25 y/o male unhappy with appearance of lower eyelids. Which procedure would best benefit me at this age? (photos)

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells and microneedling RF like Fractora PiXel8 or Morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Age Is not the most important factor when concerned about eyelid sagging or asymmetry. Yes, sagging eyelids can be corrected with blepharoplasty or cosmetic eyelid surgery of either the upper or lower eyelids. It is one of the first cosmetic surgeries people usually get. While the average age might be 30 to 50's, some patients get this done in their 20s. Botox injections as well as laser treatments can also be a tremendous benefit if you are not interested in surgery. It really depends on your genetic makeup and anatomy in addition to what exactly is bothering you. 


I would recommend that you see a board-certified plastic surgeon who is a member of both ASPS & ASAPS and has plenty of experience in eyelid surgery. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations.

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In these photographs I can see herniated fat pads in your lower eyelids. So you can have a transconjonctival fat pad excision with fat redraping for the lower eyelid.