Is under eye filler going to help my under eye bags? (photo)

The answer to your question is yes. At my practice, the Dr.U Hair and Skin Clinics in Los Angeles we use a specialized dermal filler called Radiesse which is suited for various facial contouring applications. Puffiness and protrusion under the eyes would fit under this category. Radiesse is formulated to offer structural support to help create the changes that you would like to see. Rather than being just a viscous liquid, it is made with calcium hydroxylapatite microspheres in a gel medium  to provide the support needed to uphold a flatter and more youthful looking under eye area as it eliminates the appearance of eye bags. If you are interested in seeing what actual results look like, I’ve included the link to a patient case study from my office below. This young lady wanted to get rid of mild sagging under the eyes as well as dark circles. We used Radiesse to create a very natural looking outcome.

Hello,Thank you for your pictures and the question. Yes, but the procedure should be repeated after 6 months  This treatment will provide volume under the eyes, but based on your photos, there are other non-surgical treatments that I recommend for your case as well, such PRP and steam cells. Long term solution I suggest remove skin or fat under the eyes as surgical treatment. 
Best Regards, 
DR CEM PAYASLI 

There are two ways you can improve the skin under the eyes and refresh your appearance. The first is to inject small amounts of filler into the tear troughs. This treatment adds subtle volume under the eyes to minimize fine lines and discoloration. Fillers typically last anywhere from six months to a year and must be repeated to maintain your positive results. 
Lower blepharoplasty is a surgical procedure that removes excess skin to create a smoother, firmer contour underneath the eye. This surgery is often performed under local anesthesia and incisions are either placed inside the eyelid or within the natural creases under the eye to minimize visible scarring. Recovery is generally a week or two. This procedure offers very long-lasting results. No matter which treatment you choose, make sure you work with a board-certified plastic surgeon who has the expertise to customize your treatment for the best possible results.

There are many things you can do to treat under eye bags, but a combination approach with nonsurgical treatments would give the most improvement: fillers (Belotero, Juvederm Volbella), lasers (Fraxel/CO2), Renuvion (J-Plasma), microneedling/PRP, Cosmelan peels and stem cells. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest getting a formal evaluation with a cosmetic dermatologist to see what is best for you and your goals. Best, Dr. Emer.

Based on this photo you may be a candidate for filler, possibly chemical peel. However, it is very delicate application and you should seek a board certified plastic or occuloplastic surgeon for a consultation. Good luck.

The two options that would provide the results you are looking for are:1. Lower blepharoplasty with fat repositioning to move the "bags" from the bulge to the tear trough upper cheek down belowor2. Using fillers in the tear trough and upper cheek to camouflage the "bags" above as a more temporary solution.Make sure you choose a surgeon with experience in both these techniques so that you can get an unbiased opinion on which option may be a better fit for you.When it comes to eyelid surgery, its best to chose a surgeon that dedicates their practice to eyelid and face procedures since they will have the most experience in this area.

Thank you for your question and photo. The appearance of undereye "bags" commonly has three components: 1) excess or "crepey" skin, 2) fat prolapse, 3) hollowness. While a single photos provides limited information, it looks like you have a small amount of fat prolapse, a moderate amount of excess skin, with some degree of hollowness mostly on the left. Patients with predominantly excess skin tend to do well with laser resurfacing to gently tighten the lower eyelid skin, but oftentimes a lower eyelid blepharoplasty may be necessary for a more complete rejuvenation. To determine which combination of treatments would be best for your, an in-person consultation and exam is necessary. I recommend seeing a board certified oculoplastic surgeon. These doctors are specifically trained in eyelid surgery. Hope this helps!

From your photo it appears you would be a good candidate for fillers.  They are temporary, lasting up to one year.  They use volume to disguise under eye contour irregularities and work well with other treatments such as lasers, chemical peels and microneedling for a more complete result.  See an expert injector in your area to learn more.

Most expert experienced artistic plastic surgeons have a variety of procedures, both non-surgical and surgical, at their disposal to produce excellent cosmetic results in the appropriately selected patient: temporary hyaluronic acid fillers, long-lasting micro-fat grafts, and blepharoplasties. There is no one best procedure. Each has benefits and drawbacks and depends on desired outcome and individual anatomy.

Temporary fillers like Restylane are a reasonable initial  approach for a patient with your particular anatomy and age. Following the advice of anyone who would presume to tell you what to do without taking a full medical history, examining you, feeling and assessing your tissue tone, discussing your desired outcome and fully informing you about the pros and cons of each option would not be in your best interest. Find a plastic surgeon that you are comfortable with and one that you trust and listen to his or her advice. The surgeon should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS). You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla, California