I am 44, and I'm always being told that I look tired despite following the holy grail
of sleep, water, antihistamines?
I am wondering if I fillers would solve my problem?
Thank you for your question!
At the age 44 you feel you've done all things of taking antihistamine and doing all the
right things.
I'm assuming to address the appearance of your eyes based on the photo you submitted
and you want to know if fillers will help you improve your appearance.
Well, looking at your photos, there are some critical things about the eyes I'd like to
focus on.
And there's a reason why I'm focusing on the eyes and why the can make you look tired.
You see, there's a term called microexpressions and there's a lot of unconscious communication
that occurs when people meet you for the first time or when friends and family see you.
And the appearance of the eyes has such a dramatic impact on how you communicate to
others.
And so when people look at you and see that you have puffiness under your eyes or you
have extra hooding of skin over your eyes, then that communicates lack of energy and
tired.
And this is from my experience of over 20 years of doing eyelid surgery that patients
come in and say that they're so sick of looking tired.
Or in several psychological studies where people look at just the eyes and they made
some conclusions as to the emotional state or the attractiveness of that individual.
Looking at your eyes, the dominant feature is the puffiness under your eyes.
So if you wanted a recommendation based on the photos alone in the absence of a physical
examination, I would recommend lower eyelid blepharoplasty.
This is a surgical procedure that involves addressing the puffiness that is caused by
lower eyelid fat prolapse.
In my practice, we perform this procedure under local anesthesia with LITE IV sedation
which allows for quicker recovery.
And typically for someone who is relatively young, I would do a transconjunctival blepharoplasty
which means addressing the fat pockets from the inside of the eyelid avoiding any outside
scars and preserving the anatomy and support of the lower eyelids.
In addition, we would also do other procedures such as fractional CO2 laser, platelet-rich
plasma to help improve the skin quality.
But that would require a little bit more detail and evaluation of the skin and it's something
I can't comment on based on your photos alone.
Now the lower eyelids is an interesting choice for someone who has a little bit of hooding.
Sometimes, people have full upper eyelids and they don't want to change that and I don't
push them.
I would say it's up to them to make a decision of what they want to do.
Unfortunately, a lot of people lose a lot of volume in the upper area so when they were
young and the skin was tight and full, it looked very good.
As they got older, they lost volume and the skin looks loose and hanging.
So what I typically do is I use a Q-tip and I roll the skin and I show them what their
upper eyelid could potentially look like.
And most of the time, I would do a conservative removal for someone who has had a full eyelid
for most of their life.
But it's a transition decision, I should say, when people always had full upper eyelids,
when these facial aging changes, it almost mean starting to embrace an almost different
look that look still very good and looks natural but is different from their teens and 20s.
So I think that if you were to consider something, I think that fillers are not likely to be
a benefit to you and that you should investigate some type of eye rejuvenation procedure.
So find some experienced and qualified cosmetic surgeons who you can meet with and get a sense
of their style, confidence of them to do the procedure you desire.
And if you feel comfortable and safe and you want to move forward, then go ahead and do
so.
So I wish you the best of luck, I hope that was helpful, thank you for your question!