31, female - How can I improve my under eye area? (Photos)

Question

31 y/o female, fair skin with red undertone I’ve always had issues with my under eyes being super sunken in appearance. No product seems to help. Make up barely covers it. Sleeping habits aren’t anything abnormal for my age. I’ve sort of gotten the run around, or more so lack of answers from professionals like aestheticians. Some say yes to fillers being a good idea, others tell me absolutely no use in it. One person said looking into get the fat pad removed could be beneficial. Looking for advice as to where to start. Should I seek a consultation with a plastic surgeon?

Jeffrey H. Spiegel, MD · Answer

Filler injections with hyaluronic acid placed under the eye with precision may be the best, if not the only, solution to correct under eye volume loss.  Over time, you may also want to consider tightening the skin with modalities like IPL and Morpheus to maintain your results.

Anna Chacon, MD, FAAD · Answer

When considering improvements for the under-eye area, especially for concerns like sunken appearance, there are several options to explore. Here are some potential approaches:

Dermal Fillers: Hyaluronic acid fillers can be effective in addressing volume loss in the tear trough area, which may help reduce the sunken appearance. This is a non-surgical option with relatively quick results and minimal downtime.

Fat Transfer: This involves using your own fat to add volume to the under-eye area. It is a more permanent solution compared to fillers but involves a surgical procedure.

Surgical Options: Consulting with a plastic surgeon could provide insights into whether procedures like lower blepharoplasty or fat pad repositioning/removal might be beneficial. These options are more invasive but can offer long-term results.

Topical Treatments and Skincare: While you mentioned that products haven't been effective, certain ingredients like retinoids, peptides, and vitamin C can improve skin texture and firmness over time. However, they may not address volume loss.

Laser Treatments: These can improve skin texture and stimulate collagen production, which might help with the overall appearance of the under-eye area.

Given the mixed advice you've received, it would be beneficial to consult with both a dermatologist and a plastic surgeon. A dermatologist can provide non-surgical options and skincare advice, while a plastic surgeon can discuss surgical interventions. This comprehensive approach will help you make an informed decision based on your specific needs and desired outcomes.

Camille Cash, MD · Answer

Visiting a board certified plastic surgeon is a good idea.  You can learn about surgical and non surgical options to help you decide which option fits your goals the best.  Fillers can help to add volume and balance contours.  Surgical options such as fat grafting are also available.

Leonard Grossman, MD · Answer

The condition of lower eyelet hollow is mostly inherited from the father’s side of the family. The good news is is that it is best treated with fat grafting. As long as the Plastic Surgeon has a lot of experience in such procedures, their results should be natural and practically permanent. I hope this helps And good luck from Leonard Grossman, MD, organic Plastic Surgery NYC.

31, female - How can I improve my under eye area? (Photos)

Answers (4)

Answer: Treating lower eyelid, hollow.

Answer: Treating lower eyelid, hollow.

Recommended reading

Everything you need to know about Dermal Fillers

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

31, female - How can I improve my under eye area? (Photos)

Answers (4)

Answer: Treating lower eyelid, hollow.

Answer: Treating lower eyelid, hollow.

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Recommended reading

Everything you need to know about Dermal Fillers

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