Which procedure should I be asking about in order to get rid of the lines under my eyes? (Photo)
Doctor Answers 5
Several options for your lower lids/tear troughs
Thank you for your question. There are several options for treating the puffiness under your eyes. Sometimes adding more volume to your cheeks can make your lower eyelid puffiness look reduced. I find most people undertreat their cheeks and will need more filler for volume. Sometimes you need a combination to get the desired look. Surgically removing fat from below your eye can reduce the puffiness, and a chemical peel, laser, thermismooth or possibly surgical excision of the skin can tighten the looseness of the lower eyelid skin as well. It is hard to tell you without seeing you. Hope this helps.
Corrective treatments for under the eyes
While it is difficulty to make a full assessment without seeing your before pictures, just taking your picture at current face value (pun intended!) I would say you are not finished restoring volume to the tear trough and mid face. In addition there are surgical procedures that can correct the lower lid fat pad like lower lid blepharoplasty. You would likely benefit from more well placed filler in those areas with topical treatments such as chemical peels and laser to address the fine wrinkles and even skin tone. Our practice uses a multi-modal approach to create a synergistic effect over about one years time without any surgery. This allows us to achieve a natural result with minimal downtime. It is important to understand that once your desired result is achieved you will need maintenance treatments as unfortunately to date we have not learned to how to halt the aging process completely. I suggest you find a local doctor with the appropriate skill set to meet your needs as there is no one size fits all when it comes to facial cosmetics. Hope this helps! Good luck and don't forget to wear your sunscreen.
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Lower lid lines
Thanks for your question and photos. The Botox and tear trough filler is definitely a good start. If you want to make it a little better, you may have to consider lower blepharoplasty to remove some of the extra skin and some of the fat in a very conservative manner. I would also use fat grafting to fill out the mid face to provide support under your eyes and make the line better. Remember, all these will make improvements but goal is not necessarily to achieve '100%' correction of the lines, fat, skin in order to keep it looking natural and avoiding complications. Good luck.
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