Under Eye Bulge and Discoloration
The bulge is due to excess fat in your lower eyelids. This can be removed via a transconjunctival incision to spare you a skin scar. Said differently, an incision on the inside of your eyelid can be used to tease out the excess fat. The discoloration is a separate issue. It's a tough issue to eliminate. Swelling, congestion, allergies, and plain old genetics are often to blame. I'd put you on a skin care regimen with the intention of using products to help lighten the skin on that area. I'd also use light-based treatment to lighten the pigment in your skin.
Thank you for sharing your question and photo. The problem you are
noticing is very common and often due to loss of volume in the under eye area
causing a "hollow" appearance. The easiest fix is
carefully injecting a hyaluronic acid filler into this area to offset the
volume loss. In my practice, I have had excellent success using Restylane for
this area as it provides a very natural aesthetic. I also prefer to use the
microcannula technique (instead of the traditional sharp method), which
minimizes bruising and allows filler to be evenly injected using only one entry
point. I recommend consulting with a board-certified surgeon who has experience
using the mircocannula technique in the tear trough area. Best of luck!
Rejuvenating under eye area
It is hard to make recommendations based on one photograph. Very often the appearance of bags are related to bony changes in the face over time as well as volume loss due to fat loss in the fat compartments of the face. Often times we find that lifting and supporting the cheeks with Radiesse can augment the eyes and balance the features. We can further correct the delicate under eye area by using thinner and softer hyaluronic acid fillers such as Restylane. It is an off-label treatment and is best done by a trained oculoplastic surgon. Dark circles maybe due to a combination of shadowing as well as hyperpigmentation. Hyperpigmentation can be often treated with topical products, such as hydroquinone and vitamin K, as well as light chemical peels and Intense Pulse Light laser treatment. The shadowing can also be improved significantly with injectable fillers.
Seek out a trained injector surgeon who specializes in aesthetic medicine to find out all your options. Best of luck.
Hello and thanks for posting your question!
The quality of the picture you sent is not ideal for assessment. That being said, under eye solutions range from noninvasive peels and lasers to help tighten skin and improve texture all the way to surgical excision of skin and fat. Based on what I see, you may benefit from skin improvement +/- excision of protruding fat in the under eye area. Fat excision in people who are otherwise young and with no skin excess can be done with a hidden incision of the inside of the lower eyelid.
I find that fillers typically do not correct the under eye shadows as much as we would like them to and most patients typically turn to surgical options after being unsatisfied with fillers in this particular area.
Best of luck to you in reaching your goals!
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.
Treatment for lower eyelid bags
Thank you for sharing your question. The bags can be treated by lower eyelid blepharoplasty or with the injection of Restylane. See an experienced eyelid expert in person for comprehensive evaluation and discussion of best treatment options.
Dark Circles, Eyelid Wrinkles/Bags Treatment -- Restylane or Belotero with Cannulas, Clear+Brilliant, Eclipse Micropen, Viva
The eyes are best treated with a combination approach of fillers, lasers, microneedling/PRP for improvement. Ultherapy/thermage, venus legacy all do well for swelling or puffiness. I would suggest consulting an expert. If surgery is an option they will recommend. Best, Dr. Emer
It's likely you have prominent fat pockets causing this issue. It can happen in all ages, your options include either filler injectables vs lower lid surgery (blepharoplasty). Fillers are generally recommended when you have hollowing along the lower eyelid/midface area more so than prominent fat pockets, and surgery is recommended when you have prominent fat pads. I would recommend you seeing an eyelid expert (ie oculoplastic surgeon) to discuss your best options. Good luck!
Okay, that is truly a bad photograph.
This may or may not be herniated orbital fat. I can't tell from this photograph. I suspect that it is not herniated orbital fat. Look straight ahead in the mirror. Put your finger on top of the "bag." If what your are feeling is hard, then this is your orbital rim. Filler would be your very best option if that is the case and not eyelid surgery. If you are serious, get several opinions from eyelid surgeons in your area.
Trying to hide truly herniated fat with fillers is often disappointing. These photos are not adequate for reliable recommendations. A thorough physical examination is required for intelligent analysis and options.
That said, you may be a candidate for a simple trans-conjunctival blepharoplasty. Excess fat is removed from the inside of the eyelid. No visible scars, no sutures. This is reserved for patients with herniated fat, but no excess skin. See video.