What can be done to bring back the youthfulness underneath my eyes? (Photo)
Doctor Answers 16
Options to Bring Back Youthful Eyes
There are great non-surgical option to fill in under eye depressions and hollowness. Using dermal fillers, a liquid eyelift can be performed. Dermal filler such as Restylane would be placed in the cheek and tear trough to hide the depression or bag underneath your eye.
Many times patients will try the non-surgical option first to see if they are happy with the result. If they do not get the results that are seeking, they can still undergo surgery. Other patients want a permanent solution and choose to undergo surgery.
At times, patients will have a darkening of the skin in this region. This staining of the skin can be difficult to treat and will not improve with either a liquid eyelift or a lower blepharoplasty.
Each of these choices are viable options. I would carefully review the pros and cons of each procedure and decided what would be best for you
Options for youthfulness underneath your eyes
Dr. Sheila Nazarian
@drsheilanazarian on Instagram
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Under Eye Tear Troughs Respond Well To Fillers
My last patient this morning had nearly exactly the same problem that I see in your photos and immediately following a ten minute procedure (approximately five minutes per side) using Belotero Balance) she experienced the "Wow!" response when she looked in the mirror.
Because the infraorbital area is typically subject to much less mechanical stress, the injected filler may last far longer in this region than when injected in other regions. I have had patients who have maintained their results for three years, even five years. After I treated myself, I maintained my own correction for longer than five years before needing retreatment. Considering that most of us go to the dentist or dental hygienist twice a year, coming back once every two plus years for a ten minute under eye touch up is really not so onerous that one would risk the use of fat injections in the region or even the expense and downtime of aggressive surgery.
A word to the wise: treating the under eye area is not to be left to the hands of novice injectors. So, be sure to seek consultation with a board certified aesthetic physician with experience and expertise in treating this delicate area and of course be certain to ask to see his/her before and after photos before proceeding. Good luck to you.
You should rethink your opposition to under eye fillers.
What can be done to bring back the youthfulness underneath my eyes?
In a patient with your inherited anatomy, a conservative artistically performed blepharoplasty including micro-fat grafts to the tear troughs will produce the best and longest lasting cosmetic result.
Following the advice of anyone who would presume to tell you what to do without seeing 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
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.