I have very sunken hollow tear troughs but was told I’m not a candidate for filler by multiple doctors because my skin is too thin. I have also been told I’m not a candidate for lower bleph because I have no bags or fat to work with. The skin is very thin, wrinkly and rolls up when I smile. Also very dark. It is so sunken with very defined protrusion where my cheek bone starts. I’m only 41 but look old, sad, sick and tired. My upper lids are poofy and hang. Is there anything that can be done?
Answer: Cheek filler and undereye rejuran Hi there Cheek filler may soften the contrast between your hallow under eyes and cheeks. Rejuran is a polynucleotide injectable treatment that is great for the delicate under eye area. It can help reduce fine lines and dark circles. As always, please ensure you consult with an experienced cosmetic professional.
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Answer: Cheek filler and undereye rejuran Hi there Cheek filler may soften the contrast between your hallow under eyes and cheeks. Rejuran is a polynucleotide injectable treatment that is great for the delicate under eye area. It can help reduce fine lines and dark circles. As always, please ensure you consult with an experienced cosmetic professional.
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March 14, 2025
Answer: Best Treatments for Hollow Eye Area Thank you for your question. We have several treatment options available to address your concerns. One highly effective option is the Neogen Plasma treatment. Neogen utilizes plasma energy to lift, tighten, brighten, and volumize the skin, providing a non-surgical solution. This treatment works by stimulating the production of collagen and elastin, which helps to enhance skin tone, firmness, and texture, resulting in a fuller, smoother, and tighter appearance. The full benefits typically become apparent within 6 months after this single treatment. Many patients are opting for Neogen as either a replacement or a complement to dermal fillers, often achieving comparable or even superior results.
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March 14, 2025
Answer: Best Treatments for Hollow Eye Area Thank you for your question. We have several treatment options available to address your concerns. One highly effective option is the Neogen Plasma treatment. Neogen utilizes plasma energy to lift, tighten, brighten, and volumize the skin, providing a non-surgical solution. This treatment works by stimulating the production of collagen and elastin, which helps to enhance skin tone, firmness, and texture, resulting in a fuller, smoother, and tighter appearance. The full benefits typically become apparent within 6 months after this single treatment. Many patients are opting for Neogen as either a replacement or a complement to dermal fillers, often achieving comparable or even superior results.
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August 4, 2024
Answer: Volume deficiency Hello and thank you for your question. Options to address volume deficiency include injectable fillers, autologous fat grafting and malar implants. Sometimes, these procedures are combined with surgical approaches to address other areas of aging face concerns. You may consider a detailed consultation by an experienced facial plastic surgeon who can address your specific needs and provide the best recommendation to achieve your desired result.
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August 4, 2024
Answer: Volume deficiency Hello and thank you for your question. Options to address volume deficiency include injectable fillers, autologous fat grafting and malar implants. Sometimes, these procedures are combined with surgical approaches to address other areas of aging face concerns. You may consider a detailed consultation by an experienced facial plastic surgeon who can address your specific needs and provide the best recommendation to achieve your desired result.
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May 4, 2024
Answer: Under Eye concerns Thanks for your question. A great combination procedure for you to consider would be micro-focused ultrasound for skin tightening and smoothing- specifically Sofwave- expect to do 2 or 3 sessions a month or more apart. After that you could do a maintenance session every 1-2 years. We give our clients the option to do Sofwave under eye only at a fairly low cost. Of course, it is commonly also done for larger regions such as full upper face, full face, or full face and neck. Combine that with a high dose PRP (platelet rich plasma) tear trough injection to boost volume and lighten the skin. That too could be done as a yearly maintenance. I hope that helps!
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May 4, 2024
Answer: Under Eye concerns Thanks for your question. A great combination procedure for you to consider would be micro-focused ultrasound for skin tightening and smoothing- specifically Sofwave- expect to do 2 or 3 sessions a month or more apart. After that you could do a maintenance session every 1-2 years. We give our clients the option to do Sofwave under eye only at a fairly low cost. Of course, it is commonly also done for larger regions such as full upper face, full face, or full face and neck. Combine that with a high dose PRP (platelet rich plasma) tear trough injection to boost volume and lighten the skin. That too could be done as a yearly maintenance. I hope that helps!
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July 11, 2023
Answer: Combined approach with micro-needling, radiofrequency ( Morpheus 8, Exilis 360 Ultra) , skin care , fillers in cheeck area. Hi, Thank you for your question and for sharing your photos. In my clinical practice, when filler injections are not recommended for the tear trough area due to thin skin, alternative treatments can be considered. After performing a detailed physical examination, I always provide patients with several options. One option is to improve the quality and texture of the skin around the tear trough area. This can be achieved through non-surgical treatments such as laser resurfacing, chemical peels, microneedling, and radiofrequency procedures like Morpheus 8 and Exilis 360 Ultra. These procedures aim to stimulate collagen production, improve skin elasticity, tighten the skin, reduce wrinkles, and enhance overall texture. Additionally, the use of skincare products containing ingredients like retinol and Vitamin C can stimulate collagen production, improve skin darkness, and promote a brighter complexion. In cases where the cheeks appear sunken and the tear troughs are prominent, cheek augmentation might be an option to consider. This procedure involves adding volume to the cheeks using dermal fillers or fat grafting. By restoring volume to the midface, the prominence of the tear troughs can be reduced. It is crucial to consult with a qualified and experienced doctor who specializes in facial rejuvenation. They will be able to evaluate your unique situation, discuss your concerns, and recommend the most appropriate treatment options for you. Hope this helps, Best wishes, Dr Giuseppe Fiore
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July 11, 2023
Answer: Combined approach with micro-needling, radiofrequency ( Morpheus 8, Exilis 360 Ultra) , skin care , fillers in cheeck area. Hi, Thank you for your question and for sharing your photos. In my clinical practice, when filler injections are not recommended for the tear trough area due to thin skin, alternative treatments can be considered. After performing a detailed physical examination, I always provide patients with several options. One option is to improve the quality and texture of the skin around the tear trough area. This can be achieved through non-surgical treatments such as laser resurfacing, chemical peels, microneedling, and radiofrequency procedures like Morpheus 8 and Exilis 360 Ultra. These procedures aim to stimulate collagen production, improve skin elasticity, tighten the skin, reduce wrinkles, and enhance overall texture. Additionally, the use of skincare products containing ingredients like retinol and Vitamin C can stimulate collagen production, improve skin darkness, and promote a brighter complexion. In cases where the cheeks appear sunken and the tear troughs are prominent, cheek augmentation might be an option to consider. This procedure involves adding volume to the cheeks using dermal fillers or fat grafting. By restoring volume to the midface, the prominence of the tear troughs can be reduced. It is crucial to consult with a qualified and experienced doctor who specializes in facial rejuvenation. They will be able to evaluate your unique situation, discuss your concerns, and recommend the most appropriate treatment options for you. Hope this helps, Best wishes, Dr Giuseppe Fiore
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