I am a 27 year old female and have had puffy eyes for as long as I can remember. I get bad allergies in the spring which I believe to be a lot of the cause. However, I have bags all year long (just worse with allergies). I recently visited a dermatologist who said she did not believe I had 'fatty bulges' but more fluid retention and suggested Thermage. I am desperately looking for a procedure other than invasive surgery and I feel that the bags make me look unhappy and old. Is there any proof that Thermage will work for this? Are there any other treatments that will last a long time and be effective?
Answer: Treat the Underlying Condition First Severe allergies, thyroid conditions and a host of other medical conditions can cause excessive swelling around the eyes. This is significant because it means that removal of periorbital fat will not be of benefit. You should first be placed on an aggressive allergy medication and avoidance therapy for several months and not how much improvement can be achieved. Once you have been treated for several months see how much improvement you have achieved. I personally do not advocate Thermage for many reasons and would not recommend its use around the eyes.
Helpful 5 people found this helpful
Answer: Treat the Underlying Condition First Severe allergies, thyroid conditions and a host of other medical conditions can cause excessive swelling around the eyes. This is significant because it means that removal of periorbital fat will not be of benefit. You should first be placed on an aggressive allergy medication and avoidance therapy for several months and not how much improvement can be achieved. Once you have been treated for several months see how much improvement you have achieved. I personally do not advocate Thermage for many reasons and would not recommend its use around the eyes.
Helpful 5 people found this helpful
Answer: Dark Circles/Eye Bags/Wrinkles -- Fillers (Belotero, Juvederm Volbella); Lasers (Fraxel/CO2); Renuvion; Microneedling/PRP; Peels There are many things you can do to treat under eye bags, but a combination approach with nonsurgical treatments would give the most improvement: fillers (Belotero, Juvederm Volbella), lasers (Fraxel/CO2), Renuvion (J-Plasma), microneedling/PRP, Cosmelan peels and stem cells. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest getting a formal evaluation with a cosmetic dermatologist to see what is best for you and your goals. Best, Dr. Emer.
Helpful
Answer: Dark Circles/Eye Bags/Wrinkles -- Fillers (Belotero, Juvederm Volbella); Lasers (Fraxel/CO2); Renuvion; Microneedling/PRP; Peels There are many things you can do to treat under eye bags, but a combination approach with nonsurgical treatments would give the most improvement: fillers (Belotero, Juvederm Volbella), lasers (Fraxel/CO2), Renuvion (J-Plasma), microneedling/PRP, Cosmelan peels and stem cells. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest getting a formal evaluation with a cosmetic dermatologist to see what is best for you and your goals. Best, Dr. Emer.
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June 5, 2017
Answer: Under eye bags, maybe filler but not Thermage I have had some nice success camouflaging lower lid bags with fillers. The results can be long lasting, up to a few years in some cases. However, if the bags are really large, filler is not indicated. Thermage will tighten skin, but will not remove the fatty bags. Lower lid surgery is not that bad, and recovery is only about a week. Talk to a skilled surgeon she can go over all your options.
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June 5, 2017
Answer: Under eye bags, maybe filler but not Thermage I have had some nice success camouflaging lower lid bags with fillers. The results can be long lasting, up to a few years in some cases. However, if the bags are really large, filler is not indicated. Thermage will tighten skin, but will not remove the fatty bags. Lower lid surgery is not that bad, and recovery is only about a week. Talk to a skilled surgeon she can go over all your options.
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December 8, 2016
Answer: Eye bags, circles, and swellings There are many causes of eye bags. Some are shadow issues, some are discoloration issues. So you are right that must people have a multifactorial issue, meaning that there are a few different issues going on. Successful treatment of eye bags requires recognizing this. Thermage can help. I do not think it will make you 100% happy though. It is good as the downtime is little and the risks are smaller than surgery, but the results will also be less.One option that is good for this issue, particularly in young people, is fat transfer to the periorbital area. This can give great results for patients. Below is a list of some of the most common causes of eye bags. I also included some of the treatments that in my hands get the best results. There are a few videos attached also explaining my treatment process.
Helpful
December 8, 2016
Answer: Eye bags, circles, and swellings There are many causes of eye bags. Some are shadow issues, some are discoloration issues. So you are right that must people have a multifactorial issue, meaning that there are a few different issues going on. Successful treatment of eye bags requires recognizing this. Thermage can help. I do not think it will make you 100% happy though. It is good as the downtime is little and the risks are smaller than surgery, but the results will also be less.One option that is good for this issue, particularly in young people, is fat transfer to the periorbital area. This can give great results for patients. Below is a list of some of the most common causes of eye bags. I also included some of the treatments that in my hands get the best results. There are a few videos attached also explaining my treatment process.
Helpful
April 25, 2015
Answer: Thermage usually not helpful Thank you for your question. Results of Thermage are very unpredictable. More importantly, this can result in damage to the skin of the eyelid through a burn injury. Most of the time, puffiness is related to fat herniation and NOT retained fluid. Non-surgical options can be used to treat eye bags. Oftentimes a dermal
Helpful
April 25, 2015
Answer: Thermage usually not helpful Thank you for your question. Results of Thermage are very unpredictable. More importantly, this can result in damage to the skin of the eyelid through a burn injury. Most of the time, puffiness is related to fat herniation and NOT retained fluid. Non-surgical options can be used to treat eye bags. Oftentimes a dermal
Helpful
October 28, 2014
Answer: Puffy lower eyelids Your best bet is going to be seeking out a physician who is comfortable dealing with the periocular region, specifically the puffiness below your eyelids. There is no solid evidence that Thermage is going to do anything to improve your lower eyelid fluid retention.If the puffiness is due solely to allergies, those need to be treated aggressively before any judgments can be made. Sometimes something as simple as just a low salt diet can help reduce that swelling, or edema, of the lower eyelids. To guarantee you're receiving the highest level of care, seek out a dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these "core four" cosmetic specialties.
Helpful
October 28, 2014
Answer: Puffy lower eyelids Your best bet is going to be seeking out a physician who is comfortable dealing with the periocular region, specifically the puffiness below your eyelids. There is no solid evidence that Thermage is going to do anything to improve your lower eyelid fluid retention.If the puffiness is due solely to allergies, those need to be treated aggressively before any judgments can be made. Sometimes something as simple as just a low salt diet can help reduce that swelling, or edema, of the lower eyelids. To guarantee you're receiving the highest level of care, seek out a dermatologic surgeon, oculoplastic surgeon, facial plastic surgeon or plastic surgeon who is board certified and fellowship trained in one of these "core four" cosmetic specialties.
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