I'm 27 years old and within the last two years I have developed these dark hollows under my eyes. No amount of colour correcting concealer properly masks them. I've read that restylane fillers can be a temporary solution for this problem, but I also read that they can cause nodules and skin color changes. I would like to know how common this is and/or what other methods of treatment could help reduce my tear troughs.
Answer: Best Treatment for Under Eye Bags Thank you for posting your question and photos. You seem to be a great candidate for tear trough fillers to restore lost volume and disguise the bags that are beginning to form. In my practice, I like to use the hyaluronic acid filler, Restylane, to treat this area. I also prefer to use the microcannula technique when injecting fillers, which eliminates the risk of bruising and provides a very even and natural looking result. In this location, filler can last up to 1 year, at which time the procedure can be repeated to maintain results. In the future, you may want to consider the longer term treatment option of a lower blepharoplasty with fat transposition. This procedure involves redistributing the fat pads under the eyes to act as an auto filler. I recommend consulting with a board-certified specialist who is experienced in both injectables and surgery in order to learn more about which procedures are right for you.
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Answer: Best Treatment for Under Eye Bags Thank you for posting your question and photos. You seem to be a great candidate for tear trough fillers to restore lost volume and disguise the bags that are beginning to form. In my practice, I like to use the hyaluronic acid filler, Restylane, to treat this area. I also prefer to use the microcannula technique when injecting fillers, which eliminates the risk of bruising and provides a very even and natural looking result. In this location, filler can last up to 1 year, at which time the procedure can be repeated to maintain results. In the future, you may want to consider the longer term treatment option of a lower blepharoplasty with fat transposition. This procedure involves redistributing the fat pads under the eyes to act as an auto filler. I recommend consulting with a board-certified specialist who is experienced in both injectables and surgery in order to learn more about which procedures are right for you.
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November 25, 2016
Answer: Under eye concerns Thank you for your photo and your question. You may consider lower blepharoplasty surgery which targets the lower lid area, smoothing the "bags" that concern you and taking up any extra skin. The result is a smoother, contoured look. Visit with a board certified plastic surgeon in your area to learn more.
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November 25, 2016
Answer: Under eye concerns Thank you for your photo and your question. You may consider lower blepharoplasty surgery which targets the lower lid area, smoothing the "bags" that concern you and taking up any extra skin. The result is a smoother, contoured look. Visit with a board certified plastic surgeon in your area to learn more.
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December 3, 2016
Answer: Fillers for under-eye bags Fillers such as Restylane are effective at disguising under-eye bags by filling in the hollows below them. They generally last about a year and they are reversible. The alternative is lower eyelid surgery to reduce the size of the fat pads and to shift them into the hollows. Surgery lasts significantly longer than fillers. See my link below for an infographic that provides a more in-depth discussion of fillers vs. surgery for eye bags.
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December 3, 2016
Answer: Fillers for under-eye bags Fillers such as Restylane are effective at disguising under-eye bags by filling in the hollows below them. They generally last about a year and they are reversible. The alternative is lower eyelid surgery to reduce the size of the fat pads and to shift them into the hollows. Surgery lasts significantly longer than fillers. See my link below for an infographic that provides a more in-depth discussion of fillers vs. surgery for eye bags.
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November 20, 2016
Answer: Treatment for eye bags Thank you for asking your question. Restylane is very safe to hide mild bags and improve tear troughs when used by an expert in this area. Your bags should be evaluated in person by an Oculoplastic Surgeon, because they might be too prominent for fillers. Good luck,
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November 20, 2016
Answer: Treatment for eye bags Thank you for asking your question. Restylane is very safe to hide mild bags and improve tear troughs when used by an expert in this area. Your bags should be evaluated in person by an Oculoplastic Surgeon, because they might be too prominent for fillers. Good luck,
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November 20, 2016
Answer: How To Reduce Deep Tear Troughs? Thank you for your excellent question and providing us with a photograph of the problem.Your deep tear trough is exaggerated in its appearance secondary to the protruding orbital fat just above the trough. That orbital fat protrusion is due to a weakness in a lower eyelid tissue known as the septum orbitale. The septum orbitale breaks down in different people at different times based on their genetic makeup. Once this fat starts protruding, it will only get worse over time. Injecting anything into the tear trough (which is the visible orbital bone and periosteum secondary to orbital skin laxity) is not only a temporary bandaid, but as the injectible dissolves, it leaves a visible dent which is often asymmetric and difficult to replicate on each injection. The gold standard for correcting your tear trough would be lower eyelid blepharoplasty with minimal resection of the protruding orbital fat and tightening of the lower eyelid orbicularis muscle to bolster the degenerating septum orbitale by tightening said muscle. Once this surgery is done and if the tear trough is still visible, then Voluma injected below the orbital rim will correct the tear trough by pushing periorbital tissue into the trough if any remains after lower eyelid blepharoplasty with muscle sling.I highly recommend you seek consultation with at least three core Board Certified plastic surgeons experienced in lower lid blepharoplasty with procedures that tighten the orbicularis muscle.
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November 20, 2016
Answer: How To Reduce Deep Tear Troughs? Thank you for your excellent question and providing us with a photograph of the problem.Your deep tear trough is exaggerated in its appearance secondary to the protruding orbital fat just above the trough. That orbital fat protrusion is due to a weakness in a lower eyelid tissue known as the septum orbitale. The septum orbitale breaks down in different people at different times based on their genetic makeup. Once this fat starts protruding, it will only get worse over time. Injecting anything into the tear trough (which is the visible orbital bone and periosteum secondary to orbital skin laxity) is not only a temporary bandaid, but as the injectible dissolves, it leaves a visible dent which is often asymmetric and difficult to replicate on each injection. The gold standard for correcting your tear trough would be lower eyelid blepharoplasty with minimal resection of the protruding orbital fat and tightening of the lower eyelid orbicularis muscle to bolster the degenerating septum orbitale by tightening said muscle. Once this surgery is done and if the tear trough is still visible, then Voluma injected below the orbital rim will correct the tear trough by pushing periorbital tissue into the trough if any remains after lower eyelid blepharoplasty with muscle sling.I highly recommend you seek consultation with at least three core Board Certified plastic surgeons experienced in lower lid blepharoplasty with procedures that tighten the orbicularis muscle.
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