Do I Need A Lower Blepharoplasty Or Injectable Fillers For My Lower Eyelid Hollows?

Q:  Dr. Eppley, I am a 33 year-old blonde female with fair skin. I think my skin is in fairly good shape as I have avoided the sun much of my life. However, even though I am young I have bags and dark circles under my eyes that are far worse early in the morning as compared to the evening. This makes me look tired and I am tired of always looking tired even though I think I get enough sleep. Do I need an eyelid job or will fillers be the right thing to do? I have attached some pictures to help you see my eye problem.

A: It is hard to imagine at your young age that any traditional form of lower blepharoplasty would be needed. These more ‘complete’ eye jobs usually involve skin removal and that is something you do not need. What your pictures show is some lower eyelid hollowing which creates dark shadows or circles. The use of injectable fillers is the treatment you need. This simple office treatment creates an immediate result that will quickly provide a visible improvement by adding volume into the hollows. This is a bit of a tricky area to inject to avoid bruising, irregularities and over correction. Injectable fillers in the tear troughs and lower eyelid hollows can last much longer than in other facial areas, often 12 to 18 months in duration.  .

Dr. Barry Eppley

Indianapolis, Indiana