How to address uneven folds under eyes (33 year old female, East Asian) (photos)

Hi @drillbits. Thank you for sharing your photos. I recommend a lower eyelid blepharoplasty. A lower blepharoplasty will address the excess skin under your eyes giving you a more refreshed and rested appearance.

Best of luck,

Dr. Nima

Hello! Thank you for your question. From the photos I see that you have extra skin above and under your eye area. For make a fresh and more even eyes I highly recommend you upper and lower eyelid blepharoplasty. Please keep in mind that %100 symmetry is achievable in any case. If you can provide photos with better lighting, from the side of your face and 1 meter away I would be able to make a proper evaluation.Best Regards!

The eye area needs significant combinations to get improvement. Lasers like erbium, co2, halo, profractional/contour, or Fraxel can all be used to build collagen long term. Plasma pen is a newer less invasive option but will take many treatments and require proper skincare. Plasma Pen is focused electrical plasma energy to tighten skin, producing small columns of energy just above the skin, allowing the skin to tighten to help improve wrinkles. This area will have 3-5 days of small “dots” that will then scab and peel, then the skin will tighter and brighter after. Numerous treatments are needed over lasers where only one or two give a bigger result, but more downtime. After plasma pen you NEED peels 2 weeks like later Cosmelan, enlighten or aerify, see emeragecosmetics (link). At home derma rolling should be started weekly even after plasma pen or lasers to further increase collagen, see emeragecosmetics AERIFY x anteagemd stem cell ampules. To properly heal you need light Stim red LED, EmerageSkin refit face, refit eye; AnteageMD serum, silagen silicone gel, jan Marini bioshield, EmerageSkin enzymatic polish, and EmerageSkin hyla b and AOX, and Sente dermal repair. Otherwise there is EXTREME risk of pigmentation issues and “dots” in the treatment area. at home peels like cosmelan, enlighten and aerify along with dermarolling (AERIFY emerageskin roller with Anteage MD ampules) should be started now regardless for antiaging, sun damage, and wrinkle prevention. 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 eyelid blepharoplasty with or without fat pad repositioning (if doing lower eyelid surgery) 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, lasers, microneedling/PRP, cosmelan peels, 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. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Hello @drillbits, thank you for your question. Thank you for your question. It is important to remember that we aren't completely equal on both sides; there are always some differences that may or may not be noticeable. It is wise to keep this in mind when setting expectations. You may develop a nonsurgical plan, which will bring about improvements in some aspects. For more information and recommendations, consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP).

What you are experiencing is the natural aging changes that happen around the eye: fat prolapse into eyelid, laxity of muscle, and wrinkling of skin due to aging. There are a variety of treatment options available such has surgery (lower blepharoplasty), laser resurfacing or chemical peel, etc. The mole is not the reason for the wrinkling you are seeing, but that can also be surgically addressed. You also have hooding of the upper eyelids. Seek a consultation with an experienced Oculo-Facial Plastic surgeon that has had additional training in Asian Eyelid surgery.

When it comes to mole removals, particularly in cosmetically sensitive areas, such as in this case, think Scalpel Sculpting. This simple, relatively inexpensive procedure requires no deep cutting and hence is relatively inexpensive, takes only a few minutes to perform in experienced hands, requires no stitches and hence presents no concern for the subsequent development of stretch scars or tram track stitch marks and engenders little to no significant post-treatment downtime. So, you would be wise to consult with an experienced, board certified cosmetic dermatologist and of course ask to see his/her personal befores and afters of Scalpel Sculpting on the face. Hope this helps and best of luck.