Eyebags that are not bags! Help

Question

I am 54 and when I smile it looks like I hace the worst eyebags, except one surgeon says they are filled with water and are also excess skin and that there is nothing to do. The left side is worse. They look like scars when I smile. Help!

Jason Emer, MD · Answer

The eye area needs significant combinations to get improvement. Lasers like erbium, co2, halo, profractional/contour, or Fraxel can all be used to build collagen long term. Plasma pen is a newer less invasive option but will take many treatments and require proper skincare. Plasma Pen is focused electrical plasma energy to tighten skin, producing small columns of energy just above the skin, allowing the skin to tighten to help improve wrinkles. This area will have 3-5 days of small “dots” that will then scab and peel, then the skin will tighter and brighter after. Numerous treatments are needed over lasers where only one or two give a bigger result, but more downtime. After plasma pen you NEED peels 2 weeks like later Cosmelan, enlighten or aerify, see emeragecosmetics (link). At home derma rolling should be started weekly even after plasma pen or lasers to further increase collagen, see emeragecosmetics AERIFY x anteagemd stem cell ampules. To properly heal you need light Stim red LED, EmerageSkin refit face, refit eye; AnteageMD serum, silagen silicone gel, jan Marini bioshield, EmerageSkin enzymatic polish, and EmerageSkin hyla b and AOX, and Sente dermal repair. Otherwise there is EXTREME risk of pigmentation issues and “dots” in the treatment area. at home peels like cosmelan, enlighten and aerify along with dermarolling (AERIFY emerageskin roller with Anteage MD ampules) should be started now regardless for antiaging, sun damage, and wrinkle prevention. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as eyelid blepharoplasty with or without fat pad repositioning (if doing lower eyelid surgery) will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora, PiXel8 or morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Jonathan Kulbersh, MD · Answer

Hello, and thank you for your question. While a photo would help us visually assess your condition, there are several ways to rejuvenate the eye area. Fillers, lasers, and other procedures that help collagen production can be very effective in refreshing the skin around the eyes. For a surgical and more permanent option, there is lower blepharoplasty which eliminates excess skin or fat under the eyes to reduce the appearance of bags, puffiness, loose skin, or hollowness under the eyes. Lower eyelid surgery rejuvenates the entire face and helps correct the proper contour and function of the eyelids when needed. But the best way to determine the appropriate treatment is to schedule an in-person consultation with a reputable board-certified facial plastic surgeon. Your surgeon can do a proper evaluation, determine your eligibility for any procedure, and ensure the best possible outcome.

J. Roberto Ramirez Gavidia, MD, FACS · Answer

Great Question! However, without seeing photos, it is difficult to assess. Blepharoplasty is a surgical procedure that targets eyelids, which can be performed on both the upper and lower lids. This surgery can help target tired-looking eyes by removing the skin, muscle, and even fatty tissue. As with any surgery, finding the right candidate for the procedure is imperative. Schedule a consultation to find out if a blepharoplasty is right for you! Best, Dr. RG.

Michael I. Echavez, MD · Answer

If you could provide some photos of your eyes, that would be very helpful to give you advice about possible treatments to improve your issue.

Eyebags that are not bags! Help

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Eyebags that are not bags! Help

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