Treatment for Naso Labial Folds and Sunken Eyes?

I would recommend Restylane to treat the "tear troughs" or under-eye hollows. Filling this area can reduce the tired, bags-under-the-eyes look by yielding a smooth transition between the lower eyelid and cheek. One syringe is usually more than enough to correct both sides. The skin under the eye is quite thin and therefore this injection area should only be performed by experienced practitioners. One of the advantages of Restylane is its ability to be quickly and easily dissolved if there is a lump or area of irregularity. For the nasolabial folds, any number of fillers including Restylane, Perlane, Juvederm Ultra, Juvederm Ultra Plus, Radiesse and Sculptra can be used. 

Best,

Dr. Mehta

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Hi @Glow! I recommend hyaluronic acid dermal fillers. Restylane Defyne works great to smoothen out the nasolabial folds. In addition, Restylane and Belotero work great for the tear trough area. Always seek treatments from expert injectors who have the skill and experience to precisely inject fillers into treatment areas and avoid risks and complications. Best of luck, Dr. Nima!

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting, and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer

Yes, it is possible that BOTOX may make a sunken appearance under the eyes more obvious. This can easily be avoided by changing the BOTOX treatment technique, to avoid treatment of the lowest crows feet and the area under the eyes.

A simple and more effective approach to treating both of these areas would be to use a tissue filler, such as Restylane or JUVEDERM.  These hyaluronic acid (HA) fillers last anywhere from 8-14 months and provide a very natural improvement in both the nasolabial fold and lower eyelid areas, particularly if the problem is only just beginning. 

A more definitive approach in the lower eyelids would be to move or reposition the fat in the lower eyelids surgically for a longer lasting improvement in the sunken, tired look under the eyes.