Restylane Candidate? (photos)
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Doctor Answers 11
Thank you for sharing your question and photo. While fillers are a good option for some, I believe you would have much better results with a lower blepharoplasty with fat transposition. The herniated fat pads under the eyes causing the “bags” can be re-positioned to be more flattering and also fill the hollowing you are noticing. This procedure does have more down time than dermal fillers, however the results will be more aesthetically pleasing and longer lasting. I recommend consulting with a board certified plastic surgeon who can evaluate you in person without any make up on to discuss your best treatment options.
Good luck, please let us know how it goes.
-Dr. Constantino Mendieta
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Lower eyelid bags, dark circles and shadowing
Thanks for sharing your photo. Your eyes and skin are beautiful yet aging has unflattered them. A in-person exam is essential but based on this limited view, consider the following:
- Restylane and other fillers may help if performed by a expert injector with significant experience and talent. Filler is used to increase volume and may add or exaggerate the fat bags and shadows you present.
- A fiber wall normally restrains the fat behind the eye but laxity associated with aging allows the fat to protrude and create a hollow above and a shadow below. Fillers will not help this.
- A lower lid blepharoplasty or eyelid lift will help by removing the fat excess allowing the retaining wall to firm up the lower lid and in skilled hands elevate the cheek as well.
- Consider botox or brow lift to fully frame your eyes in a positive light.
Retylane and tear trough
Be careful with tear trough injections with hyaluronic acid.
Under Eye Filler
Part of your main problem is that you have fat herniation from your obits. Over time, the fat that is around the eyes can protrude - which can also add to the shadows. Having said this, your best bet may be to learn more about a lower lid blepharoplasty to remove this fat, and to give you a smoother and more youthful contour. Typically, this is done in conjunction with fat grafting or the fat from the lower orbit is moved into the tear trough (the groove that you have that sweeps down onto your cheek) to help smooth out the overall contour.
I would suggest having an in-person consultation with a Plastic Surgeon to hear more about your options, and to have a more accurate assessment of your lower lids, to assess any skin laxity, and to truly see which option can give you the best result.
Restylane under eyes
The choice of cannula or needles for under eye injections is doctor preference. I have tried injecting under eyes both ways and get much better results with a needle.
Will Restylane conceal the bags?
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.