What is the best method for treating my asymmetric under eye circles? (photos)

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.
Best,
Dr. Karamanoukian
Realself100 Surgeon

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Shah Facial Plastics. This is a great question. I recommend treating the area of concern with undereye filler. However, I highly recommend scheduling an in-person consultation in order to better assess your areas of concern and discuss an appropriate treatment plan to help achieve your aesthetic goals. Our office phone number is: (312) 944-0117. I hope this helps and best of luck!

Based on your photos, you may be better suited with a lower blepharoplasty to treat your under eye bags.

I hope this helps,
best of luck !

Dermal fillers and tear trough treatments should always be carefully tailored to the patient’s unique skin to achieve balanced results between each eye. It is certainly possible to restore this balance, but it’s important to provide your specialist with as much information as you can to inform an effective treatment based on your history and skin type.
In addition to finding an expert to balance the effects of your dermal filler injections, another option may be to work with a specialist who can tailor an approach that combines tear trough treatment with other therapies, such as PRP therapy which has shown excellent results in restoring subtle volume through the healing of skin cells and production of collagen. It’s important to note that the precise set of treatment options for you will depend on your full history and other skin health factors, but we hope this gives you a good place to start!

Fillers are helpful to address the under eye area and there is an improvement between the two sets of photos. You can also consider AccuTite. This minimally invasive treatment uses RF technology to tighten skin and is safe for the under eye area. No general anesthesia is required. You can find out more by visiting my website or a provider near you.

Unfortunately, the frontal view of your face is not enough to diagnose the problem. An oblique and a profile view would be extremely helpful. However, to me, it appears that you may have lack of cheek projection, which is something that you would have inherited from your father‘s side. The lack of cheek projection makes the orbital rim look like a fat protrusion. if this is the case, then a small amount of fat grafting into the cheek area should correct this once, and for all. On the other hand, if you have true lower eyelid Bags, then a transconjuctival blepharoplasty is the answer. I hope this helps and good luck from New York City Plastic Surgery.