My eyelids have started to get saggy and "crepey". I also have dark circles and lines under my eyes which make me look tired and old, despite being 28. I think part of the issue is due to allergic reaction I had last year. My eyes swelled up and the skin became loose when the swelling resolved. What can I do to improve the appearance of my eyes? I'm starting to look so old!
February 25, 2020
Answer: Why do my eyes look so old? There are numerous reasons for dark circles including: Lack of fat in the hollow area called the tear trough, small blood vessels under the skin, congenital pigment in the skin, and shadowing from a combination of hills (fat pads) and depressions (tear troughs). Most expert experienced artistic plastic surgeons have a variety of procedures, both non-surgical and surgical, at their disposal to produce excellent cosmetic results in the appropriately selected patient: Botox or Dysport, temporary hyaluronic acid fillers like Restylane, long-lasting micro-fat grafts, light peels, lasers, blepharoplasties, or combinations of procedures. Each has benefits and drawbacks and depends on desired outcome and individual anatomy. A temporary filler would be a reasonable initial treatment. It can improve the cosmetic appearance of the eyes. The dark circles will be less obvious, but not totally eliminated. Following the advice of anyone who would presume to tell you what to do without seeing photos and without taking a full medical history, examining you, feeling and assessing your tissue tone, discussing your desired outcome and fully informing you about the pros and cons of each option would not be in your best interest. Find a plastic surgeon that you are comfortable with and one that you trust and listen to his or her advice. The surgeon should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS). You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla, California
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February 25, 2020
Answer: Why do my eyes look so old? There are numerous reasons for dark circles including: Lack of fat in the hollow area called the tear trough, small blood vessels under the skin, congenital pigment in the skin, and shadowing from a combination of hills (fat pads) and depressions (tear troughs). Most expert experienced artistic plastic surgeons have a variety of procedures, both non-surgical and surgical, at their disposal to produce excellent cosmetic results in the appropriately selected patient: Botox or Dysport, temporary hyaluronic acid fillers like Restylane, long-lasting micro-fat grafts, light peels, lasers, blepharoplasties, or combinations of procedures. Each has benefits and drawbacks and depends on desired outcome and individual anatomy. A temporary filler would be a reasonable initial treatment. It can improve the cosmetic appearance of the eyes. The dark circles will be less obvious, but not totally eliminated. Following the advice of anyone who would presume to tell you what to do without seeing photos and without taking a full medical history, examining you, feeling and assessing your tissue tone, discussing your desired outcome and fully informing you about the pros and cons of each option would not be in your best interest. Find a plastic surgeon that you are comfortable with and one that you trust and listen to his or her advice. The surgeon should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS). You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla, California
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March 4, 2020
Answer: I would recommend a conservative laser blepharoplasty to remove excess skin a fat. The appearance of you upper eyelids could be greatly improved with a conservative laser blepharoplasty to remove some skin and possible a small amount of fat in the upper eyelids.
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March 4, 2020
Answer: I would recommend a conservative laser blepharoplasty to remove excess skin a fat. The appearance of you upper eyelids could be greatly improved with a conservative laser blepharoplasty to remove some skin and possible a small amount of fat in the upper eyelids.
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