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There are a lot of options for this area and i think a combination approach works best. Filler along with light chemical peels may be effective but I am loving clear + brilliant in this area. Best, Dr. Emer.
A filler like Belotero or Juvederm Volbella will be the best options to fill the tear through area in the lower eyelids, it will make more even the contour between the lower eyelid and the cheeks. The skin color will not change with the filler.
I like Restylane, Belotero or Juvederm for the hollow tear troughs. The dark pigmentation can be treated with bleaching products such as Hydroquinone, Lytera, Lumixyl,M2 and/or lasers such as the Fraxel 1550, PicoSure Focus, Palomar 1540, low fluency Q-Switched Nd:YAG Clear and Brilliant with SkinCeuticals C & E Ferrulic or vitamin C and the Cosmion Mask (See article in Drugs in Dermatology, January 2013.) See a dermatologist who specializes in these treatments.
My tear trough filler of preference for all skin types is Restylane. I fill several under eyes per day with this product, with a very high satisfaction rate.For more information, see the link below.
I would say that its impossible to predict this. I think that aging is the most important factor. We know that fat pads under the skin do things as we age. Good luck with your nutritional efforts! Most people would love to have your problem....as most people eat TOO MUCH :)
Its easy to test if you are allergic, skin testing can be done by your dermatologist. For acne scars, you can use Radiesse without numbing or other fillers without and just do icing. I like Bellafill for acne scars, but it contains lidocaine in it. Best, Dr. Emer.
Dear davebha, The emotional projection of anger usually comes from a scowl and a scowl generally comes from activation muscles that pull the brow together and create deep furrows and a drop of that central brow region. This angry scowly look is often best treated in younger individuals such as...