30 Years Old and Very Bad Under Eye Bags and Extremely Wrinkled Skin - What is the Best Procedure to Fix This? (photo)

Question

I am 30 years old and genetics have blessed me with extremely thin eye skin and under eye bags, aging me beyond my years. I am most concerned with removing the excess skin/wrinkles under my eye that get much worse when I smile and also the bags. Would a fat removal or transfer help? I find it hard to smile when talking to someone face to face knowing they will see how terrible my wrinkles look. My skin elasticity is pretty bad. What can be done?

Amiya Prasad, MD · Answer

There are a lot of options address under eye bags, but developing a
good treatment strategy is very important. When people come to me for
puffiness, I first teach them that if the puffiness under the eyes is always
there regardless of allergies, sinuses or getting enough sleep, it is more than
likely lower eyelid fat prolapse. Genetics are partly a cause. Lower eyelid fat
prolapse is herniated fat that pushes forward, and regardless of the amount of
sleep or any other topical treatment, it won’t change.A very popular approach to lower eyelid surgery mostly done by general
plastic surgeons is an external or transcutaneous blepharoplasty. This
procedure is used when there is wrinkled skin and extra skin in the eyelids.
Unfortunately, patients often end up with a widened scar on the outside and
have too much skin removed. This leads to eyelids being pulled down which is
called lower eyelid retraction. In younger people, I generally do a procedure called transconjunctival
blepharoplasty. This is a procedure where I go from the inside of the eyelid to
address the fat pockets. There is also a combination procedure such as
resecting, removing and repositioning that we perform based on the individual
anatomic situation. The great thing about this approach is that there is no
external incision and there is no compromise to the anatomy of the support
system of the lower eyelid.  In our practice, we have a couple of different approaches that helps
skin quality which are not a one-time procedures. Lower eyelid puffiness can be
a one-time procedure, but skin quality generally requires ongoing care because
the skin is living and always changing. What we typically do with lower eyelid
blepharoplasty is an injection of platelet-rich plasma. Platelet-rich plasma is
the serum of blood after it has been spun down. The serum above the red blood
cell is separated is rich in platelets- 
the cells responsible for healing. It stimulates collagen remodeling
that improves the quality of the skin and it also has something called vascular
endothelial growth factors which stimulates blood flow and blood supply.Depending in the skin, we’ll also do fractional CO2 laser or radio
frequency such as Pellevé to help tighten the skin. On top of that, we will
also do a steady enhancement using topical skin care products. We have our own
skin care line. One of the products is called Eye Rescue and also other
products with different strengths of retinols. When I designed these products,
I wanted them to have good moisturizing capability and rapid cell turnover. Over-the-counter
topical products are limited amount in their active ingredients by law.
Fortunately, our products are dispensed under the supervision so they contain stronger
active ingredients.  I hope that was
helpful to you, and thank you for your question.

Todd C. Becker, MD, PhD · Answer

Radiofrequency can stimulate new collagen, dramatically improving your skin texture and wrinkles. Sublative treatments have minimal downtime and can give great results in 3 sessions.For a more aggressive approach, ePrime can deliver radiofrequency directly to the reticular dermis. This stimulates collagen, elastin and hyaluronic acid production. The skin will look and feel healthier with just one treatment. I like to combine this with fractionated CO2 in the same treatment session. The improvement in just 3-4 weeks is amazing.

30 Years Old and Very Bad Under Eye Bags and Extremely Wrinkled Skin - What is the Best Procedure to Fix This? (photo)

Answers (2)

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30 Years Old and Very Bad Under Eye Bags and Extremely Wrinkled Skin - What is the Best Procedure to Fix This? (photo)

Answers (2)

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Everything you need to know about Eyelid Surgery

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