What should I do for my under-eye texture and lines? (photos)

Question

I need a treatment plan I have terrible texture and lines under eyes I have some filler under eyes for deep hollows I live in London, will do what it takes to get ride or improve it Please help! Thanks

Adam Scheiner, MD · Answer

Dear 30yearold,It appears that you have evidence of sun damaged skin in the lower eyelid region. This is likely related to past sun exposure in your life. First wearing good quality sun glasses anytime you are outside can help to prevent further damage. To reverse the damage there: 1) you can use cremes with Retin-A to help2) surgeries to improve the skin quality.I've had success using lasers to help skin quality.I'll include some links below.I hope this was helpful.

Rian A. Maercks, MD · Answer

Hello, and thank you for your question!
I believe that you would be a great candidate for a procedure that I call Aesthetic Facial Balancing. A large part of my practice is using this procedure.  What this means is evaluating a patients face and bringing the features into harmony by making adjustments with either hyaluronic acid or fat.  The most important component of a fillers treatment is the practitioner administering it. I take filler and balance all features in your face from top to bottom to make them work together to 'unlock' your beauty. I would create the contours, shapes and light reflexes of youth and beauty by restoring volume in the proper places. The result is the disappearance of the bags and hollows and a refreshed look under the eyes. If there is significant pigment in the lower lid skin, I can also use BBL, (broadband light), a gentle pulsed light intervention to eradicate the pigment. The Aesthetic Facial Balancing procedure is not just a filler intervention augmenting the cheeks and lips, but as in overall, non surgical way to shape the face in a different way to create natural appearing results that will last for years. 
I hope this helps!
Wishing you beautiful results,Dr. Rian Maercks M.D.

Jason Emer, MD · Answer

Thank you for your question. These fillers are good for improving under the eyes, but keep in mind, a combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

Jonathan Kulbersh, MD · Answer

Under eye lines and texture can be permanently corrected with surgery or temporarily camouflaged with fillers (Restylane, Belotero, Volbella) which can also help nasolabial folds.There are great non-surgical options to fill in under eye depressions and hollowness. Using dermal fillers, a liquid eye-lift can be performed. A dermal filler such as Restylane would be placed in the cheek and tear trough to hide the depression or bag underneath your eye. 
Surgery would require a fat-repositioning lower lid blepharoplasty. In this surgical procedure, fat from the eye area is moved into the tear trough depression filling the actual depression. 
I hope this helps!

Camille Cash, MD · Answer

For texture concerns you can consider lasers, chemical peels, and microneedling.  PRP is another option.  These procedures are all done in an office setting.  It is also recommended that you use medical grade skin care products and wear sunscreen every day.

What should I do for my under-eye texture and lines? (photos)

Answers (5)

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