Am I a candidate for under eye fillers? (Photo)

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.

Definitely possible to improve your under eye appearance with under eye fillers, you will probably need your cheeks to be also injected to get the best results. Surgical option is also a consideration as well.

From your photos you are a better candidate for blepharoplasty. This surgery would address the fat herniation and excess skin under the eye and will correct the heavy look of the upper lid. If you are not interested in surgery you may also consider AccuTite which can tighten skin and improve eye bags. See a board certified plastic surgeon near you to learn more.

Thank you for great pictures to evaluate your eyelids and give you an appropriate answer. There are essentially two ways to reduce lower eyelid bags. One is with filler to fill the hollowing below the fullness of the eyelid itself, smoothening the transition between the lid and the cheek. Restylane is the most common filler used in this area.
Lower eyelid blepharoplasty can help as well as it removes some of the excess fat above and actually repositions some to fill in the hollowing below. Best I can tell, in your specific situation is that the biggest improvement likely will be achieved with surgery over filler and will like give you a longer lasting result.

Hello and thank you for your question. We always recommend a face-to-face consultation for advice however from what you have provided here unfortunately if you have puffiness under the eye tear trough filler is not a great choice -as it can attract more water. In this case an oculoplastic surgeon would be best to advise your options
I hope that helps, please always a seek a qualified and experienced practitioner for any cosmetic treatment, best wishes

Although only an in person exam can determine precisely what is possible, you appear to be an excellent candidate for under eye fillers if done by an expert in the area.