This quick in-office procedure is usually performed using a blunt-tipped cannula, which helps reduce bruising and discomfort. Just make sure to find a provider who’s intimately familiar with facial anatomy and frequently performs under-eye injections. Injectable fillers have yet to be FDA-approved for use under the eyes, but they’re commonly used off label. Besides hiding mild eye bags, fillers can lighten shadows. Results are immediate, but they’re also temporary, lasting up to a year.įillers don’t actually reduce puffiness they fill in hollows below the fat pad so that the lower eyelid blends into the cheek. Camille Cash, a Houston-based plastic surgeon. Injectable fillers “use volume to disguise under-eye contour irregularities,” says Dr.Related: Waking Up Tired Eyes: What Really Goes Into an Eyelid Liftġ–12 days of downtime (depending on intensity) Treatments vary from medications bought over the counter to in-office injection, laser resurfacing, and surgery.” Cameron Chesnut, a dermatologic surgeon in Spokane, Washington, “festoons sit below the eyelid but actually encompass the upper part of the cheek.” He notes that “there are different kinds of festoons, and the management of them differs, based on the underlying cause. RealSelf Tip: A doctor who’s an expert in eyelid aesthetics can determine whether you have eye bags or “festoons,” which are often confused for one another. ![]() Christopher Hess, a plastic surgeon in Fairfax, Virginia. The severity of under-eye bags can change from day to day, a phenomenon that becomes more noticeable over time, says Dr. ![]() One RealSelf member says her genetic eye bags have made her look tired since she was 10 years old. Swelling can also cast shadows under the eyes.Ī tendency to develop prominent bags under your eyes can also be inherited and appear at an early age. According to the Mayo Clinic, salty foods, allergies, lack of sleep, and smoking are all common causes of under-eye fluid retention. ![]() The herniation (or protrusion) of these fat pads can also create or worsen the appearance of the tear troughs, which are the creases that run from the inside corner of the eye to the upper cheek.Įxcess fluid can also collect in the space below your eyes, further stretching the skin and making the lower lids look even puffier. Muscles and tissues around the eye gradually weaken as we age, and the fat that naturally supports the eyes can push forward or sink, making lower eyelids look puffy and swollen.
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