I'm a 32 yr old male with under eye bags and dark circles. Is topical treatment, or surgery the best option in my case? (photos)
Doctor Answers 5
Dark circles can have many causes in a male or female
The second thing that I can see that is contributing is your anatomy around the eye, and that is something that we can help. You have a very flat, small maxilla and orbital rim relative to your eye, and this creates something we call a "negative vector" relationship in which the eyeball protrudes more than the bony orbital rim and cheek. This is a warning sign for surgeons to be very careful about how bags and protruding fat are managed. What you need is volume under the orbit, or eye socket, to blend in with what is otherwise a normal fat volume above. It just looks like it's protruding because the orbit is small, the eyeball is big, and the cheek bone is recessed. If someone were to simply remove that fat from the orbit, say with a transconjunctival blepharoplasty, you would look hollow, and your eyeball would appear even more prominent. What you need is to either have the bony rim area built up with something or have the fat in your orbit around your eyeball "rearranged." The fatty "rearrangement" (transposition) is something that can be done through your eyelid inside or from the outside depending upon the surgeon's assessment and recommendations for your specific case. That may be more than a young guy wants to go through right now, so you can also have the area very effectively camouflaged with injections of fillers or even some of your own fat from elsewhere on your body. There are many different fillers on the market that will work here; each surgeon will have his or her preferred technique.
My best advice is to find an experienced board certified plastic surgeon, facial plastic surgeon, or occuloplastic surgeon who has a good working knowledge of the anatomy of that area and experience in all forms of treatment for this, so that you will get a good evaluation of your problem in person and then hear about all of the available options to address it. Good luck.
I'm a 32 yr old male with under eye bags and dark circles. Is topical treatment, or surgery the best option in my case?
Following the advice of anyone who would presume to tell you what to do based on limited photos and more importantly without taking a full medical history, examining you, feeling and assessing your tissue tone, discussing your desired outcome and fully informing you about the pros and cons of each option would not be in your best interest. Find a plastic surgeon that you are comfortable with and one that you trust and listen to his or her advice. The surgeon should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS). You should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
La Jolla, California
Bags and dark circles under eye
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You appear to have herniated orbital fat but this needs to be confirmed a consultation.
Under eye bags and dark circles
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