I Have the Worst Bags Under my Eyes, PLEASE HELP :(

For someone your age with relatively smooth and elastic lower eyelid skin, I too approach this problem with injectables, preferably Radiesse layered along the infraorbital rim periosteum with extreme care and circumspection under regional anesthesia in the office, patient sitting up and following the result with me in the mirror as we progressively transform a hollow lower lid that absorbs light to a more full, naturally beautiful lower lid that youthfully reflects light.

Silicone is permanent, and I have no experience with it, except seeing some patients with associated problems.

Neither blepharoplasty nor canthopexy is the ideal solution to this problem. As most surgeons have indicated, injectible fillers will give you the best result with the least amount of risk.

The discoloration will be very difficult to address as the eyelid skin is quite thin and often will not hide the color of the underlying muscle.

Good luck

seattleface com

Your posted photos show thinning of the inner quarter of the lower eyelid skin and fat. The color you see is the underlying muscle visible after the overlying tissue thins. In addition to the muscle you also see the edge of the bone rim under the eye due to this thinning. When you can see the rim from the outside it is called a tear trough. I do not see any lower eyelid bags in the photos.

You can find more detailed information in the referenced webpage.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

I read your concerns and reviewed your photos:

You have lower eyelid grooves (tear-troughs) that extend down into your midface. In my view, this is not a surgical problem. You may have your lower eyelid grooves filled, and this would decrease the appearance of "bags". In my practice, Silikon-1000, an off-label filler for permanent results, works well for eyelid grooves.

Please be sure your physician is experienced in the delicate art of injecting eyelid skin, as this is an unforgiving area.

I hope this is helpful for you.

Regards from NJ.

Lewis 

Under eye fillers will do a great job addressing the under eye circles.  Please recognize that this type of treatment is an art form.  Do not let a nurse or family doctor do this treatment.  You need someone who actually does a great deal of under eye filler service to address this issue.  Consider looking on the liquidfacelift website to find someone in your area who can help you.