Sagging Skin Around my Eyes and Between Eyebrows?

  Without pictures, the treatment could include browlift with eyelid surgery, possible fat grafting or fillers, just Botox, or a combination of all of these things.

You should consult a Board Certified Plastic Surgeon. It is difficult to guess at the problem or design a solution without a full examination. Many Plastic Surgeons do cosmetic consultations for free, others charge $200-400, refundable if you book surgery. Still others just have the fee with no refund, but these individuals are an endangered species.

I could be much more helpful if I could look at a photo.

In general an experienced plastic surgeon will review a range of treatments from the least invasive, such as skin conditioning and injectables, to the surgical.

If I had to guess I'd say the 'sagging skin' between your eyebrows is due to the action of the frowning muscles. This can be addressed with botox and fillers.

The sagging tissue under your eyes may require an operation such as blepharoplasty (lower eyelid lift).

Finally you may benefit from a program of skin conditioning to improve the general quality of your complexion.

Good luck!

 

Thank you for your question. There are a number of factors that affect our skin over time. Its impossible for me to tell exactly what has changed for you without photos but my guess is that you have some fat loss in your face. This is very common with hormone changes and as we start to age. Fat grafting is an excellent way to add volume to the face and fill any defects that may be present. The fat is taken from your own body and put through a delicate process to separate and retrieve the best fat with the highest concentration of stem cells. I recommend you schedule a consult with a board certified Plastic Surgeon who has experience in fat grafting. In our office, we offer 3D imaging to give our patients an accurate idea of what their final result will look like. Good luck!

Sounds as if you need to meet with a facial plastic surgeon.  Most 35 year olds we see with your concerns are in need of a good skin care/sun avoidance regimen, and nonsurgical rejuvenation such as neuromodulators (botox and dsyport) to soften dynamic lines, injectable fillers (restylane, perlane, juvederm, radiesse, sculptra, your own fat, etc.) to fill and lift the cheeks, under eyes, laugh line, around the mouth and lips, lasers (intense pulsed light for pigmentation and redness, fraxel for skin resurfacing if necessary) and possibly ultherapy (ultrasound tightening of the face). 

At the age of 35, there are several treatment options available Having not seen your photos, general suggestions could include simple things, like Botox or dermal fillers, to even surgery. A consultation with facial plastic surgeon can certainly give you options that would be helpful. 

Aside from what others have mentioned, it would be good to know exactly what your skin care regimen is as there are many cosmeceuticals that may be of assistance to you. There are many non-invasive treatments, as well as more invasive techniques that require surgery, that will ultimately help to rejuvenate your face. Having a consultation with a Board Certified facial plastic surgeon or dermatologist will allow the physician to better examine you to see where the problem lies and what type of treatment will benefit you the most.

Without a photo it is difficult to determine what would be best, but you likely would do well with a combination of minimally invasive therapies, along with some limited surgery.  You are describing skin texture changes which would benefit from a combination of topical cosmecueticals along with laser treatments (such as fractionated resurfacing).  Additionally, you might find limited eyelid (perhaps brow) surgery and possibly midface lifting to get you to the goals you desire.   Regardless, combination non-invasive treatments with surgery would do the trick!

Thank you for your question.

It is difficult to give you good advice without seeing photos and/or examining you and discussing your goals with you.  It sounds like you may be a good candidate for a brow lift +/- eyelid surgery if your concerns are around the eyes and eyebrows.

Visit with well experienced, board certified plastic surgeons to get the best advice as to what surgery would be best for you.

Best wishes.

Hi there, it sounds like your concerns are centered on the upper two-thirds of your face (not the jowls or neck). You may be a candidate for an endoscopic browlift and midface lift, with possible lower eyelid lift. These procedures complement each other and are often done together. The benefit in your case is that you shouldn't have any visible incisions.