I am a 50 year old woman with her eye bags with a dark tinge. Concealer just makes it worse. What can I do? (Photo)

Answer:
From your picture, it appears you have lost some of the fat below your lower
eyelid, causing a tear trough to form. This is a normal part of the aging
process, but the lack of fat between the thin skin under your eyes and the
blood vessels below, creates a darkened appearance. The mounded “bag” below
your eye (the tissue mound which holds the eye in the socket), casts a shadow
on the darker area below, making it appear even darker. The most effective
solution is to replace the lost fat with a transfer of your own fat, usually
taken from the stomach or love handles, to replace the fat you’ve lost as you
age. This is a long-lasting non-surgical solution.

The
next-best option would be to use a dermal filler in this area. I personally
like Belotero for under the eyes, as it does not have the blueish coloring some
other fillers do, and creates a very soft, smooth appearance. Hyaluronic Acid
fillers, like Belotero, Juvederm, and Restylane last for varying amounts of
time, usually a few months to a year. Your body slowly metabolizes them, so
your tear troughs would slowly re-appear over time without retreatment.

There
is no truly non-invasive option which would replace the volume of fat you have
lost. However, both fat transfer and dermal fillers are minimally invasive, so
the downtime is fairly short.

I would probably recommend a touch of HA filler such as Restylane in the tear trough area to fill in the hallow and reduce the appearance of dark circles. Schedule a consultation with a board certified plastic surgeon in your area to discuss. My best,Dr. Sheila Nazarian@drsheilanazarian on Instagram

I WOULD TRY FILLERS BEFORE GOING IN AND DOING SURGERY , THE DIFFERENCE BETWEEN FAT TRANSFER AND FILLERS ARE FILLER ARE LESS INVASIVE AND CAN LAST 6-9 MONTHS SOMETIMES UP TO A YEAR DEPENDING ON WHICH ONES. FAT TRANSFERS ARE USUALLY SURGICALLY DONE WITH LIPO AND TRANSFERRED TO ANOTHER AREA OF THE BODY. A FAT TRANSFER CAN ALSO BE DONE THROUGH A LOCAL AFTER SURGERY FOR A REPEAT FAT INJECTION. FAT INJECTIONS OR TRANSFERS ARE USUALLY MORE PERMANENT. THIS IS SOMETHING THAT YOU MAY WANT TO SPEAK TO YOUR DOCTOR ABOUT IN A CONSULTATION AND SEE WHAT YOUR OPTIONS ARE.