I'm 25 years old and have double bags under my eyes. What treatment would you recommend? (photos)
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Doctor Answers 8
#cosmeticsurgery , #microfatgrafting , #fillers
Thank you for your question! From your photo- the swelling and line seem to be from "malar edema" - the line along which the lymphatic outflow around your eyes- is a little backed up, causing the swelling. This is not always easy to treat. Fillers may soften this a little- but sometimes can make it worse.
With Warm Regards
Trevor M Born MD
I'm 25 years old and have double bags under my eyes. What treatment would you recommend?
Patients your age and with anatomy often do very well with a hyaluronic acid filler like Restylane.
Following the advice of anyone who would presume to tell you exactly what to do based on seeing limited 2 dimensional photos and 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
Restylane Injections for Eye Bags
To find before and after pictures of Restylane under the eyes for our Orange County, CA patients, check the link below.
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Treatment for Lower Eyelids
The first step is an in-person exam. This will give your doctor more information about what's happening beneath the skin. He or she may recommend a filler to plump up the depression from underneath or fat grafting. Another option may be repositioning the naturally-occurring fat pads under your eyes. There may be other options as well.
In addition to possibly trying more than one treatment, it could also be that you go with one solution now and a different one later on. That's another good reason for forming a partnership with a talented cosmetic surgeon.
Dermal filler injection is the best option for festoons
Surgical treatments are fairly extensive and do not always work.
In my experienced dermal filler injections can make a nice result and avoid surgery.
For more formation on eyelid surgery please read the following link:
Undereye puffiness and bags
Treating eyelid bags without surgery
In young patients like yourself, I find that treating these areas with a filler such as Restylane, or building up the cheeks with a similar filler (Juvederm Voluma), essentially eliminates the problem with minimal downtime and no surgery. If this works well and you would like something more permanent, a treatment such as fat grafting can be done as an outpatient surgery.
Belotero or Restylane for tear trough injections
The problem is that you would have to repeat injections every 8-12 month.
Once you have gain trust in your injectors abilities you could do something more permanent like fat transfer.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.