Tired looking under eyes - Filler or Lower Blepharoplasty? (photos)

Question

My under eyes are starting to look very tired. I’m considering filler or lower eye lid blepharoplasty. Which would I be a better candidate for? Is there a different treatment that would work better for me? Thank you.

Jason Emer, MD · Answer

The eye area needs significant combinations to get improvement. Lasers like erbium, co2, halo, profractional/contour, or Fraxel can all be used to build collagen long term. Plasma pen is a newer less invasive option but will take many treatments and require proper skincare. Plasma Pen is focused electrical plasma energy to tighten skin, producing small columns of energy just above the skin, allowing the skin to tighten to help improve wrinkles. This area will have 3-5 days of small “dots” that will then scab and peel, then the skin will tighter and brighter after. Numerous treatments are needed over lasers where only one or two give a bigger result, but more downtime. After plasma pen you NEED peels 2 weeks like later Cosmelan, enlighten or aerify, see emeragecosmetics (link). At home derma rolling should be started weekly even after plasma pen or lasers to further increase collagen, see emeragecosmetics AERIFY x anteagemd stem cell ampules. To properly heal you need light Stim red LED, EmerageSkin refit face, refit eye; AnteageMD serum, silagen silicone gel, jan Marini bioshield, EmerageSkin enzymatic polish, and EmerageSkin hyla b and AOX, and Sente dermal repair. Otherwise there is EXTREME risk of pigmentation issues and “dots” in the treatment area. at home peels like cosmelan, enlighten and aerify along with dermarolling (AERIFY emerageskin roller with Anteage MD ampules) should be started now regardless for antiaging, sun damage, and wrinkle prevention. 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 eyelid blepharoplasty with or without fat pad repositioning (if doing lower eyelid surgery) 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, lasers, microneedling/PRP, cosmelan peels, 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. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Jonathan Kulbersh, MD · Answer

Thank you for posting your question. A blepharoplasty is a surgical procedure that helps improve sagging or drooping eyelids, producing long-lasting results. A liquid eye lift is a non-surgical solution that targets signs of aging in the under-eye area, like bags, hollowing, and discoloration. A liquid eye lift uses dermal fillers like Juvederm and Restylane Lyft to add volume and reduce signs of aging. Results typically last 6-12 months and treatments will need to be repeated regularly to maintain improvement. Consult with an experienced, board-certified facial plastic surgeon for a personalized treatment plan that can address your unique cosmetic needs.

Rita Rakus, MBBS · Answer

Hello and thank you for your question. It is always best to see you face to face for a consult and examination however in this case from the photo you could be a good candidate for tear trough filler. You want to avoid filler under the eye if you have swelling or puffiness as filler can make it worse. I hope that helps answer your question. Always seek an experienced and qualified medical professional for these treatments. Very best wishes

Camille Cash, MD · Answer

From your photo you appear to be a good candidate for filler which will add volume to the hollow areas to improve contour.  You may also consider treatments such as Morpheus8 to improve overall skin tone and texture.  See an expert injector for treatment.

Mehryar (Ray) Taban, MD, FACS · Answer

I would recommend scarless transconjuntival lower blepharoplasty rather than filler injection for best long term improvement. See an expert for evaluation.

Tired looking under eyes - Filler or Lower Blepharoplasty? (photos)

Answers (7)

Answer: Considering options

Answer: Considering options

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Answer: Lower blepharoplasty for under eye fat bags

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Tired looking under eyes - Filler or Lower Blepharoplasty? (photos)

Answers (7)

Answer: Considering options

Answer: Considering options

Answer: Lower blepharoplasty for under eye fat bags

Answer: Lower blepharoplasty for under eye fat bags

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Everything you need to know about Dermal Fillers

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