How can I reduce my eye bag? (Photo)

Question

Hello, I am 22, and I just want to reduce my eyeball. I did cheek implant and I thought that it will help to reduce it but it did not (though I am happy with my cheek implant, I had a bad sagging effect due to maxillary deficiency). I want to know what permanent solution can be the best to stop this tired look ? Thank you

Zoran Potparic, MD · Answer

Tear trough deformity is something that can be seen in young patients with significant malar hypoplasia. Using transconjuctival lower blepharoplasty, insertion of the muscle and oblique ligament which create deformity, can be released and deformity significantly improved. This is all done through a small incision inside the lower eyelid. Hope this helps.

Jason Emer, MD · Answer

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells and microneedling RF like Fractora PiXel8 or Morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Lisa Brostrom, MD · Answer

Hello, and thank you for your question. I don't appreciate "eye bags" from your picture but rather shadowing and hyperpigmentation (darker pigmentation). Skin over this area is very thin. Hollowing or volume deficiency in the area of the tear trough can result in shadowing and dark circles. Microfat and nanofat grafting to this area can be beneficial to improve the volume and pigmentation. Fat grafting is not entirely predictable but often does well in this area. Fat grafting in this area is very specialized, so ensure you see a Board Certified Plastic Surgeon with extensive experience. He or she can perform a thorough examination and help you achieve your goals.

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