Would PRP address my puffy eyes and volume loss? Looking for non surgical options 28 y/o (photos)

Question

I’m barely 28 but my eyes have been so saggy and even a bit puffy for over a year. I tried otc treatments and changing any habits I could that might reduce my symptoms to no avail, so then I got mid cheek and tear trough filler in early 2024 which I feel only helped for a couple months before looking saggy again. I’d love to avoid surgery as long as possible if possible. Are there any in office procedures that may help address my issues? PRP maybe? I’m not wanting filler again

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser.  Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.  
Best,
Dr. Karamanoukian 
Realself100 Surgeon

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. At 28, experiencing sagging and puffiness around the eyes can be frustrating, especially after trying over-the-counter treatments and filler with limited success. If you’re looking to avoid surgery while still addressing these concerns, there are several in-office procedures that might be beneficial. Platelet-rich plasma (PRP) therapy is one option that utilizes your body’s own healing properties to stimulate collagen production and improve skin texture, which can help with sagging and puffiness. Another option is microneedling-radiofrequency treatments, which promote skin tightening by using heat to stimulate collagen and elastin production, such as Morpheus8. Additionally, laser treatments can enhance skin tone and texture, reducing puffiness and improving sagging. Lastly, microneedling, especially when combined with PRP, can further enhance the rejuvenation process. I hope this helps and best of luck!

Would PRP address my puffy eyes and volume loss? Looking for non surgical options 28 y/o (photos)

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Would PRP address my puffy eyes and volume loss? Looking for non surgical options 28 y/o (photos)

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Everything you need to know about PRP Injections

Our mission is to create a world where every investment in modern beauty is Worth It.