What would be the best choice to get rid of tired looking + little bit dark circles around
my eyes?
I always look tired without eye makeup.
I can't even go outside.
I wish I could have done something to look fresh even without any make up.
Thank you for your question!
You submitted a single photo and you expressed how you always looked tired and you have puffiness
under the eyes and you also have some concerns with dark circles under the eyes.
Well, this type of question is the type of question we deal with every single day of
our practice.
As a cosmetic oculofacial plastic surgeon practicing in Manhattan and Long Island, the
phrase "tired of looking tired" is what we deal with everyday.
So I'll share with you my approach for typically a young person like yourself who has puffiness
and has concerns with dark circles.
So let's define first what is puffiness.
The puffiness under your eyes is called lower eyelid fat prolapse.
Lower eyelid fat prolapsed has to do with the anatomy around the eyes and the puffiness
is actually fat pockets that have pushed forward.
In many circumstances, people first try topical creams, they'll put cucumbers, teabags.
But since the puffiness is a physical volume of fat, these modalities help the skin but
it doesn't do anything with the puffiness.
In my practice, for someone like yourself, our procedure of choice would something called
transconjunctival blepharoplasty.
Transconjunctival blepharoplasty means that we are approaching those fat pockets to reduce,
reposition from the inside of the eyelid.
Now by doing that from the inside of the eyelid, we do a couple of things that are very nice.
One is we avoid any external incision.
Therefore, there are no issues with marks or incision lines even though a transcutaneous
approach can be done very artfully.
In particular, what I like about this procedure also is that it maintains the natural shape
of the eyes.
This is something that's very important especially in younger people who like yourself has this
nice almond shape of your eyes naturally.
You don't want to change that.
We had many patients come to us from all over the world who had an external approach.
It's not the approach itself that's an issue.
It's the actual surgery that was done and it resulted in the rounding of the eyes and
people come to us and we have to do very complex procedures such grafting, drill hole canthopexy
and other things to restore that almond shape.
So my recommendation based on your photo is a transconjunctival blepharoplasty.
For under eye circles, when we talk about dark circles, it's always a discussion from
what resulted from melanin pigment which is ethnic versus variations in skin quality and
texture maybe from external factors such as environment, sun, allergies- all of those
things play a role.
We routinely use platelet-rich plasma to help the skin quality of the lower eyelid skin
and then that helps with the dark circle issue.
So the combination of transconjunctival lower eyelid blepharoplasty with platelet-rich plasma
which we do routinely in our practice at local anesthesia with LITE IV sedation.
This way avoid general anesthesia altogether and it allows our patients to recover much
faster and go back to normal life quickly and has been extremely successful and effective.
So that would be my suggestion based on your photos.
Meet with qualified and experienced cosmetic surgeons.
Find one that you click with move forward.
I think you'll do very well with that type of procedure.
So I wish you the best of luck, I hope that was helpful and thank you for your question!