Are there any non-surgical procedures that can help my under eyes? (Photos)

Based on your photos, showing thin under eye skin and bulging congenital fat pads, removing these surgically might be the best way to move forward, depending on your examination. Fillers in this area may lead to a puffier under eye appearance that may be difficult to reverse if you don't like the outcome. I hope this helps. Sincerely, Dr Joseph

Persons who have small cheek bones, malar hypoplasia, develop tear through deformity, eyelid fat pads and dark circles around the eyes, very early. Augmentation of the cheeks by means of cheek implants or fat grafting, as well as transconjuctival lower blepharoplasty are ways to correct this condition. In person consultation with a board certified plastic surgeon with expertise in these procedures is recommended. Good luck.

There is no substitute for a detailed in person examination. However, you very much look like you could do great with under eye filler. I only work with Restylane for this application. Many of the other products are too runny and not appropriate for this location. It is a fussy service so you need a fussy injector with a very good eye for periocular aesthetics. This is a very comfortable office service and if there is an issue with a treatment, it can be effectively modified with an injectable enzyme, hyaluronidase.

Since the upper portion of the midcheek serves as a major support for the under-eye areas, the use of an appropriate HA volumizing filler for a mid-cheek augmentation, properly injected an experienced, board certified cosmetic dermatologist filler expert, can help to diminish the under-eye bags and to some extent lighten the dark color, as well. The improvement is immediate.
If still necessary, the at-home use of appropriate Rx skin lightening topicals, accompanied by a series of in-office superficial peels can be used to further lighten the dark circles.
Hope this helps and best for the New Year.

In our practice, non-invasive treatments simply won't work for this issue, since you have herniated fat out of the orbital septum, creating the puffiness in your lower lids. There are three fat pads in the lower lids on each side. In our practice, we remove those fat bags through a tiny little incisions on the inside of the lower lid under a brief general anesthesia is an outpatient procedure. There are no external incisions.