What can I do to fix puffiness or extra skin under my eyes? (photo)

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. 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 lower eyelid blepharoplasty with or without fat pad repositioning 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 (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells 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. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

There are many treatments for under eye concerns. Photos without you smiling, or an in person exam would be needed to give specific recommendations. If there is volume loss under the eyes or fat malposition, then HA fillers such as Juvederm or Restylane may be an option. If there is an overactive muscle under the eye, then a touch of Botox can be helpful. An in person evaluation and discussion of your treatment goals with an experienced injector is recommended.

Hello and thank you for your question. It is always best to see you face to face for a consult and examination however in this case our recommendation would be medical grade skincare combined with energy based devices such as radiofrequency. I hope that helps answer your question. Always seek an experienced and qualified medical professional for these treatments. Very best wishes