i am 25 year old female, i have developed sunken eyes with prominent tear through , from past 3- 4 years, maybe because of dehydration, fat loss...my right eyes is deeply sunken then left one..i always look tired and sad..what could be cosmetic procedure to treat this problem and is it possible to that my eyes would come out (like before) permanently ..should i consult a oculoplastic surgeon or a cosmetic surgeon ?? pls help
April 12, 2013
Answer: Periocular hollowness/pigmentation
The photo is helpful, but an in-person evaluation is more valuable. In general, there are three reasons why the skin around the eyes can be [or seem] darker:
1. The thin eyelid skin allows the darker muscle underneath to show
2. The hollowness around the eyes can create a shadow effect that exacerbates darkness
3. Skin pigmentation [sometimes from blood products from bruising] If it is blood product pigmentation, it could last months to improve.
Depending on which of the above is the issue, different modalities may be helpful [time, fillers, laser resurfacing, concealer etc].
In your case, the darkness is a combination of 2 and 3 [hollowness and pigmentation]. The pigmentation is common in people of Middle Eastern and South Asian descent and is very difficult to address. Skin lightening creams may be an option, but I would discuss that with a dermatologist.
The hollowness can be improved with fillers or fat injection. If you decide to explore this further, I would recommend consultation with an ASOPRS trained Oculoplastics surgeon, or an experienced facial plastic or dermatologist. You can find an Oculoplastics surgeon close to you on the ASOPRS dot org website.
Helpful 1 person found this helpful
April 12, 2013
Answer: Periocular hollowness/pigmentation
The photo is helpful, but an in-person evaluation is more valuable. In general, there are three reasons why the skin around the eyes can be [or seem] darker:
1. The thin eyelid skin allows the darker muscle underneath to show
2. The hollowness around the eyes can create a shadow effect that exacerbates darkness
3. Skin pigmentation [sometimes from blood products from bruising] If it is blood product pigmentation, it could last months to improve.
Depending on which of the above is the issue, different modalities may be helpful [time, fillers, laser resurfacing, concealer etc].
In your case, the darkness is a combination of 2 and 3 [hollowness and pigmentation]. The pigmentation is common in people of Middle Eastern and South Asian descent and is very difficult to address. Skin lightening creams may be an option, but I would discuss that with a dermatologist.
The hollowness can be improved with fillers or fat injection. If you decide to explore this further, I would recommend consultation with an ASOPRS trained Oculoplastics surgeon, or an experienced facial plastic or dermatologist. You can find an Oculoplastics surgeon close to you on the ASOPRS dot org website.
Helpful 1 person found this helpful
April 11, 2013
Answer: Sunken eyes
You have a lot of hollowing in your under eye area and upper cheeks, which is very common in patients of south asian or middle eastern decent. I would recommend Restylane injections to help add volume to this area. See an oculoplastic surgeon, plastic surgeon or dermatologist who is experienced in filler injections to the lower eyelids.
Even with this treatment you will still have some darkness in the under eye area. The bone under your eyebrows is prominent relative to the position of the eyes. This will tend to cast a shadow on the lower eyelids in settings with overhead lighting. Nonetheless, I think filler injections will help. Best of luck.
Helpful 1 person found this helpful
April 11, 2013
Answer: Sunken eyes
You have a lot of hollowing in your under eye area and upper cheeks, which is very common in patients of south asian or middle eastern decent. I would recommend Restylane injections to help add volume to this area. See an oculoplastic surgeon, plastic surgeon or dermatologist who is experienced in filler injections to the lower eyelids.
Even with this treatment you will still have some darkness in the under eye area. The bone under your eyebrows is prominent relative to the position of the eyes. This will tend to cast a shadow on the lower eyelids in settings with overhead lighting. Nonetheless, I think filler injections will help. Best of luck.
Helpful 1 person found this helpful