Would Juvederm Help My Dark and Puffy "Bags"?

Hi there, Wondering if Juvederm would be best to go for, I would like my under eye area less "baggy" as it is dark and puffy and ages me. If I don't put concealer on, I look as if I haven't slept for weeks! I would also like to have some Juverderm fillers inmy cheeks to give me some definition to my cheeks and fill those out and some botox on my forehead to raise my brows. Can anyone advise? This picture is actually quite flattering to how I usually look (In my opinion!)

Doctor Answers 7

Lower lid fullness

From the photo, it appears that you would benefit from a lower lid blepharoplasty to remove the bags and lateral canthopexy to change the angle of your eyes.  You would also benefit from an endoscopic lateral brow lift or Botox injection to the lateral brow to achieve a lift.  With these procedures, your eyes will appear brighter and you will appear less tired.  Good luck.

New York Plastic Surgeon
4.9 out of 5 stars 74 reviews

Don't forget the ptosis!

Dear Alan,

  Personally, I am not a big fan of HA fillers, like Juvederm, to camouflage lower lid bags.  Sometimes it causes more swelling and patients can actually look worse.  I would advocate lower lid blepharoplasty with conservative fat sculpting.

  Just as important to your appearance is the drooping of your upper lids.  In the photo, you appear to have not just extra tissue but a true ptosis, most likely due to muscle weakness.  This requires a ptosis procedure, such as a levator advancement or a Muellerectomy, to repair and, in my opinion, is best performed by an oculoplastic surgeon.

  Good luck!

Lawrence Kass, MD
Saint Petersburg Oculoplastic Surgeon
4.8 out of 5 stars 130 reviews

Juvederm: the new lower lid lift?

The fastest growing procedure in my office is filler for the hollow under the bags under the eyes.  As we age the fat pad under the cheek shrinks and sinks, leaving a flat cheek and a hollow groove know as a tear trough (imagine tears running down your cheek in a depression).  If there is any puffiness under the eye it can begin to look like the dreaded "bags"!.  In the old days (a few years ago), your option was to cut out the bags leaving more hollowing over flat cheeks.

With the arrival of fillers like Juvederm and Restylane we can add some of the lost volume back in a safe way.  For many people this technique is highly successful and surgery is avoided. Only very experienced injectors with expertise in the eye area should be considered.  I am not infrequently called upon to correct problems caused by unqualified practitioners.

Susan Van Dyke, MD
Paradise Valley Dermatologic Surgeon
4.5 out of 5 stars 35 reviews

Fillers and lower lids

Fillers in the lower lid trough are good, howver, they may make the bags appear a bit more swollen due to water retention.  If you have fatty bags the best way to treat them is by excising them.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 27 reviews

Lower eyelid bags

some patients respond nicely to fat repositioning, others respond to fat removal and others do well with fillers in the tear trough. you would need an evaluation in person.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Juvederm Help My Dark and Puffy "Bags"

Thanks for the frontal photo. I really would feel better to see you in an in person evaluation. But since you are asking over the internet, I would recommend Selphyl regenerating fillers to the cheek and tear trough, Botox to the upper lateral orbital to elevate the eyebrow laterally. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

Eye Rejuvenation Recommendations - please meet with qualified facial plastic surgeon

Dear Alan - I would recommend an in-person consultation with a qualified surgeon. As you mention the photo minimizes your major concerns. Filler is an option but lower blepharoplasty without or with fat transfer should also be considered. Neurotoxin would likely provide lateral brow elevation which is something you might not want. However, an in-person evaluation and discussion of your desires would be much more helpful for you and your physician.

Stephen Weber MD, FACS

Stephen Weber, MD, FACS
Denver Facial Plastic Surgeon
4.9 out of 5 stars 129 reviews

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.