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

Question

In those pictures you can see me before (top) and three weeks after Jalupro injections under my eyes (bottom). The right eye has always had much worse eye bags which don’t seem to be going away. Years ago I had tear trough filler but it created bulges under that right eye. Would it be possible to somehow balance the two under eye areas with different amounts or ways of application?

Raffy Karamanoukian, MD, FACS · Answer

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

Camille Cash, MD · Answer

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.

Anil R. Shah, MD · Answer

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!

Randal Haworth, MD, FACS · Answer

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 !

Atlanta Innovative Medicine · Answer

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!

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

Answers (6)

Answer: Lower blepharoplasty

Answer: Lower blepharoplasty

Answer: Dermal fillers and tear trough treatments or PRP therapy may work for you

Answer: Dermal fillers and tear trough treatments or PRP therapy may work for you

Recommended reading

Everything you need to know about Dermal Fillers

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

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

Answers (6)

Answer: Lower blepharoplasty

Answer: Lower blepharoplasty

Answer: Dermal fillers and tear trough treatments or PRP therapy may work for you

Answer: Dermal fillers and tear trough treatments or PRP therapy may work for you

Browse related questions

Recommended reading

Everything you need to know about Dermal Fillers

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