Age 41 - Wrinkles under eyes (photo)

Hello and thank you for your question. Various options exist for adding volume to the lower eyelids, including injectable filler vs autologous fat transfer. The photo provides a somewhat limited view for assessment, however you may have volume deficiency of the lower eyelid and cheek. A detailed in person consultation with a facial plastic surgeon experienced in fillers and fat transfers may be of benefit to you.

Thank you for your inquiry! By your photos, it looks like you would be a great candidate for a lower bleph procedure as that procedure will remove excess skin to your lower eyelids. I recommend scheduling a consult appointment with a board certified plastic surgeon like myself so we can assess your eyes, listen to your goals, and create a surgical plan that is best for you and your goals!

For people who have wrinkles of their lower eyelids, but do not have the need for a formal lower blepheroplasty, smoothing of the lower eyelid skin can be achieved with a pinch lower blepharoplasty. This is performed under local anesthesia and the lower eyelid skin, just below the eyelashes, is simply repeatedly pinched between the tips of forceps until a standing ridge of the loose excess eyelid skin is formed. This excess skin is trimmed off with scissors and closed. The incision line is hidden just barely below the lower eyelid lashes and is very well camouflaged and as only skin is removed the muscle support of the lower eyelid remains intact. Four months is completely adequate time for the incision line to mature and be nearly invisible. Best wishes.