What would you recommend for hollow eyes?
Hi, Would anyone be able to recommended the best procedure to have to help with hollow
eyes.
I am 25 years old and have dark deep hollows.
My right side is the worst.
Thanks
Thank you for your question!
You’re 25 years old, you submitted two photos and you’re concerned about how to deal with
under eye hollowing.
We can certainly explore a couple of different options and also understand the method and
the basis for those options.
So at 25, you’re still young and therefore, we’re not going attribute this to aging
but rather it’s genetics.
You know, light skin and the area that is under your eyes is relative hollow particularly
in some distinct areas which we refer to as the tear trough as well as the eyelid to cheek
junction and sometimes we refer to as the V deformity at the junction where the bone
of the eye socket meets the cheek.
So, in our practice, as a cosmetic oculofacial plastic surgeon, we deal a lot on this issue
and we always want to have essentially procedures which are predictable, consistent and of course,
allow for quick recovery.
So with that in mind, and we do a combination approach and we start first with the term
hollowing.
Hollowing essentially means you can state volume loss.
So when you look at this area, you want to restore this area with some kind of volume.
In our practice, we restore volume with a hyaluronic acid filler such as Restylane.
Now it is still an area is very thin.
This is in contrast when we use Restylane to enhance lips.
To enhance the nasolabial fold or areas where the skin was thicker, the eyelid skin is very
thin.
And if you do research are concerned about lumps and irregularities and it is technically
a little bit challenge to do a really nice job so you, ideally, someone who should do
it for you must have a lot of experience in this area.
So hyaluronic acid can be a very effective filler in this area.
Now of course, when you start doing with some filler, there is some maintenance involved.
Some people, they need to come every 3 months, some people, every 6 months, some every year.
So there is a lot of variability individual, in a way the individual metabolize the hyaluronic
acid.
Now, on top of that, we found a very synergistic benefit.
And that is with a material called platelet-rich plasma.
Platelet-rich plasma is derived from your own blood and what is involved is a typical
blood draw like when you have with doctor’s office or lab, that blood is drawn and put
in a tube and spun and what we are doing is we’re concentrating the growth factors that
are responsible for wound healing.
We have seen a great combination and synergistic effect of combining hyaluronic acid and platelet-rich
plasma.
It results in a combination of volume improvement and skin quality improvement.
When you think about hollowing, you also think of shadows and darkness and if you think of
the skin quality, some fine lines and wrinkles.
So when you combine the two, we have seen this to become to be a really nice combination.
There have been studies done when this combination is used for wound healing and it was very
successful.
So clearly, there is some type of benefit in the combination of PRP and hyaluronic acid
as opposed to each one being used individually.
So that would be our approach for someone like yourself in our practice.
We follow our patients very closely so that we want to make sure that there are no irregularities
and there is needed enhancements or touchups, we do that as well just to make sure that
the contour is just as desired and looks natural.
So my advice is you do to you is to look for physicians or cosmetic surgeons who work at
this area a lot and don’t always follow the hype of the toys or the materials.
Sometimes doctors promote little instruments like blunt cannulas and things like that.
I don’t mean to put those down but really it’s more about technique than is about
a particular instrument.
It’s the hands of the doctor, the hands of the surgeon that make the difference and
how it’s applied and the time.
It’s very meticulous, it’s a very sensitive area, it has to be done with great care and
artistry.
So meet with doctors and find someone you are comfortable with and give it a try.
What’s really nice about this option is hyaluronic acid can be dissolved so if you
don’t like it, you can use hyaluronidase to get rid of it.
Hopefully you avoid that as an issue.
So I hope that was helpful, I wish you the best of luck and thank you for your question!