Hi Cassie,My initial impression was also to recommend a small amount of filler to hide your very small under eyebags, but I am not completely convince it is the right procedure for you. When I take an eyelid photo series, I will take close ups of the eyes looking straight ahead, then looking upwards (which will accentuate and eye bags which might not be visible looking straight, then looking downwards to look for any excess skin on the upper eyelids or any hollowing.In the more recent photo, it appears that your chin is down more and your eyes are looking more sharply up. This can cause the eyebags to look particularly bad in this position. If the patient is having lower eyelid surgery under local anesthesia, we may even ask the patient to look upwards when removing some fat to help push the fat out more. or make sure it looks smooth even when the patient is looking upwards. I will include a web reference link from my website showing an example of lower eyelid fillers treating a moderate/severe lower eyelid bag, and you will hopefully appreciate that if the cheek and lower eyelid is blended seamlessly with a very small amount of filler such as Restylane (as little as 0.5 cc up to 2 cc's) The patient in the web reference link used 1.5 cc of Restylane.The skin wrinkling and fine lines may be due to cumulative sun exposure. I had a 31 year old young man come in one day when he noticed crow's feet and fine lines around his eyes. He knew he had sunbathed too much in his youth and he wanted to reverse some of these aging changes. I placed him on Obagi Nu-derm with Retin-A and Obagi Elastiderm Day Eye cream. He has been on this regiment for about 3 years. He is much more careful about sun exposure and never goes out without sun screen. The fact that you are using a bronzer perhaps indicated that you like the tan look and perhaps had significant sun exposure in the past several years? If so you can still protect your skin and try to reverse of some of the sun damage.I agree with Dr. Steinsapir's title of "Less is more." There is no reason to go crazy with fillers. Small amounts of filler which is artfully injected does not always require huge volumes to accomplish the desired goals.If your eyelid series photos showed a true eyebag, then you may still be a candidate for a lower eyelid fat removal. One note of precaution, transconjunctival fat removal alone can potentially increase the lower eyelid wrinkles. Please consult with a board certified facial plastic, occuloplastic or general plastic surgeon to evaluate both surgical and non-surgical option.. If you plan to go skincare and injectables only, then you can also see dermatologist.Best,Dr. Yang
