I am about to be 37. I have always had a little under eye puffiness/darkness, even when I was a kid. The last couple years it has gotten a lot worse. In certain light/photos, the combination of the color and puffiness makes it look like I have a black eye! I was told I'm not a candidate for tear trough filler, but eye creams don't seem to do anything. What else can I do to treat this area? Photos are in natural light with no makeup.
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Answers (9)
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March 28, 2023
Answer: Non-Surgical Eyelid Lift -- Periocular Rejuvenation for Puffy Eyes, Sagging Skin Under Eyes, Eye Bags / Renuvion Radiofrequency
Jason Emer, MDDermatologic Surgeon, Board Certified in Dermatology
This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry...
Hi @Celebrated998991! Yes, you are able to fill the piriform fossa. However, this will not get rid of the hard bit of previous dermal filler. Best of luck, Dr. Nima!
For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest...