What's causing the hollowness, wrinkles and drooping around my eyes? (Photo)

Question

3 years ago I hardly had a wrinkle. I had plump cheeks and looked young. It seemed like over night my under eye area became hollow and very wrinkled. My cheeks flattened out and I got jowls. My chin looks incredibly long now too. I haven't gained or lost major weight. I've weighed very close to the same for 15 years. What could have caused these to happen so rapidly? Is there something non invasive like a cream or topical treatment that will help or will taking collagen help? Thank you.

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

Thank you for your question. Wrinkles and hollowness around the eye can be caused by the natural aging process, genetics, dehydration, and environmental factors. But the good news is, they are treatable. You may consider blepharoplasty or eyelid surgery, dermal filler injections, or fat grafting.
 
I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon and expert injector. They will be able to evaluate your concerns and treatment history, then determine the best course of action to achieve your desired results.

Camille Cash, MD · Answer

There are many treatments and procedures available to refresh the eyes.  Most patients find the best results from combining different modalities.  Botox can be used to soften dynamic wrinkles around the eyes and forehead.  Fillers can be used to bring balance to the under eye and cheek area as well as soften jowls.  Morpheus8 combines RF technology and microneedling to improve overall skin tone and texture.  Visit with an expert injector near you to  learn more.

C. Blake Perry, MD · Answer

These changes happen to most people with time. Numerous options to improve the under eye area including the following: surgery (lower lid blepharoplasty), CO2 laser resurfacing to tighten the skin, botox. Best to see an eyelid expert to discuss what option is right for you.

Jeffrey S. Yager, MD · Answer

What happens is that over time, the supportive fat of the cheeks starts falling leading to a sharp transition between thin eyelid skin and thicker cheek skin. the textural issues caused by the sun and repeated squinting and blinking becomes more evident. Oral collagen is usually not absorbed in a way that helps skin. You might consider some injectables in very small amounts to take care of this easily. If that is too invasive, laser can help.

What's causing the hollowness, wrinkles and drooping around my eyes? (Photo)

Answers (5)

Answer: Under eyes

Answer: Under eyes

Answer: Gravity sucks

Answer: Gravity sucks

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What's causing the hollowness, wrinkles and drooping around my eyes? (Photo)

Answers (5)

Answer: Under eyes

Answer: Under eyes

Answer: Gravity sucks

Answer: Gravity sucks

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Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.