The sunken area that you see under your eye is actually a shadow being cast by by a small bulge of fat that has formed over time. The least invasive option to address your concern is non-surgically with fillers like restylane or belotero. The filler would be placed in the shadowed hollow so that it would be at the same level as the fat bulge to camouflage the problem. This would need to be repeated every 9-12 months or so. Lip augmentation can also be accomplished with fillers. I would recommend consultation with a facial plastic surgeon or plastic surgeon so that surgical alternatives may also be considered. I wish you well!
If you have sunken eyes, then filler can provide good improvement that lasts about one year. Surgery also works and is more permanent, but at a young age usually filler is the recommended start point. Filler can also help enhance the lips. Your photos do not show your droopy eyelid well. For an opinion about your eyelids see a board-certified facial plastic surgeon, plastic surgeon or oculoplastic surgeon, since this is often a surgical problem.
Tear troughs, hollows (and dark circles) are common problems of the lower lids, which seems the case here. It has become standard practice to treat this region with lighter weight fillers, like Restylane Silk, in order to lift, straighten, and contour this region. Occasionally, if fillers are inadvertently placed too superficially within the delicate tissues of the under eye region, a bluish discoloration related to light scattering (a phenomenon known as the Tyndall Effect) can occur, which can be quite disconcerting and can likewise make dark circles, if also present, appear more prominent. Belotero Balance, a hyaluronic acid-based product, has been manufactured to avoid this and is my first choice for treating tear troughs and hollows and lightening existing dark circles in my Upper East Side Manhattan practice. (In my Israel satellite facility, where a far greater number of regulatory agency approved fillers and volumizers are available, I would opt for Teosyal Redensity II). . The infraorbital aesthetic unit is not for novice injectors accustomed to injecting simple smile lines with ordinary fillers, like Restylane or Juvederm. Only an experienced, board certified aesthetic dermatologist or plastic surgeon injector should attempt to treat this area in this fashion.From the photo, your lips and your brow area appear fine. However, closer photos and certainly an in-personal consultation would be the best and most appropriate way of determining what you truly need. Best of luck.
Filler injection is a good predictable effective option to treat under eye hollowness (sunken eyes). See video and link below. Other options include fat injection, tear trough implant, and possibly lower blepharoplasty. See an oculoplastic specialist.
Hello Wreyna84,The area that you are seeing is the tear trough area. In your photo that area looks to be hollow which is what is giving you the appearance of your eyes. I'd recommend using a hyaluronic acid filler with Restylane being my choice for that area. That area can be prone to issues with injection if not done by a specialist, so I would recommend you only receive injections there from one of the core physician injectors such as a facial plastic surgeon. I hope this helps and good luck.
There are a number of procedures that improve the contour of the lower eyelids and other areas including surgery, fillers and even laser skin tightening. Each depends on the needs of the patient and the expertise of the treating physician. In this instance the easiest would be to use some filler (probably hyaluronic acid HA), but there are risks and advantages/disadvantages of each technique and thus a patient should seek consultation from a therapist who is proficient in many procedures to get the best advice.
experienced artistic plastic surgeons have a variety of procedures, both
non-surgical and surgical, at their disposal to produce excellent cosmetic
results in the appropriately selected patient: neurotoxins (Botox or Dysport),
temporary fillers like Restylane, long lasting micro-fat grafts,
blepharoplasties, and combinations of procedures. There is no one best
procedure. Each has benefits and drawbacks and depends on desired outcome and
In a patient your age, a temporary hyaluronic filler like Restylane would be a reasonable place to start.The lips can also be conservatively augmented with similar fillers.
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
The sunken appearance of the lower lid is often called the Tear Trough or Nasojugal Line. This depression accentuates the bulging of the lower lid above it and the bulging cheek below it. It can be nicely smoothed with placement of Restylane filler creating a smoother less aged look. As regards the lips, they can be volumize with Juvederm or Restylane to fuller, poutier lips.
Dr. Peter A. Aldea