Sagging/puffy face, malar/cheek creases, eye bags, what can be done for me? Any doctors in the NYC area? (photos)

Question

I am 24 and have these malar creases for quite a while, but I am noticing them even more so over the past year, coupled with extensive facial sagging. I eat healthy, exercise, and drink plenty of water. I use several expensive anti-age serums, moisturizers and face masks every day. I don't smoke or drink alcohol. What can be done for me, any doctor recommendations in my area? I live in NYC and want to look my best. I feel so self conscious lately, and finding myself covering my face constantly.

Camille Cash, MD · Answer

You are doing the right things by taking care of your body, but this issue is likely genetic and environmentally based.  You will see the best results with a combination of treatments.  Fillers work well to disguise contour irregularities.  Lasers, chemical peels, and microneedling (Skin Pen) help to improve skin tone and texture.  I recommend speaking with an expert injector in your area to determine the treatments best for you.  Remember to use sunscreen every day as well.

Adam Scheiner, MD · Answer

Dear NYC,It appears from your photos that you have lower lid fullness and festoons which can make a person appear tired, old, or drunk even when they feel fine inside. These usually appear with age but can occur in certain individuals when they are young. The fullness is best addressed with surgery to remove or relocate the fat pushing forward into the lower eyelid region in this area. The festoons are difficult to treat and are related to swelling in the lower eyelid and cheek region. I've had success using lasers to improve this condition.I'll include some links below.I hope this was helpful.

Jonathan Kulbersh, MD · Answer

Under eye bags 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. 
I hope this helps!

Jason Emer, MD · Answer

A combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve this. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

Aldo Guerra, MD · Answer

Thanks for your question. You need a formal consultation with an in person examination. Here’s what you can consider: Dermal filler: tear trough, cheeks and laugh line folds! Lips are more optional. Consider Restylane Lyft, Define, and Restylane.Surgical a Buchat Fat pad excision might be reasonable too. See an expert! Dr. Aldo

Sagging/puffy face, malar/cheek creases, eye bags, what can be done for me? Any doctors in the NYC area? (photos)

Answers (8)

Answer: Improving Under Eye with Fillers (Belotero, Volbella, Restylane Silk), Fraxel, Microneedling/PRP

Answer: Improving Under Eye with Fillers (Belotero, Volbella, Restylane Silk), Fraxel, Microneedling/PRP

Answer: Sagging face malar creases.....

Answer: Sagging face malar creases.....

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Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

Sagging/puffy face, malar/cheek creases, eye bags, what can be done for me? Any doctors in the NYC area? (photos)

Answers (8)

Answer: Improving Under Eye with Fillers (Belotero, Volbella, Restylane Silk), Fraxel, Microneedling/PRP

Answer: Improving Under Eye with Fillers (Belotero, Volbella, Restylane Silk), Fraxel, Microneedling/PRP

Answer: Sagging face malar creases.....

Answer: Sagging face malar creases.....

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Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.