Help for loss of volume under eye (Photo)

Question

I’m 42 and have noticed a severe loss of volume under my eyes. It has really destroyed my self-esteem and I am looking for a place in my area that would help me to correct this issue. What procedures would be best to help there’s lots of volume I am experiencing? I have also lost volume and my cheek area and noticed that when I purse my lips I have a lot of lines that also show at rest. I feel I look way older than what I actually am. Please somebody in the Portland area reach out. Thank you

Timothy Osborn, MD · Answer

Under eye, or "tear trough" filler is always an option. It lasts a while, but does need to be touched up probably once a year. However, it is a quick way to get some added volume. A fat transfer is also an option, that does last much longer. A small amount of fat will be removed (possibly buccal fat from your inner cheek) and tucked into the area that needs some more volume. Much of the appearance of the under eye is based on lighting and the way light is reflected. It would not take much added volume to see results.

Hung William Song, MD · Answer

Hi, under eye hollows are a very common but it is also an area that is the most commonly treated incorrectly. It is very difficult to get this area to look right using fillers. Because the skin is very thin, fillers can look bumpy and even the slightest reaction to the product can cause noticeable swelling that lasts for a long time. There is also the Tyndall effect where the light reflects off the product in such a way that there is a bluish tinge making it look like there is a persistent bruise.  I like to use your own fat or a technique called PRF gel. These are autologous treatments that are much safer than fillers, and if done correctly, give you a very natural look and stimulate your own body's regenerative process causing it to look even better over time. My practice is on the east coast but Dr. Anil Rajani has an office in Portland and I would definitely recommend that you go see him.

Jason Emer, MD · Answer

The eye area needs significant combinations to get improvement. Lasers like erbium, co2, halo, profractional/contour, or Fraxel can all be used to build collagen long term. Plasma pen is a newer less invasive option but will take many treatments and require proper skincare. Plasma Pen is focused electrical plasma energy to tighten skin, producing small columns of energy just above the skin, allowing the skin to tighten to help improve wrinkles. This area will have 3-5 days of small “dots” that will then scab and peel, then the skin will tighter and brighter after. Numerous treatments are needed over lasers where only one or two give a bigger result, but more downtime. After plasma pen you NEED peels 2 weeks like later Cosmelan, enlighten or aerify, see emeragecosmetics (link). At home derma rolling should be started weekly even after plasma pen or lasers to further increase collagen, see emeragecosmetics AERIFY x anteagemd stem cell ampules. To properly heal you need light Stim red LED, EmerageSkin refit face, refit eye; AnteageMD serum, silagen silicone gel, jan Marini bioshield, EmerageSkin enzymatic polish, and EmerageSkin hyla b and AOX, and Sente dermal repair. Otherwise there is EXTREME risk of pigmentation issues and “dots” in the treatment area. at home peels like cosmelan, enlighten and aerify along with dermarolling (AERIFY emerageskin roller with Anteage MD ampules) should be started now regardless for antiaging, sun damage, and wrinkle prevention. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as eyelid blepharoplasty with or without fat pad repositioning (if doing lower eyelid surgery) will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers, lasers, microneedling/PRP, cosmelan peels, and microneedling RF like Fractora, PiXel8 or morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Jonathan Kulbersh, MD · Answer

Hello, and thank you for your question. You have several options to treat the under-eye area. Small amounts of filler can be injected into the tear trough to add subtle volume and diminish the appearance of fine lines and discoloration. Facial fat transfer uses fat from other areas of your body to treat the sunken area in a similar fashion to dermal fillers but with longer-lasting results. Either of these procedures can also be used to restore definition to the cheek area.

Lasers, Profound RF (microneedling combined with RF energy), and other procedures that help collagen production can be very effective in tightening and refreshing the skin as well. To determine the best treatment for you, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon. Your surgeon can do a proper evaluation, customize the best treatment plan, and ensure the best possible results.

Vibha Gambhir, MD · Answer

Hello, and thank you for your inquiry! Cheek filler is a great way to add volume to your cheeks and also camouflage under eye concerns. Cheek filler should also make you feel overall lifted. As far as the lip lines are concerned - upper lip Botox is a good option. Good luck on your journey!

Geeta Yadav, MD · Answer

Thank you for your question! As you age, it’s completely normal to experience facial volume loss. Dermal fillers, specifically hyaluronic acid (HA) fillers like Restylane and Juvéderm, are considered a safe and effective option for adding volume to the midface, including the cheeks and under eyes. Results from filler are instant and can last anywhere from six months to a few years, depending on the type of filler you choose and the area treated. Just be sure to book a consultation with an experienced provider who can determine the best treatment plan for your concerns. Hope this helps!

Mona Khurana, MD · Answer

Hi Hh3, 
This is a common issue that comes up for patients. I think you would benefit from cheek and under eye filler. Of course, your injector will have to assess the under eye area to ensure that you are good candidate. As we get older, the volume loss in our upper cheek bone and mid cheek can cause the tear trough (under eye) area to look more pronounced. My first line approach is cheek filler to support the tear trough area. I will often inject a small amount of filler in the tear trough as step 2, with a filler that is designed to be used in this delicate area.You should make sure to go to an experienced injector as the tear trough area requires an advanced skill and experience.Thanks Dr. Mona Khurana

Camille Cash, MD · Answer

Fillers are a great nonsurgical option to address loss of volume in the face.  They can be used in the areas you mentioned to improve contours.  You can consider adding Morpheus8 treatments to enhance your results.  They combine RF technology with microneedling to improve overall skin tone and texture.

Leonard Grossman, MD · Answer

It’s not just the lower eyelid area that loses far as the person ages and in your case, but it’s the whole face, it is your eyebrows and upper eyelid, as well as the cheeks and the sides of the face, temples, all lose volume. Loss of volume translates in to the collapse of the face. Until recently most plastic surgeons would perform a face lift, but that would only make the individual look tighter and not necessarily more youthfull. I personally have been performing fat grafting to the face since 1993. With that procedure the patients lose at least 15 to 20 years in their appearance. The results are extremely natural and permanent. The best part of all, the individual after fat grafting looks exactly like themselves  but at a much younger age. I hope this helps I would like from York City plastic surgery

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,

You need fillers.  See an expert injector and discuss tear trough filler as well as cheek and jawline filler. 
make sure you see an expert injector.

Best of luck!

Help for loss of volume under eye (Photo)

Answers (10)

More Dermal Fillers Questions

Is the dent on my cheek a Malar bag or a sunken cheek? Needing solutions! Melbourne, Australia (Photos)

What fillers would I need to get in order to have more symmetry between the 2 sides of my face? (Photos)

Dent (Ripple) on forehead. What can be done to fix it? (Photo)

Age 26, puffy under eyes in the morning & hollowing due to aging - blepharoplasty candidate? (Photo)

What is happening to my face and teeth? How can it be fixed? (Photos)

How to correct/improve marionette lines in 20s? (Photos)

WE SEND PRETTY
EMAILS