What can I do about the pronounced diagonal lines under my eyes? (Photos)

Question

I’m 33 and have lost a lot of cheek volume in the last 4 years. The result is a diagonal line (festoon?) under my eye running from the inside corner to the mid cheek. In addition to making me look tired/ sick it also makes my resting face look unfriendly. I got too much sun in my 20s. Recently I’ve been religiously using toner, moisturize and sun screen, but the lines persist. What lifestyle changes can I make to help or prevent it from getting worse? Or what are my surgical options? Thanks!

Shanthala Shivananjappa, MD · Answer

As you have stated that you have lost a lot of volume, and as a result you are noticing the lines under the eyes and extending into the mid cheek area. In my opinion you should consider the combination of PRP and HA based filler such as Juvederm or Restylane. The PRP will enhance the results by improving the volume and by producing neocollagenesis.

Jason Emer, MD · Answer

Thank you for the photos, a combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve lines under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. I hope this was helpful. Best, Dr. Emer

Mark Kearns, MBChB, BSc, FRACGP · Answer

Hey Ben  - youll get a great result from cheek volume injections and a slight masculine looking lift - if you still have tear troughs after this I'd consider injecting them then, but would certainly do it in that order.

Ray Bayati, MD · Answer

Hello,
Looking at the photos, it is possible to inject filler in the cheek apple area. That would improve the face structure and quite likely the issue would be resolved.
Best
Ray Bayati, MD

Reza Akef, MD · Answer

Hi and thanks for your questionYou are a very good candidate for filler injection in the tear through area.By injection of small amount of filler you can get some lifting effect and more smoothness in this area and generally more fresh looking.This injection needs an advanced injector who is familiar with the anatomy of the area and good experience. I recommend to consult wit an expert injector

Blair Armstrong, MD · Answer

Hello! From the pictures it doesn't look like you have festoons but rather descent of your malar fat pad leading to a more pronounced tear trough and cheek / eyelid junction. This is something that could be treated with dermal fillers. I use a combination of products in this area.  I prefer thinner products near the delicate eyelid skin to prevent the tyndall effect and irregularities.  A thicker product can provide support to the cheek. Make sure to seek treatment from an expert injector with a thorough understanding of this delicate anatomy.

Spa 35 - Boise · Answer

We lose collagen and bone as we age , and this is a common break in the fat pads that we see develop in the mid face. Dermal filler placed in this area and the cheekbones can restore some structure and help with the volume deficit, minimizing the appearance of the breaks For 12-24 month . Make sure to see an experienced injector.

What can I do about the pronounced diagonal lines under my eyes? (Photos)

Answers (7)

More Dermal Fillers Questions

WE SEND PRETTY
EMAILS

Answers (7)

More Dermal Fillers Questions

How long do they keep the remaining half of the syringe when lip injections are done?

How can I fix a very noticeable cortisone injection indent? (Photos)

How do I remove this hemosiderin stain deposit that was left after a terrible tear trough filler gone wrong? (Photo)

My lower cheeks / jaw line looks sucked in. I'm considering fillers. What would you recommend? (Photo)

What can be done to reduce the lines and the pouchy sags just to the outside and below my mouth corners? (Photos)

Filler in masseter? Will the the Masseter go back to its originial size?

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS