I uploaded a different picture before but I dont' think it really showed the swelling I have. These 2 pictures are clearer. And now I'm wondering if these are indeed malars or festoons? What treatment can be done for them? Will they get worse in time?
Answer: Filler You may want to talk to a doctor to see if fillers may work for you. Maybe talk to them about Belotero, or what other fillers they recommend. this is something that you do not need surgery for unless it is necessary
Helpful 1 person found this helpful
Answer: Filler You may want to talk to a doctor to see if fillers may work for you. Maybe talk to them about Belotero, or what other fillers they recommend. this is something that you do not need surgery for unless it is necessary
Helpful 1 person found this helpful
August 11, 2015
Answer: Treatments for lower lid bags Combination treatments often work best for the complicated anatomy of the lower lid. You are quite young looking so you may consider erbium laser resurfacing to tighten the skin and some conservative use of fillers. Transconjunctival fat removal may be an option as well with very little downtime. have a consult with a surgeon who can discuss with you the pros and cons of each option.Good luck
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August 11, 2015
Answer: Treatments for lower lid bags Combination treatments often work best for the complicated anatomy of the lower lid. You are quite young looking so you may consider erbium laser resurfacing to tighten the skin and some conservative use of fillers. Transconjunctival fat removal may be an option as well with very little downtime. have a consult with a surgeon who can discuss with you the pros and cons of each option.Good luck
Helpful
August 10, 2015
Answer: Both festoons and eyelid prolapsed fat These photos are slightly better. You have prolapsed eyelid fat and a tear trough deformity, but it looks like you may also have the beginnings of mild festoons...an in person evaluation would be beneficial.Surgery may be helpful, but non-invasive fillers may also improve the tear trough appearance.Festoons can sometimes be worsened with fillers however.
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August 10, 2015
Answer: Both festoons and eyelid prolapsed fat These photos are slightly better. You have prolapsed eyelid fat and a tear trough deformity, but it looks like you may also have the beginnings of mild festoons...an in person evaluation would be beneficial.Surgery may be helpful, but non-invasive fillers may also improve the tear trough appearance.Festoons can sometimes be worsened with fillers however.
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August 10, 2015
Answer: Dark Circles, Eyelid Wrinkles/Bags Treatment -- Restylane or Belotero with Cannulas, Clear+Brilliant, Eclipse Micropen, Viva There are many ways to treat dark circles, as well as under eye wrinkles and bags. It is important to note however, that the majority of times the cause for discoloration is genetic and due to the viability of the blood vessels below the skin. A combination approach is always needed to get the best results in this area and this includes: topical skin care, laser and/or radiofrequency treatments, and fillers if placed appropriately. All my patients are on topical lightening agents, typically a vitamin C serum product in the AM and a brightening agent and/or a vitamin A based product in the PM. Sun protection is essential.Resurfacing and tightening are essential. My patients get offered a menu of options, for which a combination gives the best results. Light salicylic acid peels help give textural and pigment improvement; nonablative lasers (Fraxel or Clear + Brilliant) can be used to tighten and improve fine lines/wrinkles and crepe skin; fractional radiofrequency devices (Sublative, Viva) are cutting edge and improve texture, tone, and wrinkles with very little downtime; radiofrequency with pulsed electromagnetic fields (Venus) are amazing for puffiness and bags, in patients who do not want eyelid surgery; appropriately placed fillers can replace lost volume, cover up the vessels and fat pads below improving the appearance -- patients should pick a well experienced practitioner to prevent complications such as Tyndall (blue discoloration) and irregularities, one that uses a cannula for injection will help give results with little bruising or swelling; microsecond Nd:YAG laser treatments (Laser genesis) has produced dramatic improvement in discoloration in some of my patients and is safe in dark skin types, similar to the radiofrequency devices. For lifting, ablative laser resurfacing such as co2 laser combined with monopoloar radiofrequency deep heating (thermage) give amazing results. The key is for a patient to see a cosmetic dermatologist with experience in all the latest devices and techniques so the persons goals can be met by a combination approach of individualized treatments and skin care. In some cases, those who smile and have crepe skin or under eye wrinkles, a small amount of neurotoxin (botox, dysport, xeomin) strategically placed in the lower eyelid skin can improve wrinkles dramatically and give the eye a more "open" appearance.
Helpful
August 10, 2015
Answer: Dark Circles, Eyelid Wrinkles/Bags Treatment -- Restylane or Belotero with Cannulas, Clear+Brilliant, Eclipse Micropen, Viva There are many ways to treat dark circles, as well as under eye wrinkles and bags. It is important to note however, that the majority of times the cause for discoloration is genetic and due to the viability of the blood vessels below the skin. A combination approach is always needed to get the best results in this area and this includes: topical skin care, laser and/or radiofrequency treatments, and fillers if placed appropriately. All my patients are on topical lightening agents, typically a vitamin C serum product in the AM and a brightening agent and/or a vitamin A based product in the PM. Sun protection is essential.Resurfacing and tightening are essential. My patients get offered a menu of options, for which a combination gives the best results. Light salicylic acid peels help give textural and pigment improvement; nonablative lasers (Fraxel or Clear + Brilliant) can be used to tighten and improve fine lines/wrinkles and crepe skin; fractional radiofrequency devices (Sublative, Viva) are cutting edge and improve texture, tone, and wrinkles with very little downtime; radiofrequency with pulsed electromagnetic fields (Venus) are amazing for puffiness and bags, in patients who do not want eyelid surgery; appropriately placed fillers can replace lost volume, cover up the vessels and fat pads below improving the appearance -- patients should pick a well experienced practitioner to prevent complications such as Tyndall (blue discoloration) and irregularities, one that uses a cannula for injection will help give results with little bruising or swelling; microsecond Nd:YAG laser treatments (Laser genesis) has produced dramatic improvement in discoloration in some of my patients and is safe in dark skin types, similar to the radiofrequency devices. For lifting, ablative laser resurfacing such as co2 laser combined with monopoloar radiofrequency deep heating (thermage) give amazing results. The key is for a patient to see a cosmetic dermatologist with experience in all the latest devices and techniques so the persons goals can be met by a combination approach of individualized treatments and skin care. In some cases, those who smile and have crepe skin or under eye wrinkles, a small amount of neurotoxin (botox, dysport, xeomin) strategically placed in the lower eyelid skin can improve wrinkles dramatically and give the eye a more "open" appearance.
Helpful
August 13, 2015
Answer: Lower eyelid bags Thank you for your question and the photos.You appear to have good skin quality with some excess fat in the later lower eyelid area coupled with a prominent "tear trough deformity" medially. I think you would be a good candidate for a lower blepharoplasty. Every plastic surgeon approaches this operation differently. I would approach your lower eyelid fat through the inside of you eyelid (transconjunctival), remove some fat laterally and redistribute the fat medially and then tighten the lower eyelid to prevent it being dragged down by scar tissue. I don't think you would need any of the external skin removed.I hope this helps.
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August 13, 2015
Answer: Lower eyelid bags Thank you for your question and the photos.You appear to have good skin quality with some excess fat in the later lower eyelid area coupled with a prominent "tear trough deformity" medially. I think you would be a good candidate for a lower blepharoplasty. Every plastic surgeon approaches this operation differently. I would approach your lower eyelid fat through the inside of you eyelid (transconjunctival), remove some fat laterally and redistribute the fat medially and then tighten the lower eyelid to prevent it being dragged down by scar tissue. I don't think you would need any of the external skin removed.I hope this helps.
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