I need advice on my next step for under my eyes. I have two issues, sun spots and puffiness. Any suggestions? (photo)
Doctor Answers 13
Puffiness under Eyes after Voluma
Laser resurfacing is a nice tool for improving the sun damaged skin around the eye. I think you are wise to consider it at the end of summer. In the meantime, use sun screen and you could use some lightening agents-retina, hydroquinone, etc. Just be aware these can make you more sensitive to the sun.
Swollen Eyes and Best Treatment
It appears from your photo that the Voluma injections made your eyes worse. I would consider having it dissolved with Vitrase. Also you appear to be a candidate for blepharoplasty as other non-invasive procedures will not solve this problem. Botox would not be the solution here either. Best, Dr. Green
Malar Bags and Festoons -- Lasers and RF are Best
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I need advice on my next step for under my eyes. I have two issues, sunspots and puffiness. Any suggestions?
Puffy lower lids
I need advice on my next step for under my eyes. I have two issues, sun spots and puffiness. Any suggestions?
Fillers Can Work Well For Camouflaging Under Eye Bags
In my patient's case, a slight bluish tinge in the undereye outpouchings, suggesting the unwanted Tyndall Effect from injection of the Juvederm too superficially in the delicate tissues of the region. Moreover, my patient also showed evidence of volume depletion in the mid-cheek region, as seems also evident in your photos.
I did consider the use of hyaluronidase to the bags. However, I suggested to my patient that we first revolumize the hollowed, deflated mid cheek region with Voluma XC with the idea of not only restoring a more youthful contour and shape, but also of lifting the cheek and providing sufficient projection so as to secondarily stretch and improve the infraorbital outpouching. To our mutual delight, this tailored approach worked and my patient was thrilled with the more youthful facial contour and the diminution of the unsightly under eye bulges. She opted not to have the hyaluronidase.
I suggest that you seek a second opinion and treatment by a board certified aesthetic physician with experience and expertise in treating the periorbital regions, which is not a region that should be left to the hands of novice injectors accustomed to treating simple smile lines with ordinary fillers. Make sure to ask to see his/her before and after photos. Best of luck to you.
I need advice on my next step for under my eyes.
You have some amount of sun damage and wrinkles that can be helped by fractional CO2 resurfacing or chemical peel. If the puffiness under your eyes is not due to the Voluma, then consider a lower eyelid blepharoplasty to remove the excess fat.
Please consider consulting with a facial specialist board certified in Facial Plastic Surgery.
Hope this helps,
Dr. Gus Diaz
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