Hi there I am just about to turn 24 and I have hollowness under my eyes which im sure is the reason why my skin wrinkles together when I smile. I am starting to get crows feet and signs of aging and I don't want to age this badly this early. I have attached some photos and I am hoping that someone will be able to give me there opinion. I want a permanent or as permanent as I can get fix. I am not worried about money I want suggestions please. I hope someone can help I don't want to age badly :(
Answer: The leading treatment for this is nothing. These are normal. You will look freakish if you do not have these rolls under the eyes. Don't let someone freeze these with botox. This fullness is a normal part of your smiling face. People you interact with are looking for these cue to let them know you mean you smile.
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Answer: The leading treatment for this is nothing. These are normal. You will look freakish if you do not have these rolls under the eyes. Don't let someone freeze these with botox. This fullness is a normal part of your smiling face. People you interact with are looking for these cue to let them know you mean you smile.
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December 27, 2016
Answer: Eyes: high real-estate The eyes are the area that people look at 80% of the time during a conversation. So this is prime Real-estate. You are young so you want to be conservative. There are some temporary and simple things you can try to improve your look but I would be careful and make sure to not over do it at such a young age.
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December 27, 2016
Answer: Eyes: high real-estate The eyes are the area that people look at 80% of the time during a conversation. So this is prime Real-estate. You are young so you want to be conservative. There are some temporary and simple things you can try to improve your look but I would be careful and make sure to not over do it at such a young age.
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Answer: Graceful aging around the eyes! My favorite option for crow's feet lines that are starting to show up is a neuromodulator such as Botox/Dysport/Xeomin. The treatment will soften and probably erase those early lines. Because the treatment only last 3 months, you have to keep up with the treatments to keep the results. In terms of the under eye area, I'm not seeing much in terms of puffiness/bag or hollowness (may not be coming through as well in that lighting). The best way to evaluate the area is in a consultation to examine the extent of hollowness. For early aging changes under the eye, a filler is a great option. The filler is temporary and when placed deep and conservatively by an experienced injector, the risk of irregularity or migration is very low. Fillers are great options for patients who aren't interested in the downtime from surgery and who want an immediate result. Most fillers in the US are FDA approved for 21 years and older. For me, fillers tend to be more predictable than fat grafting and avoid the need for an additional procedure to harvest the fat - especially as the first option. That being said - some surgeons have a lot of success with fat grafting. I recommend more than one consultation with qualified surgeons to explore your options. A lot depends on your exact examination and goals.
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Answer: Graceful aging around the eyes! My favorite option for crow's feet lines that are starting to show up is a neuromodulator such as Botox/Dysport/Xeomin. The treatment will soften and probably erase those early lines. Because the treatment only last 3 months, you have to keep up with the treatments to keep the results. In terms of the under eye area, I'm not seeing much in terms of puffiness/bag or hollowness (may not be coming through as well in that lighting). The best way to evaluate the area is in a consultation to examine the extent of hollowness. For early aging changes under the eye, a filler is a great option. The filler is temporary and when placed deep and conservatively by an experienced injector, the risk of irregularity or migration is very low. Fillers are great options for patients who aren't interested in the downtime from surgery and who want an immediate result. Most fillers in the US are FDA approved for 21 years and older. For me, fillers tend to be more predictable than fat grafting and avoid the need for an additional procedure to harvest the fat - especially as the first option. That being said - some surgeons have a lot of success with fat grafting. I recommend more than one consultation with qualified surgeons to explore your options. A lot depends on your exact examination and goals.
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November 12, 2021
Answer: Fat grafting or fillers for under eye bags? This is a great question andthank you for the attached photos! Based only on what you mentioned and thephotos that you have attached, I see your eyes and smile appear well and normalfor your age. You need to keep in mind that there are some individuals whoexperience puffiness under the eyes when smiling. This is because theirorbicularis muscle is stronger compared to others, hence, it puffs a littleunder the eyes. This is not really because of fat prolapse.
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November 12, 2021
Answer: Fat grafting or fillers for under eye bags? This is a great question andthank you for the attached photos! Based only on what you mentioned and thephotos that you have attached, I see your eyes and smile appear well and normalfor your age. You need to keep in mind that there are some individuals whoexperience puffiness under the eyes when smiling. This is because theirorbicularis muscle is stronger compared to others, hence, it puffs a littleunder the eyes. This is not really because of fat prolapse.
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November 26, 2020
Answer: Under eye bags/rolls I never like to consult based on photos but what your photos seem to show is very common. Some people, when they smile, have a very strong orbicularis muscle the "bunches up" a bit under the eye. It's not a fat pocket, although sometime it can be related to losing volume around the eyes as we age. Firstly, there is nothing "wrong" with your smile and it doesn't age you, from what I can tell in the photos, but if it bothers you, seek out a consultation with a board certified oculoplastic surgeon and injection specialist. This is usually treated very effectively and without significantly changing your smile with a few units of botox injected just under the skin over the overactive muscle. While the treatment is not "permanent", you don't want permanent treatments on your face (trust me) because your face changes slightly every few months as you age and what looks good now, may not look good 5 years from now. That said, this "off label" use of botox or one of the other neuromodulators has a long term effect because after a series of treatments (usually patients come in 3 times per year) the muscle in the area becomes weaker and atrophies and in my experience, patients need less and less treatment (or none at all as they age). It is not a risk free treatment though because if too much botox is injected in this area, the eyelid can droop or retract down, and that is not an attractive look. So it's essential to be treated by someone who has experience with these types of treatments. DO NOT , in my opinion, have surgery to remove the muscle or thin it out. It almost never looks natural and often causes all types of problems years down the line.I hope that helps and best of luck!
Helpful 7 people found this helpful
November 26, 2020
Answer: Under eye bags/rolls I never like to consult based on photos but what your photos seem to show is very common. Some people, when they smile, have a very strong orbicularis muscle the "bunches up" a bit under the eye. It's not a fat pocket, although sometime it can be related to losing volume around the eyes as we age. Firstly, there is nothing "wrong" with your smile and it doesn't age you, from what I can tell in the photos, but if it bothers you, seek out a consultation with a board certified oculoplastic surgeon and injection specialist. This is usually treated very effectively and without significantly changing your smile with a few units of botox injected just under the skin over the overactive muscle. While the treatment is not "permanent", you don't want permanent treatments on your face (trust me) because your face changes slightly every few months as you age and what looks good now, may not look good 5 years from now. That said, this "off label" use of botox or one of the other neuromodulators has a long term effect because after a series of treatments (usually patients come in 3 times per year) the muscle in the area becomes weaker and atrophies and in my experience, patients need less and less treatment (or none at all as they age). It is not a risk free treatment though because if too much botox is injected in this area, the eyelid can droop or retract down, and that is not an attractive look. So it's essential to be treated by someone who has experience with these types of treatments. DO NOT , in my opinion, have surgery to remove the muscle or thin it out. It almost never looks natural and often causes all types of problems years down the line.I hope that helps and best of luck!
Helpful 7 people found this helpful
