Uneven under eye bag/excess fat while smiling (Photo)

Question

I have uneven under eye area when I smile - one side forms a much bigger "pad" than the other side, which has caused that side to develop much deeper tear trough wrinkles than the other side. When I'm not smiling both sides look normal and even. I'm concerned that it's just going to get worse as I age. Concerned with hollowness if go under the knife to remove it. I'm also thinking of getting some kind of facial filler (I'm in my early 30s) so not sure how that will affect things.

Jonathan Kulbersh, MD · Answer

Under eye bags can be permanently corrected with surgery or temporarily camouflaged with fillers (Restylane, Belotero, Volbella).There are great non-surgical options to fill in under eye depressions and hollowness. Using dermal fillers, a liquid eye-lift can be performed. A dermal filler such as Restylane would be placed in the cheek and tear trough to hide the depression or bag underneath your eye.
Surgery would require a fat-repositioning lower lid blepharoplasty. In this surgical procedure, fat from the eye area is moved into the tear trough depression filling the actual depression. 
I hope this helps!

Camille Cash, MD · Answer

It appears you have some hollowness under the eye.  Fillers do a nice job of adding volume and disguising under eye irregularities.  I recommend visiting an expert injector in your area for a consultation.  Fillers are a great non surgical option and can last up to a year.

Kenneth D. Steinsapir, MD · Answer

You are mostly hollow.  However, the world is a scary place.  If you ask enough doctors to remove your lower eyelid fat, someone will do it.  I don't recommend that.  You do have a very heavy upper eyelid and that can be addressed with surgery.  The under eye area needs volume.  I would recommend the hyaluronic acid filler Restylane for this area.  I recommend starting with a detailed personal consultation.

Jason Emer, MD · Answer

A combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

Tim Sayed, MD, MBA, FACS · Answer

You have some hollowing in the tear trough area that is most likely to be helped by filler injections; I do not think fat removal is necessary in most Asian patients in their early 30's and can actually worsen the hollowing if done aggressively. Go on some consults to be examined in person, where your lid and cheek tissues can be assessed for fat distribution, skin laxity, muscle support, and other factors.

Uneven under eye bag/excess fat while smiling (Photo)

Answers (7)

Answer: Improving Under Eye with Fillers (Belotero, Volbella, Restylane Silk), Fraxel, Microneedling/PRP

Answer: Improving Under Eye with Fillers (Belotero, Volbella, Restylane Silk), Fraxel, Microneedling/PRP

Answer: What can be done to address my #teartrough deformity?

Answer: What can be done to address my #teartrough deformity?

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Uneven under eye bag/excess fat while smiling (Photo)

Answers (7)

Answer: Improving Under Eye with Fillers (Belotero, Volbella, Restylane Silk), Fraxel, Microneedling/PRP

Answer: Improving Under Eye with Fillers (Belotero, Volbella, Restylane Silk), Fraxel, Microneedling/PRP

Answer: What can be done to address my #teartrough deformity?

Answer: What can be done to address my #teartrough deformity?

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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.