How to reduce under eye puffiness or uneven zygomatic muscles? I have asymmetrical face muscles that create thick line (photos)

Question

I have asymmetrial facial muscles which greate a thick line under the left eye. Is it possible someow reduce the size of the other zygomatic muscle or is blepharoblasty a good idea? Thank you inadvance!

Jason Emer, MD · Answer

For puffiness and sagging under the eyes, we often use Renuvion helium plasma radiofrequency energy to achieve incredible results and take years off of your appearance. Combining RF energy and cool helium plasma, the signs of aging (wrinkles, pigmentation, skin laxity) are improved in a ‘Nonsurgical Eyelid Lift.' The focused heating tightens and peels the upper layers of skin with extreme precision, leaving the surrounding area undamaged, smoothing and tightening the periorbital skin, and improving the overall skin quality around the eyes. It's an aggressive treatment, and the recovery time is longer than with other nonsurgical procedures, but the results can be life-changing. See an expert to determine if this is the best solution for you. Best, Dr. Emer

Daniela Burchhardt, MD · Answer

Hi Lindav61, 
It's a little difficult to fully assess your asymmetry based on the photos you provide. That said, most of us have asymmetries in our face, starting with our skeleton and bones up to our muscles and fat pads. For lower eyelid lines of the outside half of the eye, botox can be quite effective at reducing these. Alternatively, excess skin can be removed with blepharoplasty, and fat transfer restores fat that we loose with aging. During the surgical procedures, to a certain degree your surgeon can help compensate for inherent asymmetries. For cheek asymmetry at your age, I'd suggest filler or fat transfer to help even this out. 
Good luck, and I hope this helps!
Best,

Richard O. Gregory, MD · Answer

the patient complains of an asymmetrical fullness below variety. Photographs do not illustrate the problem well. Although the patient assesses the problem as being associated with zygomaticus muscle there are a number of possible explanations for fullness below the eyelid including herniated fat, malar fat pad shifting, atrophy of the underlying tissue, festoons or hypertrophy of the periorbital muscles, etc. This needs to be assessed by a competent plastic surgeon who can recommend possible treatment.

How to reduce under eye puffiness or uneven zygomatic muscles? I have asymmetrical face muscles that create thick line (photos)

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How to reduce under eye puffiness or uneven zygomatic muscles? I have asymmetrical face muscles that create thick line (photos)

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Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.