Early 20s with Loss of Resiliency and Wrinkling Under Eyes. Solutions? (photo)

Question

Hi. I'm only 22. After an assault, I had a very stressful 2 years that I feel have aged me. I’m happily in the next chapter of my life, but the telltale signs of the previous are still around my eyes. (see pictures and captions) I’m tired of being told I look tired and worn out all the time when I certainly don’t feel that way. I’m just curious what products or options (preferably more long term) are available in fixing some of this and preventing more from developing. Thanks for your guidance

A.J. Amadi, MD · Answer

There are two minor [and they are minor!] issues that can be addressed. The fine lines/crepiness around the lower eyelid can be addressed with Erbium/CO2 combination laser. This is safer than pure CO2, though fractional laser has improved safety in this regard.

	There is also a mild hollowing along your lid/cheek junction that makes your eyelid fat more apparent. Fillers such as Restylane or Juvederm would be ideal in this area.

Stephen Weber MD, FACS · Answer

At 22 years old, I wouldn't recommend pursuing lower eyelid surgery. Fractional laser resurfacing can help with the crepey changes in the lower eyelid skin. The hollowing below your lower eyelid can also be filled with a hyaluronic acid filler such as Restylane. It is quite possible that you would benefit from a lower blepharoplasty down the road but the tear trough and skin redundancy that concern you aren't significant enough at this time to consider surgery.
	Thank you for your question.Stephen Weber MD, FACS

Larry S. Nichter, MD, MS, FACS · Answer

Your photos seem to indicate hollowing of the lower eyelid area which causes dark shadowing. Your fine wrinkles may be from years of squinting, relative redundancy of skin. I suggest to start with because of your young age doing some simple things that would help a lot. 

	At 22 years of age - My recommendation would be to be evaluated for fillers such as jeuvederm, restylane or other HA filler. Radiesse would also work. This would take care of the hollowing and in filling out the depressed "tear trough" area might even help some of the wrinkles. If not consider a TCA or other light peel  or light laser treatment of the lower lids. Light color base make-up might also help as would be moisturizers as a finishing touch.

Vincent N. Zubowicz, MD · Answer

At 22, I would guess that the fullness of your lids is more a familial problem than aging.  Fillers can be used to camouflage the contour changes.  Lower eyelid surgery would be a permanent solution to the problem with a very predictable good result in a patient like you.

Jeffrey Zwiren, MD · Answer

There are two solutions to your problem of loose skin of the lower eyelids.  Consider microablative CO2 laser treatmetn such as SmartSkin or use a vitamin A product such as Retin-A.  You would need to start with a low dose of Retin-A .05% and it will take about 24 weeks to see some degree of improvement.  If you want to use the laser then you should be off of Retin-A for a month prior to the treatment.

Early 20s with Loss of Resiliency and Wrinkling Under Eyes. Solutions? (photo)

Answers (10)

Answer: Lower eyelid surgery is the best solution for sagging lower lids, but sometimes filler can camouflage the problem.

Answer: Lower eyelid surgery is the best solution for sagging lower lids, but sometimes filler can camouflage the problem.

Answer: Loose skin of the lower eyelids

Answer: Loose skin of the lower eyelids

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Everything you need to know about Eyelid Surgery

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Early 20s with Loss of Resiliency and Wrinkling Under Eyes. Solutions? (photo)

Answers (10)

Answer: Lower eyelid surgery is the best solution for sagging lower lids, but sometimes filler can camouflage the problem.

Answer: Lower eyelid surgery is the best solution for sagging lower lids, but sometimes filler can camouflage the problem.

Answer: Loose skin of the lower eyelids

Answer: Loose skin of the lower eyelids

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Recommended reading

Everything you need to know about Eyelid Surgery

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