Wednesday, November 27, 2013

Puffy Under Eye help beyond tea bags

If your eyes look puffy and tired all the time and you want a more lasting fix, there are a few safe,  and effective treatment options available at the doctor's office.

Muscle-relaxers (Botox) and Fillers

If you have a banana-shaped swelling right under your lower eyelids especially when you smile that you would love to get rid of,  ask your cosmetic doctor to inject Botox ( or Xeomin, or Dysport) in the muscle that lies under that roll of under eye skin.  It should last 3-4 months, and if done regularly (3-4X per year) should weaken the orbicularis oculi muscle longest term.  Your eyes will look more open and awake.

If your puffiness extends from your lower eyelashes to your cheek, and is demarcated by a dark shadowy C-shaped groove at the junction with the cheek, I suggest filler too.  This is referred to by cosmetic doctors as filling the tear trough.  It is often done with a filler containing numbing medicine, and instantly fills the shadowy tear trough groove.  The filler can be extended to fill in a hollow under the rest of the eye as well.  There is no downtime, though some people experience temporary swelling and/or bruising.

Some people have such a prominent under eye swelling that filling the tear trough groove may not be enough to mask it, so we may fill the medial upper cheek (malar area) to help.

Finally, if filler is not enough to mask that under eye swelling, then I might advise lower lid laser blepharoplasty to remove the fat pads that create the swelling.  See my post "Laser Blepharoplasty vs..."

Often I will rejuvenate the upper eyelid in the same session as treating the under eye, by using laser to gently remove redundant wrinkly skin.  The laser can be used on the entire eyelid skin to improve texture and wrinkles.

Please note that if you are experiencing new eyelid swelling this could be a medical problem such as allergy, hypothyroidism, renal failure or sinus problems.  Please see your doctor to discuss these possibilities.
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