Age 38, what can be done about under eye circles that is non-invasive and cost-effective? (photo)

Thank you for your question and pictures. Eye wrinkles and sagging are a common concern for many adults. Dark circles and eyelid wrinkles can be corrected with blepharoplasty or cosmetic eyelid surgery. It is one of the first cosmetic surgeries people usually get. While the average age might be 30 to 50's, some patients get this done in their 20s. It really depends on your unique anatomy as well as what exactly is bothering you.

Botox injections as well as laser treatments can also be a tremendous benefit if you are not interested in surgery. Of course, there are also many combinations. Another, non-surgical treatment option is the plasma pen that targets deep creases and areas of loose skin. Make sure you choose an experienced physician for these treatments.

I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of eyelid surgery but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations.

I hope my answer helps and if it does, please take a moment to up vote this answer on the “respond” button on the top right. Have a great day.

Thank you for sharing your question and posting your photo. Your might have modest improvement of the appearance of your lower eyelids with a small amount of Botox followed by erbium laser treatment. See an experienced oculoplastic surgeon for detailed evaluation and guidance. Good luck!

in your case, you do not have significant fat prolapse (fat bulging under the eyes) rather it is the skin excess here; it would require a conservative lower lid blepharoplasty with simple skin removal; making sure not to remove too much skin to cause lower lid sagging (retraction); best to see an oculoplastic surgeon for this.