Under eyes look terrible after facelift - what can I do to fix this problem? (photos)

An examination of you would be helpful in order to give you the best advice, but there may be several options to improve your under eye area. One potential option would be surgery to tighten the skin under your eyes. It may be possible to improve the area without surgery as well. CO2 laser resurfacing of the area could produce some tightening and radio frequency micro needling is another potential option. The device that I use for this is called Morpheus8.

From the photos provided, I understand your concern. Since the upper cheek is a very important support for the under-eye region, any volume deficit in this area can result in hollows, crepeyness, etc. under the eyes. The skillful, experienced use of a robust HA filler for the cheek region can not only help to create a more oval, heart-shaped face, but can help to improve the infraorbital region. If still necessary, a low viscosity, cohesive, malleable HA filler can then be used further smooth the transition between the upper cheek and the lower lid region. Finally, a series of in-office superficial peels coupled with the at-home use of topical retinoids and alpha hydroxy acid creams can go a long way to further smoothing and blending these regions. You would be wise to consult with an experieinced board certified cosmetic dermatologist who can help with each of these approaches. Best of luck.