I’d like to know what’s the best treatment for my eye bags and dark circles?

Question

What’s the best treatment? Laser, radio frequency, blepharoplasty, hyaluronic acid?

Randal Haworth, MD, FACS · Answer

There are generally three methods to reduce undereye bags.
1. Utilizing peels, lasers or any other ablative or semi ablative techniques to stimulate new collagen growth. Though effective, most people want to have little to no downtime and in order to get a very effective result with which most patients would be extremely satisfied, these techniques will fall short of their stated goals. These techniques are wonderful if they are utilized in an appropriate strength. 
2. Carefully injecting a temporary filler (such as Belotero® or Restylane®) underneath the skin in hollow areas with magnification. This could be quite effective but does involve the risk of producing irregularities and lumps and will necessitate a certain amount of bruising. A permanent filler such as Bellafill ® or even a fat transfer utilizing purified fat from your body are also options.
 3. Performing a simple surgery under local anesthesia called a pinch blepharoplasty. In this operation, a small strip of skin is removed directly underneath the lower eyelash line and results in a nearly invisible scar. The recovery is very rapid (a couple of days) and involves one single stitch which is removed in five days. This approach is actually the least complicated in appropriate hands and will produce the most consistent and significant of results in reducing lower eyelid bags.

James Shire, MD · Answer

You are an ideal candidate for a Lower Lid Transcongunctival Blepharoplasty.  This technique is done with a small incision on the inside of the eyelid. There are no cuts on the outside and no stitches need on the inside. There is minimal swelling or bruising and no discomfort. I would not recommend lasers, RF, or fillers for you at this time.

Mehryar (Ray) Taban, MD, FACS · Answer

The ideal treatment for both under eye bags and hollowness (dark circles) is transconjunctival lower blepharoplasty with repositioning of the eye fat bags to the hollow area, with long-lasting natural results.

Mehdi Sina, MD · Answer

Hi,An in person exam is critical to make the best recommendation. Eye bags are most effectively treated surgically. If the eye bags are minor, carefully placed dermal filler can be a very effective treatment. Your skin quality looks great in the photos, so there is no role for lasers or RF.Best,

Rohit Seth, MD, MRCS(Ed), PhD · Answer

Thank you for your question. I see my colleague answered you already and on reading his answer, it is identical to what I would suggest. The best thing is to be seen by a surgeon who can assess the quality of your skin and determine the best treatment. Filler can work well if done correctly, but can make things worse if done too superficially. Laser treatments work well in rejuvenating the lower eyelids and are a good option. I hope this is of help to you BW

I’d like to know what’s the best treatment for my eye bags and dark circles?

Answers (10)

Answer: Surgery vs fillers

Answer: Surgery vs fillers

Answer: Non surgical options

Answer: Non surgical options

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I’d like to know what’s the best treatment for my eye bags and dark circles?

Answers (10)

Answer: Surgery vs fillers

Answer: Surgery vs fillers

Answer: Non surgical options

Answer: Non surgical options

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Recommended reading

Everything you need to know about Eyelid Surgery

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