I am concerned with eye bags and broken capillaries in and around the bags. How can I improve these problems? (Photo)

Question

I am including pictures, without makeup, to show the puffy look and the discoloring that I am experiencing. Makeup does give some minimal improvement but I want the problems greatly improved , if not totally fixed. Suggestions , please! Thank you!

Jason Emer, MD · Answer

The best treatments for capillary issues are vascular lasers such as pulsed dye laser, Excel V, Aerolase, Venus Versa IPL, Laser Genesis or Yellow laser. The settings are determined on a per case basis, so it is best to consult with an expert to determine what will work best for you. We often combine vascular lasers with non-ablative fractional lasers such as Clear + Brilliant or Venus Viva for better results. I would suggest seeing a cosmetic dermatologist for a formal evaluation. Best, Dr. Emer.

Zoran Potparic, MD · Answer

You seem to be excellent candidate for lower and upper blepharoplasty (eyelid correction). It will significantly improve appearance and heaviness of both upper and lower eyelids. We frequently combine these procedures with periorbital fat grafting (cheeks, lateral orbit, brows) which further enhances the result of blepharoplasty. All of this can be done in twilight or local anesthesia. In person consultation with a plastic surgeon with good reputation in facial rejuvenation is recommended. Good luck.

Elham Jafari, MD · Answer

Hi and thank you for your question! While an in-person consultation is required to be able to tell for sure, you seem to be a good candidate for treatment bags under eyes with filler treatment. While it might sound counterintuitive (to treat puffiness with adding more volume!) in most of the cases what happens is we experience volume loss in areas under the eyes which makes the puffiness more prominent and once we restore the volume loss in under the eyes (and commonly in surrounding areas in cheeks) the issue greatly improves. Regarding broken capillaries, you might want to look into laser or IPL treatments. I hope it helps and good luck!

Camille Cash, MD · Answer

Based on your photos you appear to be a good candidate for a lower blepharoplasty.  In this surgery excess fat and skin is removed.  Remaining fat is redraped, revealing a smoother under eye area.  See a board certified plastic surgeon in your area to learn more about this procedure.

Tingsong Lim, MD · Answer

Dear zuzu72,
During aging, our under-eye fat pad will loose certain amount of volume and weakening of the retaining ligament that holds the skin and fat pads. To correct this manner, we can plump up the area with dermal filler for the volume loss, and tighten the retaining ligament with microfocused ultrasound treatment, Ultherapy, or Thermage. Discoloration of the skin surrounding the eye can be genetic or acquired (sinusitis, allergy, dryness). This can be improved by non ablative laser ( Q-Switched Nd Yag, Picosecond laser) and ablative laser ( Tixel, Fractional Co2) and also application of eye cream with minimal content of retinoid. Lastly, eye bags can also due to underlying medical condition such as thyroid disease. So seek advice from your nearest doctor to find out what causes your eye bags issues and the suitable treatment.
Take care!

I am concerned with eye bags and broken capillaries in and around the bags. How can I improve these problems? (Photo)

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