and well rested. You would need a consultation for precise recommendations.
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June 14, 2016
Answer: Thin 32 y/o female heavy lower eye bagging and crepey skin only when smiling & loss of volume in cheeks & mid-face. A transconjunctival blepharoplasty with arcus marginalis release, fat grafting and skin pinch blepharopasty is the only procedure that i know of to achieve your goals.You need to find a expert-do not have standard lower blepharoplasty -search for one who knows how to do this relatively new, sophisticated procedure. For more read the following link:
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CONTACT NOW June 14, 2016
Answer: Thin 32 y/o female heavy lower eye bagging and crepey skin only when smiling & loss of volume in cheeks & mid-face. A transconjunctival blepharoplasty with arcus marginalis release, fat grafting and skin pinch blepharopasty is the only procedure that i know of to achieve your goals.You need to find a expert-do not have standard lower blepharoplasty -search for one who knows how to do this relatively new, sophisticated procedure. For more read the following link:
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TREATMENT FOR YOU
October 16, 2019
Answer: For your under eye concern: Thank you for sharing your concern. To help combat crepey and sagging under eyes, we recommend looking for a product that contains hesperidin, methyl chalcone, dipeptide, and centella asiatica. These ingredients can be found in SkinCeuticals Eye Cream. Designed to address early signs of aging such as fine lines and crow’s feet, Eye Cream features a unique complex of ingredients to combat loss of firmness, puffiness, sagging skin, and dark circles. This product helps hydrate skin and enhances the feel of skin firmness.For the PM, we would recommend SkinCeuticals A.G.E. Eye Complex. This product is a multi-dimensional treatment formulated to improve the appearance of dark circles, wrinkles, puffiness, and crepey skin caused by glycation, a process that occurs when excess sugar molecules bind to collagen and elastin fibers and weaken the skin’s underlying support structure. This rich, dry finish balm immediately boosts eye-area radiance while visibly improving firmness and elasticity for a more well-rested appearance.Best of luck on your skincare journey.
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October 16, 2019
Answer: For your under eye concern: Thank you for sharing your concern. To help combat crepey and sagging under eyes, we recommend looking for a product that contains hesperidin, methyl chalcone, dipeptide, and centella asiatica. These ingredients can be found in SkinCeuticals Eye Cream. Designed to address early signs of aging such as fine lines and crow’s feet, Eye Cream features a unique complex of ingredients to combat loss of firmness, puffiness, sagging skin, and dark circles. This product helps hydrate skin and enhances the feel of skin firmness.For the PM, we would recommend SkinCeuticals A.G.E. Eye Complex. This product is a multi-dimensional treatment formulated to improve the appearance of dark circles, wrinkles, puffiness, and crepey skin caused by glycation, a process that occurs when excess sugar molecules bind to collagen and elastin fibers and weaken the skin’s underlying support structure. This rich, dry finish balm immediately boosts eye-area radiance while visibly improving firmness and elasticity for a more well-rested appearance.Best of luck on your skincare journey.
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September 27, 2015
Answer: Lower lid rejunvenation Hi,First of all, you have beautiful eyes. From the photos you submitted and your concerns, it seems likely you can manage this situation with neuromodulators (Botox) and probably some fillers aesthetically administered over time to deal with the inevitable volume loss. These treatments are all reversible as needed should you get something you are not entirely happy with. I would guess that surgery would not be indicated at this time and maybe not for a long time which at your age is ideal. If the fine lines are problematic, then conservative laser resurfacing would likely improve those nicely with minimal risk. Best of luck with management of these concerns.
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September 27, 2015
Answer: Lower lid rejunvenation Hi,First of all, you have beautiful eyes. From the photos you submitted and your concerns, it seems likely you can manage this situation with neuromodulators (Botox) and probably some fillers aesthetically administered over time to deal with the inevitable volume loss. These treatments are all reversible as needed should you get something you are not entirely happy with. I would guess that surgery would not be indicated at this time and maybe not for a long time which at your age is ideal. If the fine lines are problematic, then conservative laser resurfacing would likely improve those nicely with minimal risk. Best of luck with management of these concerns.
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