Should I try CO2 laser or something similar with laser or surgery for under eye bags/creases?

Question

Have deep tear ducts since childhood. Left side more prominent (hit in eye(left side) with baseball at age 9 cracking bones & possibly permanently damaging collagen). I am only 25 and have tried under eye fillers 4 separate times and they seem to dissolve within a few weeks of getting them. Should I try CO2 laser or something similar with laser (have also tried IPL photofacial) or is there a surgery to help? Also looking at minor nose job to narrow bridge and and make more smooth looking, best method?

Jason Emer, MD · Answer

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 be the best long term.  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 be the best long term.  However, non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels and stem cells can all help give some improvement. I suggest. You get a formal consultation to see what is best for you and your goals.  Best, Dr. Emer.

Johnson C. Lee, MD · Answer

Thank you for the photos. It appears that you have a tear trough deformity. A more simple option for this area is to have hyaluronic acid fillers such as Restylane to your lower eyelid area to smooth and lighten the shadows from hollowing in the area. There is minimal downtime but it will last for less than a year before you need more filler injected. If you have prominent eyebags (it is not clear due to the blurring of your photos), then you may be better served by reducing the eyebags and respositioning the existing fat to blend away the tear trough. A CO2 laser can help tighten the skin, but will not address the puffiness or bags which are accentuating the tear trough line. For the best treatment options, it is important to visit an expert for an in-person examination. Hope this helps!
Johnson C. Lee, MD 
Board-Certified Plastic Surgeon

Should I try CO2 laser or something similar with laser or surgery for under eye bags/creases?

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Should I try CO2 laser or something similar with laser or surgery for under eye bags/creases?

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Everything you need to know about CO2 Laser

Our mission is to create a world where every investment in modern beauty is Worth It.