Problematic under eye area - What is wrong with my midface? (Photo)

Question

It looks like really bad underlying bone structure which makes my face look like its melting . The eye area is very problematic

Semih Yildiz, MD, FEPOBRAS · Answer

The photo is cropped, so only the upper midface and lower eyelid area can be judged. In the visible area, the concern looks more like tear-trough hollowing/shadowing and limited lower-lid-to-cheek support than simply bad bone structure. Lighting, brow position, and facial expression can also make this area look more severe.

Treatment depends on an in-person exam and skin quality. Mild cases may improve with very conservative tear-trough or cheek filler, but filler in this area must be done carefully to avoid puffiness or a bluish shadow. Other options can include fat grafting, lower blepharoplasty, or a midface/cheek-lift type procedure if there is true tissue descent.

A full facelift is usually not the first step for an isolated under-eye concern. An exam with an oculoplastic or facial plastic surgeon can help separate whether the main issue is skin, fat pads, ligament/cheek support, or bone projection.

Problematic under eye area - What is wrong with my midface? (Photo)

Answers (1)

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