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37, What would you recommend as an aesthetic procedure to help with eye bags and creases? (Photos)

Wonder19Dec 1, 2025
I am a 37 yr old woman, who has always had eye bags (my father had them, my child has them). I didnt had an issue with them as I covered them up with my glasses. I got lasik done and now the eye bags, have wrinkles and creases. I know we get old and the crow feet dont bother me, but the wrinkles under my eyes which have a lot of folds because of my eye bags. Used to have them dark circles, but it has improved in the past 4 months, sometimes they look hollowed. I do hydration, and serums and red light therapy, however the creases seem to be more and more each day.

Answers (1)

From board-certified doctors and trusted medical professionals
Anil R. Shah, MD profile photo
Dr. Anil R. Shah, MD
Board Certified Facial Plastic Surgeon
4.6 | 374 Reviews
Answered on Dec 4, 2025
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Nelson Lee Novick, MD

At least from the photo, this would be an appropriate issue to treat with simple electrocautery following local anesthetic to numb the skin. The remnant should shrink once and for all with the proper application of the electrocautery. I have actually treated active chalazions in this fashion...

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Nelson Lee Novick, MD

For treating hooded eyelids, I would suggest you check out "The Ten Minute Eyelift," which is a simple, in-office procedure in which, following local anesthesia, low intensity electrocautery is used to literally shrink the hooding, resulting in retraction of the hooding and greater exposure of...

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Jeffrey M. Darrow, MD

Thank you for your photos. It does appear that you have less volume in your right upper eyelid vs your left. As volume retention around the eyes helps maintain a youthful appearance, you may consider a skin only revision on the side with the better volume and very judicious, micro fat grafting...

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Kenneth D. Steinsapir, MD

This is caused by relative maxillary hypoplasia. The orbital rim needs to be augmented. This is best done with a custom orbital rim implant. I have evaluated a range of materials for this work and in my opinion, the best material is ePTFE. This implant material is FDA approved for deep facial...

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Tania Hassanzadeh, MD

Hi there, Thank you for providing detailed medical history and photos! While I cannot see enough of your lower eyelid/tear trough in your bottom photo (which I assume is after surgery) to comment on hollowness, it does seem to me that you have a thickened eyelid muscle. This is called the...

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Jeffrey M. Darrow, MD

Thank you for your photos.You appear to possess close to the “ideal” eyelid measurements of a youthful eyelid and surrounding tissues, ie 1). the brow is above the bony orbital rim. The distance from the bottom of the brow to the upper eyelid crease is at least 1 cm. The upper eyelid cre...

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