What would be the most effective/natural-appearing treatment for tear troughs/under eye bags in a female in her 30s? (Photo)
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Doctor Answers 6
Under eye bags
Blepharoplasty with natural results for under eye bags
Tear Trough Treatment
Thank you for sharing your question and photos. The “puffs” you are noticing are due to herniated fat pads, which are very common and often occur as we age. These bags can be temporarily disguised with a hyaluronic acid filler called Restylane. I have had excellent results using the innovative microcannula technique, which reduces risk of swelling, minimizes pain, and is essentially bruise-less. Using this technique, filler can be injected evenly requiring only one needle stick on each side. With regards to a laser treatment option, a resurfacing laser may improve the appearance of the bags but I would not consider it to be an effective treatment for this particular issue. The most effective treatment for this problem is a lower blepharoplasty with fat pad transposition. Although this is a surgical option, the results are very natural looking and the procedure is considered a more permanent treatment. I suggest consulting with a board-certified specialist who can further discuss the best treatment options for you after and in person evaluation.
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