Do you feel the silhouette thread left helps the under eyes? If so, how would you go about doing it?

Dear bridgette11:

Thanks for this question! You are on the cusp of evolutionary eyelid enhancement techniques. Therefore, please consult with a well experienced Board Certified Plastic Surgeon with technical experience in the following options. These are all advanced procedures!

1. The Silhouette InstaLift uses PLLA and PDO collagen enhancing barbed or anchored threads to lift the deeper structures under the skin. The thickness of the sutures will be visible under the eyelid skin. They are quite useful in lifting the cheek fat and soft-tissue up toward the lower eyelid and lifting the eyebrow up and away from the upper eyelid further enhancing traditional eyelid options.

2. PDO, MINT and EuroThreads provide intradermal PDO threads (the diameter of a hair, without barbs) to create a collagen enhanced mesh to further stiffen or firm the lower eyelid. This will assist in resisting eyelid droop, fine wrinkles and smoothening under eyelid hollowing.

3. Sculptra, a injectable PLLA (collagen inducing) powder has been terrific in similarly stimulating lower eyelid skin firming and under eyelid filling to smoothen against the aging progress.

4. Retinoids particularly tretinoin and TCA chemical peels or laser under the eye is also extremely effective in tightening this ultra thin skin.

I hope this is helpful and you find the right surgeon! All the best!