Negative vector eyes, eye bags, and hollowing: what is the best approach? (Photo)

Question

I have negative vector eyes, the beginnings of eye bags, and also hollowing under the eye bags. What are some suggestions for ways to improve this trifecta of issues?

Jonathan Kulbersh, MD · Answer

Under eye bags and hollowing can be permanently corrected with surgery or temporarily camouflaged with fillers.There are great non-surgical options to fill in under eye depressions and hollowness. Using dermal fillers, a liquid eye-lift can be performed. A dermal filler such as Restylane would be placed in the cheek and tear trough to hide the depression or bag underneath your eye.
Surgery would require a fat-repositioning lower lid blepharoplasty. In this surgical procedure, fat from the eye area is moved into the tear trough depression filling the actual depression. Cost will vary and can be discussed at your consultation.
I hope this helps!

Patrick Flaharty, MD FAACS · Answer

Your photograph shows significant hollowness under your eyes which creates shadowing and dark circles.  This can usually be significantly improved using fillers. The cannula technique is the ideal way to correct this hollowness by delicately layering the filler into the deficient area while minimizing the risk of swelling or bruising.   This is a quick in office procedure with little or no downtime. Sometime the filler is enough to disguise the bulging fat pockets thereby delaying the need for surgical fat removal from the lower eyelid. If the fat bags persist and are bothersome then selective fat removal via a transconjunctival blepharoplasty could be considered to reduce the visible bags.

Negative vector eyes, eye bags, and hollowing: what is the best approach? (Photo)

Answers (2)

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