Filler or fat grafting? (Photo)

Question

My face especially under eyes are hollow even with makeup and also my smile lines which makes me look older and unattractive. What can help me to fill those areas?

Anna Chacon, MD, FAAD · Answer

Under-eye hollows and prominent smile lines can be addressed using a number of different aesthetic treatments. Here are some potential options:
1. Dermal Fillers: These are one of the most common treatments for under-eye hollows (also known as tear troughs) and smile lines. Fillers like hyaluronic acid (Restylane, Juvederm) can be injected under the skin to add volume and smooth out wrinkles and folds. The results are immediate and can last from 6 months to over a year, depending on the specific product used.
2. Fat Transfer: This is a surgical procedure where fat is taken from another part of your body (like your abdomen or thighs) and then injected into your face to add volume. This can be a more permanent solution, but it's also more invasive than dermal fillers.
3. Skin Tightening Treatments: Procedures like Ultherapy or Thermage use ultrasound or radiofrequency energy to stimulate collagen production in the skin, which can help to reduce wrinkles and improve the appearance of hollows over time.
4. Topical Treatments: While they won't provide as dramatic results as the options above, topical treatments like retinoids and vitamin C can help to improve skin texture and subtly reduce the appearance of wrinkles and lines.
Remember, it's important to consult with a board-certified dermatologist or plastic surgeon to discuss these options and decide which one is best for you. They can provide you with a thorough evaluation and discuss the risks and benefits of each treatment.

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