When there is excess skin or pronounced bags under the eyes, blepharoplasty is usually recommended. Blepharoplasty is an outpatient surgery that is performed with sedation (monitored anesthesia care). The procedure may be done through the conjunctiva or the skin.
The former is a better option in patients with good skin tone. The latter is done more commonly in people with significant skin laxity and wrinkles under the eyes. The scar that results from this operation is imperceptible in most cases.
However, in some patients good results can be achieved with hyaluronic acid fillers.
These are gel-like medical device implants that are injected underneath the skin to restore volume, improve skin texture, and enhance certain features and contours.
They also hydrate the skin and renew the collagen network that supports the lower eyelid. Fillers are frequently used to reduce the appearance of bags and dark circles in younger people.
It is important to personalize the treatment according to each patient, to achieve the best result.
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