What would you recommend for these under eye bags? Are fillers worth the risk? (Photo)
Doctor Answers 15
What would you recommend for these under eye bags? Are fillers worth the risk?
Typically eyelid bags are best treated with a lower blepharoplasty procedure (with or without fat transfer). Fillers to the area do not correct the eyelid bags (which are, simplistically speaking, herniated fatty tissue). Fillers, even when done perfectly, only camouflage the bag in certain lighting and eye positions, and truly most people are not good candidates for fillers.
The attached link provides more information.
I hope this helps.
Fillers are generally safe, but can only treat slight under eye bags. Surgery is a more definitive, long-term treatment
I can certainly help you with this question. To give you a little about my background — I am a Board-certified cosmetic surgeon and a Fellowship-trained plastic and reconstructive surgeon, practicing in Manhattan and Long Island for over 20 years. Improving the appearance of eye bags and dark circles has always been a big part of my practice, so I can certainly give you some guidance.
To understand how under eye bags and dark circles can be addressed, we have to define the anatomy and then the possible options. First and foremost, under eye puffiness is usually caused by lower eyelid fat prolapse where the fat around your eyes is pushed forward, creating these bags. Several years ago, it was learned that hyaluronic acid fillers could be used to help mask the appearance of mild under eye bags. Nowadays, some physicians are still trying to address under eye bags by adding more filler around the eyes, though this often only leads to emphasizing the eye bags even more negatively. As a result, patients often need to get hyaluronidase in order to dissolve the unwanted volume.
When dealing with under eye bags, it is advisable to deal with them more definitively via a procedure called a transconjunctival blepharoplasty. This procedure is performed under LITE™ sedation, and allows the surgeon to address the fat pockets from inside the eyelid. In addition to this, I would also do a combination treatment of platelet-rich plasma and fractional CO2 laser for skin quality improvement. Platelet-rich plasma is a concentration derived from your own blood and is made up of wound healing factors that stimulate the body to form more collagen and improved blood supply, while fractional CO2 laser tightens the top layer of the skin and reduces the appearance of wrinkles.
Many people opt for fillers because they feel that they are less invasive. I say otherwise because once you pass the needle through the skin and place a foreign material underneath the skin, that is already considered an invasive procedure.
When dealing with cosmetic concerns of the eyes, it is important to understand that the cheeks also play an important role. The cheeks actually accentuate or frame the face, so placing volume in this area, at a much deeper level, can do wonders for the overall balance of the face. A technique that can help achieve this is called structural volumizing, and certainly fillers do play an important role in this.
Ultimately, this is an art, and if you consult with several different doctors about this, you will most likely get several different answers and ideas. What is important is to be properly informed of the different methods and options there are in addressing your concern. I recommend that you meet with experienced specialists, find someone who you are comfortable with, and find someone whose work you feel confident in. It is also important that you find someone who spends enough time understanding your cosmetic concerns, and someone who can properly explain all the possible options to you.
I hope that was helpful and I wish you the best of luck!
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Dr. Sheila Nazarian
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Thank You for your question. There are several options for you to choose from. Surgically, would be a Blepharoplasty. Non Surgically would be fillers, ie. Restylane or Juvederm Voluma. I would recommend you see a Board Certified Plastic Surgeon to determine which treatment would best fit your needs. I hope this helps and good luck to you.
Filler for eye bags
See a board-certified plastic surgeon with experience in both filler and surgery for an examination and to discuss your options.
Under Eyelid Bags
Dark Circles, Eyelid Wrinkles/Bags Treatment -- Restylane or Belotero with Cannulas, Clear+Brilliant, Eclipse Micropen, Viva
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.