Would fillers help my under eye bags? If so, which ones? (photos)
Doctor Answers 6
Treating the Hollow Under the Eyes with Filler (just the hollows) vs. Cheeklift Surgery (the hollows and cheeks)
Fillers are a good less invasive option and they can help you to minimize the appearance of puffiness, dark circles and indentations in your tear trough area. Typically at my practice, we use Juvederm Ultra or Belotero for the tear trough area. These help to fill in the indentation and decrease the severity of the puffy look. Additionally, a "liquid facelift" approach to the hollow area combined with a thicker filler like Voluma for adding volume to the cheek can used.
Cheek-lift surgery is an altogether different approach that has a more significant impact in its ability to provide a long-term youthful result and full facial shape, and can have a more pleasing result based on re-establishing facial and cheek curves. The goal with surgery is for a more long-term result that provides a natural, "younger version of yourself" appearance by reversing a flattened appearance. Fat transfer techniques can also be combined with surgery to add volume and fullness, although I do not recommend fat transfer to the tear-trough area.
Both options are good options, but are significantly different. I would recommend a personalized consultation with an experienced surgeon to evaluate your goals in more detail. As always, I would ask to see photos of patients that are similar to you that have had these treatments.
Below I have linked to a patient where I performed an intra-oral cheek lift using small incisions inside the mouth and tiny incisions within the hairline.
Hope this helps.
Nick Slenkovich MD, FACS
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Surgery is a better option.
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