How Eye Bags can Worsen Since Filler Treatment, and a Definitive Puffiness Treatment
HTML-код
- Опубликовано: 5 авг 2024
- More on under eye fillers: puffyeyes.com/eye-fillers/
For more on eye bag removal surgery, please go to: puffyeyes.com/lower-eyelid-eye...
For more about Dr. Prasad's experience and training in eyelid surgery, please go to: puffyeyes.com/about-dr-amiya-p...
A lady got filler injections in her tear troughs in August 2015. Over the course of a year, she noticed the area becoming more pillowy and saggy. She had them dissolved in two sessions, but 2 years later, her tear troughs still appear puffy, deep, and quite pronounced. She wants to know what can be done to fix them.
New York oculoplastic and reconstructive surgeon Amiya Prasad, M.D. reviews her concerns in this video, and explains why it is likely that the puffiness under her eyes is due to lower eyelid fat prolapse that got progressively worse; why fillers are only suited for mild cases of under eye puffiness; and why lower eyelid surgery is likely her best solution:
1:30 - Dr. Prasad details his background training in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience as an eye rejuvenation specialist
2:10 - Factors that contribute to the hollow appearance of tear troughs
2:49 - Dr. Prasad assesses this lady’s case and explains why the puffiness under her eyes is not likely due to filler, but lower eyelid fat prolapse
3:30 - Dr. Prasad explains how mild under eye puffiness can be addressed with filler up to a certain point
4:48 - How fillers can sometimes last for years; and the benefit fully dissolving previously placed filler before doing a correction
5:24 - The two treatment options for lower eyelid fat prolapse; and how a transconjunctival blepharoplasty is performed
6:16 - The goal of lower eye surgery
6:55 - How minimally-invasive procedures like injectables are still comparable to surgery
7:10 - How this type of procedure is performed with minimal trauma and recovery time needed, in a comfortable, safe setting
7:42 - Dr. Prasad’s recommendation
CONNECT WITH US!
Facebook ▸▸▸ DrAmiyaPrasad
Twitter ▸▸▸ @AmiyaPrasadMD
Tumblr ▸▸▸ dramiyaprasad.tumblr.com
Pinterest ▸▸▸ www.pinterest.com/amiyaprasadmd
Prasad Cosmetic Surgery ▸▸▸ www.prasadcosmeticsurgery.com
Eyelifts ▸▸▸ www.eyelifts.com
Puffy Eyes▸▸▸ www.puffyeyes.com
Wow, after reading through the comments below I must admit all of the plastic surgeons I've met have that huge ego and superiority complex! One even kicked me out of his office during my initial consult because I was asking too many questions! You seem so kind and that you genuinely care about people. Wish you were here in Florida!
Thank you for your kind words, Paula Zemeckis!
Thank you for this. I’ve seen several local dermatologists and plastic surgeons to address my own similar issue, and they all suggested lowers eyelid surgery instead of fillers. I felt pressured into a more expensive procedure; I think because I didn’t understand the way they were framing the underlying issue. I can understand now why they suggested what they did and will be reconsidering my options, and returning for perhaps an additional consultation.
I'm glad the video helped clarify the issue for you, Rose Sinister. I also don't recommend fillers for more moderate to severe eye bags. I do suggest you find a doctor who does the transconjunctvial approach to eye bags, and not the transcutaneous approach that is more common. The transcutaneous approach involves an external incision, and possibly skin removal, which can lead to rounding of the eyes, and compromising lower eyelid support. It may be cheaper in the short-term, but also may involve expensive revision surgery. The transconjunctival approach requires no external incison or skin removal, so it looks natural, and does not compromise the lower eyelid anatomy. I hope this helps you.
I was told by a plastic surgeon today not to do fillers, surgery only for tear trough
Hi@@lizzyflip7578,
Was there a reason given? Filler is certainly a treatment option for the tear troughs, and involves no surgery, but it does take skill to inject the under eye area, and many doctors don't inject or operate here due to the precision and the delicateness of the eye area.
Amiya Prasad, M.D. I actually had two cosmetic surgeons advise against it and one said I will be ruining the fascia and look worse later on and the second said surgery would give me a better result and longer lasting
Hi@@lizzyflip7578,
Sorry, when you said tear troughs, I thought you were referring to hollowing, not puffy eye bags. If you have eye bags, surgery is more the definitive procedure. Since I haven't done a physical examination of your eye area like your doctors have, I will have to defer to their judgment. I hope this helps you.
Love your videos! Thanks for taking the time to explain everything so clearly (har har har ;)
Thanks for watching, Jab Jab! I hope the videos are helping you!
Very informative.
Glad the video helped you, Louise Flannery!
😊👌 analysis and explanation.
To fill the undereye (tear trough) what you suggest
PRP/Hy.acid +PRP/Filler?
Hi Dr.Sadhana Gaykar,
I only use softer hyaluronic acid fillers under the eyes like Restylane and Juvederm to treat hollowness. I do combine them with PRP if the skin quality, pigmentation, and any discoloration of the lower eyelids also need improvement. I hope this clarifies things for you.
Thank you now i fully understand my case
You're welcome, johnnard santos! Glad you found the video helpful!
great consultation for what to do, 2 people confirmed. for eye bags do surgery, do not do fillers
Hi Anteroization,
The did filler application for the lady on the left of the thumbnail, so it's not about surgery every time.
Hello Dr. once again, so one of the fillers my local Dr. uses is Hyaluronic acid with micro cannula, is that something you will recommend? Thank you in advance.
Hi nadia faith,
Yes, that's the same approach I use - hyaluronic acid fillers for safety, predictability, and reversability; and blunt-tipped cannulas for less trauma, and improved safety. I hope this clarifies things for you.
Hi Dr. Prasad,
Thanks for a great video. I have a question and I hope you can give me some advice. I got versa injected 9 months ago under my eyes and now I have under eye bags... do you think I should wait until it goes away(and how long does it take for them to go away) or there is anything it can be done to correct that. Thanks in advance for your time.
Hi cpcorrea,
Although I don't use Versa in my practice, it is a hyaluronic acid filler, so it usually lasts about a year before being safely metabolized by the body. Hyaluronic acid fillers can also be dissolved with the enzyme hyaluronidase. The route for you to go with is entirely up to you. I hope this helps you.
Amiya Prasad, M.D.
thank you so much !!
You're welcome,@@cpcorrea!
Sir ihave severe dark circles issue and realy depresed cheek bones as well.my doc did my face mapping and sugested me alot of fillers bit my main concern is that will my face look the same after the effect of filler is gone.secondly for how long restalyne fillers last .she told me it will lst for almost 1.5yrs.ihave heard that when filler efect is gone it leaves the skin saggy n you would need more amount of fillers over time..is this true.needs help.thanxalot
Hi Farah Maad,
You can refer to this video about why facial fillers will not stretch you skin:
ruclips.net/video/2IIIz5zjMZw/видео.html
Dr. What can you say about Bellafil? I know you mentioned you recommend Hyaluronic fillers but what kind of filler is Bellafil? Is it true it lasts up to 5 years? I am 26 yr old with eye bags and dark circles first time doing something, what would you recommend for me Dr? Tia
Hi Mexi Veg,
I don't use permanent or semi-permanent fillers like Bellafil in my practice as I believe the potential complications of non-resorbable fillers pose a risk such as difficulty in removal, and a foreign substance being in the body that long. Hyaluronic acid fillers are much safer in terms of tolerance and metabolization as hyaluronic acid naturally exists in the body. I can't make a recommendation for filler or surgery for you without a physical exam, but surgery is a longer lasting and definitive treatment for eye bags. Dark circles do not require surgery, and you can watch this video for treatment options - ruclips.net/video/QBvjjvxPt2g/видео.html
@@AmiyaPrasadMD thank you so much for taking your time and replying.
You're welcome,@@farmfoodlove4881!
Hello Dr.
Thank you so much for your great videos, you're really so kind❤
Pls i have a question and i hope you answer me
İ have eye bags and that makes my tear troughs sooo visible and it complexes me, my local plastic surgeon tells me to remove the eye bags fat y blepharoplasty and then transfer it to my tear troughs, is it safe to do this? I know there is a risk of blindness if something is mistakenly injected to an arteria and im sooo afraid
Hi Ghofrane E,
It is common to have puffy eye bags and hollowing at the same time, but as an eyelid specialist oculoplastic surgeon, I don't recommend the fat transpositioning surgery your general plastic surgeon described. You can refer to these videos about how I treat concurrent eye bags and hollowing, and why I don't recommend fat transpositioning:
ruclips.net/video/Q0QiNH7LUVI/видео.html
ruclips.net/video/46Kp6ayfyzg/видео.html
ruclips.net/video/m-_mFe4eWmo/видео.html
I had a question
I have dark circles under my eyes and I just noticed I have excema there and sometimes it does hurt
Do I require surgery or what?
Thank you
Hi Youm Halal,
Eczema and dark circles can be related, and skin dryness from eczema can lead to hyperpigmentation and allergic shiners, which are factors in dark circles. They may need management of allergies, PRP treatment, but it won't require surgery. You can refer to this video about dark circles: ruclips.net/video/QBvjjvxPt2g/видео.html
Hello Dr. Prasad, I went to my dermatologist and he told me he’s using teosyal for my tear trough. Should I go with teosyal? Please help me.
Hi chiquithepom pom,
Teosyal is a hyaluronic acid filler. While I don't use this particular brand, I do use hyaluronic acid fillers in the tear trough. It's important to remember that the filler brand doesn''t determine results because it's just the material, but it's the doctor using it who determines the results. I hope this helps you.
Hi Doctor, can you please answer this question: I am considering lower blepharoplasty, but am concerned that in some time the undereye fat might return, since my body maybe naturally "stores" fat there, also it's in my family to have very hollow and tired-looking eyes. I have had them since I was little, but now notice some fat pockets also. I am 30 y.o.
Thanks so much & greetings from Vienna! 🌷
Hi mk777102,
With lower blepharoplasty, once the fat is sculpted, it does not return. I recently had a patient who I did lower blepharoplasty on 30 years ago write in to say that fat still hasn't returned, and her eyes still look great. However, lower blepharoplasty doesn't stop new orbital fat from prolapsing under the eyes. While for most people the fat doesn't prolapse again, it is still possible for new fat to prolapse, but if it does happen it's many years down the line. I hope this clarifies things for you.
Dr. What are the chances of getting the surgery and having bags in another year? Is that a very rare case? Would you recommend surgery or filler?
Hi Timothy Anderson,
Puffiness coming back within a year after surgery is extremely unlikely because once the fat is removed, it's gone. While surgery won't prevent orbital fat from prolapsing forward again, for most people this is at least 10 years or away from the possibility, and in many it's permanently gone. I generally recommend the transconjunctival blepharoplasty procedure from behind the lower eyelid without any external incision, and without any skin removal as it looks more natural, like you've never had eye bags, and avoids complications that can happen with an external incision and skin removal which is often practiced with the transcutaneous blepharoplasty procedure. Unlike fillers that only camouflage slight cases of eye bags, surgery removes the fat that causes eye bags. It's important for the surgeon to leave a little fat behind for a nice contour, and to avoid a hollow look under the eyes. I hope this clarifies things for you.
Dr. I have a question I've been investigating this I am still deciding if I should get fillers or not my fear is something going wrong getting an allergic reaction or something I've heard sometimes you can get a lump, now my question is if it can it be fixed?
Hi nadia faith,
Hyaluronic acid fillers like Restylane and Juvederm are hypoallergenic, and hyaluronic acid naturally occurs in the body, so chance of an allergic reaction are virtually none. There are still risks, but risks are minimized be seeing an eye or eyelid specialist when having filler treatment in this area. Hyaluronic acid fillers can be dissolved, such as in the rare cases where lumps may form. I hope this clarifies things for you.
Hi Dr. Prasad, what filler is better restylane or juvederm?
Hi chiquithepom pom,
I use fillers from both brands, and they are similar, and come in varying thicknesses depending on the treatment area. It's important to remember that the filler is just the material, and results are determined by the doctor using it, not by the brand of the material. I hope this helps you.
My dark circles are genetic and are so deep and hollow.I am having PRP for my dark circles I have taken 2 sessions but I can’t see any changes in the hollowness.even now it is involving my cheek area?can I recover only using PRP or I should go for PRP with hyaloronic acid??
Hi Iqra Yaseen,
PRP can help with pigment and discoloration that cause dark circles, but it won't have a significant effect on hollowness, so a hyaluronic acid filler is needed to treat hollowness. You can refer to these videos about treating hollowness under the eyes, and in the upper cheek:
ruclips.net/video/C1pxoU7e1SE/видео.html
ruclips.net/video/WRcT1o_Nsa4/видео.html
ruclips.net/video/VzzsbNDlaHQ/видео.html
Dr Prasad do you do Ultherapy please? For eye bags or Fractora ?
Hi Julie Day.
I don't administer Ultherapy because I find it heats abruptly rather gradually. I perform radiofrequency treatment with Pelleve, along with various lasers. However, none of these are the correct treatments for eye bags. I hope this clarifies things for you.
Hello Doctor, I am thinking about getting lower eye lid fillers .What some of the side effects ?
Hi Blessed Beauty,
There are no side effects associated with soft hyaluronic acid fillers below the eyes like Restylane or Juvederm as long as it's done by an experienced doctor, and it is the appropriate treatment. Sometimes non-surgeons try to correct prominent eye bags with filler instead of surgery, which can lead to overfilling this area. I suggest you see a doctor who is experienced in both under eye surgery and under fillers to get the best recommendation and results. I hope this helps you.
Amiya Prasad, M.D. Hello Doctor, thanks for the reply.Your information is very helpful.
You're welcome, Blessed Beauty!
Dr. I just went to get the fillers I really wanted Juvederm or the other one that you recommend but my local Dr. used Voluma on me she said that was the best for me, but she said I will be needing more (since I have alot of eye bag) so I will be back in a month to get the other procedure, I asked her about surgery if that would be a better option, for a long lasting but she said she wouldn't recommend because since I have alot of eye bag there would be alot of skin left, (she doesn't do surgery though) she said fillers would be best, but I've seen bad comments from people about Voluma, my Dr. also told me that this procedure will last me about 2 yrs, I want to also add that she used this mainly on the cheeck bones because she said she had to start from there to fix my problem and so Im thinking she will use something different for the next time, she will focus more on the eye bags, I am hoping she will use Hyaluronic acid next time, I wanted to ask you your opinion Dr. hope to hear from you soon. Thank you
Hi Mexi Veg,
I do suggest you see a doctor who can perform both under eye filler and under eye surgery so there is no bias toward any treatment, and the best treatment is recommended for your case. Voluma is a hyaluronic acid filler made by Juvederm, but it is a much more rigid filler, that won't move under the eyes with normal facial expressions, so it may look lumpy and unnatural when you smile, squint, laugh, etc. Voluma is primarily a cheek filler, and I I do administer it often in my practice, but for the cheeks, jawline and chin, which are solid bone areas that don't move like the under eye area. Also, even if you remove a significant amount of under eye fat, the skin will not become loose, even in patients who are significantly older. If you have significantly puffy eye bags, and you try to camouflage them with filler, you may end up with even larger bags. It's mostly appropriate to camouflage slight eye bags with filler, but beyond a certain elevation of the bags, surgery is the best option. I recommend finding a surgeon who performs the tranconjunctival method of lower eyelid surgery as it involves no incision, is less prone to complications like lower eyelid retraction, and looks completely natural, as well as a doctor who leaves little fat behind to prevent a hollow look. If lower eyelid skin quality is an issue, talk to your doctor about complementary procedures such as PRP and laser treatment, but you can be assured that removing orbital fat will not leave extra skin behind. Removing skin because a doctor mistakes it for causing wrinkles is what most often leads to lower eyelid retraction and ectropion, which involves much more complex and expensive revision or reconstructive surgery from an oculoplastic surgeon like myself. I hope this clarifies things for you.
@@AmiyaPrasadMD Thank you so much for your explanation Dr. I don't know if I should go back to this Dr. And finish the rest of the procedure because I feel like I need to finish it but I don't want her to inject me with Voluma on the eyes even If I tell her about PRP if she says that won't work for me, I really wish I could go see you I am all the way in Brownsville Tx too too far, one more question did she do wrong for putting me Voluma? My husband says my eyes look a bit swollen, the Dr. Said it was totally normal and would go away in a few weeks, In my opinion I see my eyes the same.
Hi Mexi Veg,
It's not my place to say your doctor was wrong since I have not seen you in consultation, but I can say that I don't use Voluma in the tear troughs, and do prefer softer fillers like Restylane or Juvederm XC, and I would use Voluma for harder areas without a lot of movement like the cheekbones, jawline, and chin.
Thank you for your opinion Dr. it really means a lot.
You're welcome, @@farmfoodlove4881!
Thank you dear dr for reply but i would like to send you pic for my eyes in order to tell me what exactly i have and what the good solution for my case
Hi dalia saad,
While pictures give a better idea, they cannot replace a physical diagnosis where I can examine your skin, the cause of eye bags like orbital fat or allergies, and I cannot give an exact recommendation for treatment based on pictures alone. We can do a preliminary review only based on pictures alone. You can send your pictures through prasadcosmeticsurgery.com/virtual-consultation/ or eyelifts.com/virtual-consultation/ or puffyeyes.com/virtual-consultation/ for a preliminary review. Please note that this is not a formal consultation, but a preliminary evaluation. I hope to hear from you soon.
Hello Dr, can tear trough fillers move upwards into the bottom eyelid? Does it mean it can move close to the eye, potentially under or behind the eye?
Hi Trutha Piece,
It is unlikely for a significant amount of tear trough filler to migrate upward. Amount of filler material used in the tear trough usually isn't much. If you are worried about it, and examination is needed. If a hyaluronic acid filler was used, it's normally easily metabolized, and it is not a dangerous material as the body does have its own hyaluronic acid, which is constantly being metabolized and replenished. I hope this helps you.
I am also facinge eye bag it looks horrible can u please sugest wat i can do?
Hi Urmila Gautam,
Sorry, I can't give you specific recommendations without a physical exam of your eye area, but I do show the options available in the video. I hope the video clarifies things for you.
Am I able to send you pics of my bags for you see whether surgery or fillers are best for me ? I’m desperate !
Hi Eliza Iconou,
I would need to examine the projection of your eye bags in 3 dimensions before making that determination. However, the best way to treat eye bags is transconjunctival blepharoplasty, which involves no external incisions, and usually lasts long-term. I hope this clarifies things for you.
Can you PLEASE help? I got restylane filler for tear trough eye hollows. Now I have a (greenish appearance) tyndall effect under 1 eye in particular. How do i get rid of it? They suggested bbl laser. They already used hydrolize but the greenish appearance is still there. Help?
Hi MyinHAIRitance,
Sorry to hear about your problem I would have to physically examine your skin and skin type before recommending a specific treatment. PRP may help you. I don't use BBL, but I do have several lasers that can be adjusted for skin type, location, and specific issue. Generally, I don't recommend aggressive treatments for the under eye area. I hope this helps you.
Amiya Prasad, M.D. Thank you
You're welcome MyinHAIRitance!
I had that surgery I love it but I feel like I also need an injectable. I think im going to get it soon.
Hi Monica Nessa,
Sometimes filler is needed for adjacent areas, even after perfectly done eye bag surgery.
Sir..how many days filler treatment stayed..? Plz tell me
Hi sanjay kumar,
Under eye fillers last about a year, depending on a person's unique metabolism. I hope this clarifies things for you.
Hi Dr . I’m close to 40 and I start noticing im kinda have deep eye bags due to the age and lack of collagen. I would like to get filler under my eyes but I’m afraid . Is there any risk ? Will it effect my eyes sight and what kind of filler is safe for it? Thanks
Hi Nina Luu,
There are risks to under eye filler treatment since it is a sensitive and delicate area, but the risks of under eye fillers are reduced by the experience of the doctor who is skilled at working in this area. You can refer to this video about the risks of filler in the under eye area - ruclips.net/video/lA6ietCvZf8/видео.html
Hello Dr. Prazad, I went to my dermatologist and he told me he’s using teosyal for my tear trough. Should I go with teosyal? Please help me.
Hi chiquithepom pom,
Teosyal is a hyaluronic acid filler. While I don't use this particular brand, I do use hyaluronic acid fillers in the tear trough. It's important to remember that the filler brand doesn''t determine results because it's just the material, but it's the doctor using it who determines the results. I hope this helps you.
Thank you very much Dr. Prasad for your help.
You're welcome,@@chiquithepom!
Do you have a video discussing filler vs. blepharoplasty?
Hi J S,
Yes, I have several, but this first one was just published recently:
ruclips.net/video/yszpZSOEGoQ/видео.html
ruclips.net/video/UDMs-tsyf4M/видео.html
Amiya Prasad, M.D. thank you so much.
You're welcome, J S!
Where are you located? I've been thinking about this kind of surgery
Hi Muqaddas Oripova,
Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
But why did here hallows start to invade her cheek area? It’s all caved in lower the the previous pics Did the dissolve dissolve some of the cheek bone?
Hi La Friday,
A dissolving agent like hyaluornidase only dissolves hyaluornic acid which is what many cosmetic fillers are made of. It's not possible to dissolve the cheekbone, although volume loss due to aging from bone, muscle, and fat does noticeably affect the cheeks. Options to restore volume in the cheeks do include implants and filler. I hope this clarifies things for you.
Hello dr. Where you located?
Hi Ricky Smith,
Our offices are located in Manhattan, New York City which you can call at (212) 265-8877, and Garden City, Long Island at (516) 742-4636. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.pufffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Hi doctor I’m 41 I just quit smoking a month ago now I’m going to be doing retin a for anti aging but under my eyes are puffy I need ur help
Hi Brandi Sodemann,
It's good to hear you quit smoking. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877, and Garden City, Long Island at (516) 742-4636. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
What is the longest lasting I didn’t realize it was only good up to a year .. very discouraging.
Hi Rey Armendariz,
If you want a long lasting treatment for eye bags, surgery to remove and sculpt the fat that causes them is your best bet. I do personally recommend and perform the transconjunctival method where no incision is made, and no skin is removed to avoid complications associated with lower eyelid surgery, and also so there is no visible incision so it looks completely natural, like you never had eye bags. I hope this clarifies things for you.
Amiya Prasad, M.D. if I have no under the eye fat but only eye bags ... is the only option the fillers? Thanks
Hi Chris K,
If you have eye bags present all the time, then you do have under eye fat because the eye bags are caused by fat. Fillers can be used to camouflage eye bags, or fill hollowness caused by lack of volume. I hope this clarifies things for you.
I want to get of my dark eye circles I think they are genetics I don’t know I started getting them 2 years ago
Hi Willy Nino,
It is possible to improve the appearance of dark circles by improving the quality of the skin with treatments like platelet-rich plasma (PRP) and perhaps a thermal energy treatment, depending on your skin type and color. I hope this clarifies things for you.
Dr.! Tear tough injection how long it will work.. Actually i am going to do it?
Hi prasanti sahu,
Tear trough filler treatment can last about a year, but eye bag surgery can last many years as the fat is definitively removed. I hope this clarifies things for you.
Thank you sir.
Dear Sir
Is surgery painful? What is the procedure of surgery. How many days will take for normal conditions. Please clear my doubt, I am 26yr unmarried girl but fully depressed for my 👁 bag problem. Please help me
Hi
prasanti sahu
,
Eye bag surgery is not painful because you are anesthetized. I administer local anesthesia so you don't have to go under general anesthesia, which also makes recovery faster. Our patients return to work in about a week. Healing time does depend on your surgeon and their personal technique. I hope this clarifies things for you.
I've had dark circles since i was very young from 4 or 5 years old. They're really purple looking and sunken/hollow, i'm 16, they're genetic as my dad has dark circle bags. is there a chance that they will go away in the next few years? and is there a way to reduce the purple colour of the bags?
Hi yooy trt,
Sorry to hear about your problem. Often issues like this can be outgrown as your face is maturing, especially the hollowness. However, if you have had the discoloration since you were very young, it may be ethnic pigmentation, which can be treated with platelet-rich plasma, or PRP, which is a natural material derived from your own blood. You can watch these videos to learn more about it:
ruclips.net/video/RHJodb437o4/видео.html
ruclips.net/video/QBvjjvxPt2g/видео.html
sir, is there anyway to get rid of volume loss of lower eyelids without fillers because i can't afford it? im 24.. before there is no problem in my eyes but recently i just realized that my eyes become sunken i mean there is a valley between my lower eyelids and my cheeckbone, and it makes me look older and my dark circle becomes darker, am i premature aging sir?
Hi Mustika Ramadhani,
The volume loss may be genetic, but it's best to confirm with your doctor if there are any other issues causing it. Volume loss can only be addressed by adding volume, and the safest and most cost-effective way to do this is with injectable cosmetic fillers. I hope this clarifies things for you.
I wish you had an office in Los Angeles. I’m 27 and I’ve had dark circles since an early age. The dark circles are genetic from my fathers side. I don’t have bags under my eyes, but I have dark circles and hollow shadows. I really want to get Restylane fillers. I love how I look, I just hate my dark circles. Even when I wear concealer I still look tired.
Hi Miranda,
Sorry to hear about your problem. I would love to help you with it if you were here in New York. I suggest you look for a doctor experienced with injectables under the eyes, namely PRP and filler, as well as thermal treatments, and they would be able to help. I hope this helps you.
Thank you Doctor. If I’m ever in New York I will look you up.
You're welcome,@@Mandy_1467! Hope to see you soon!
Is there a way the fat that cause puffiness under the eye be sucked out via needle. By inserting the needle inside the enter bottom lid and sucking the fat out. Has anyone tested or tried it.
Hi Reto MouseX,
The fat that causes eye bags is too thick and solid to pass through a needle. Also, a needle would not give accurate results as the fat is sculpted rather than having it all removed to prevent hollowing under the eyes. There is an art to eye bag surgery to achieve a nice contour without the puffiness. I do the surgery from behind the eyelid so external excision is made, and often use laser assisted surgery as well. I hope this clarifies things for you.
@@AmiyaPrasadMD
Thank you for your response and clarification Dr. Prasad.
You're welcome, Reto!
@@AmiyaPrasadMD how much do you charge for that surgery?
Dr. Prasad do you have an office in California?
Hi Rose Mary,
Sorry, I only practice in the East Coast. Our offices are located in the in Manhattan, which you can call at (212) 265-8877, Garden City, Long Island at (516) 742-4636, or Vienna, Virginia at (703) 356-1446. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.pufffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Hi , I too am in California . I have been looking into this procedure as well . I found Asia Hankins here on You Tube , she is in the Newport Beach Area - I am considering her for the liquid facelift ... check her out , good luck .
@@AmiyaPrasadMD Thank you.
@@kimikiminurface938 Thank you I will check it out.
Cause my weight loss... The skin under my eyes become so thin and vessels are clear!!! Idk filler or surgery!!! 😩Wich one is better
Hi mrs voice,
Weight loss isn't likely to affect the area directly under your eyes, but it may be more noticeable after you have lost weight. Eyelid skin is naturally the thinnest skin in the body. If you are seeing the underlying anatomy through your lower eyelids, the you can consider improving the skin quality and thickness with PRP. You can refer to these videos about it:
ruclips.net/video/QBvjjvxPt2g/видео.html
ruclips.net/video/bR7_ZSai_t0/видео.html
It seems that it may be less challenging (for lack of a better word) to correct fat prolapse than to add fat or volume around the eye area when it is extensive hollowing such as seen in aging. The process of removing is much simpler than adding when it comes to the eye area, Of course that’s only my unprofessional opinion.😁 Really helpful videos!!! Thank you.
Hi Maria Molè,
It is indeed much easier to sculpt fat under the eyes, than it is to put it back. One removed from its original blood supply, transferred or grafted fat needs to take to a new blood supply to remain viable. Also, fat doesn't have a consistent shape once removed from its original blood supply, which are factors in why fat is not recommended to be grafted under thin eyelid skin, which I highlight in these videos:
ruclips.net/video/mNo_EBcDi1k/видео.html
ruclips.net/video/VzzsbNDlaHQ/видео.html
@@AmiyaPrasadMD Thank you for the links. I’m watching them now.
You're welcome, @@MariaMoleEpic!
I agree that fat has become more visible
Arent' u available in India?
Hi rowan Bindu,
Sorry, I only treat patients in our offices in the US. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877, and Garden City, Long Island at (516) 742-4636. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Hi dr . I have little tear trough with little buffing (bags ) so what do you suggest for me . ?
Hi dalia saad,
I need to examine your face before making specific recommendations for you, but you can refer to these videos for guidance in treating concurrent hollowness and puffiness:
ruclips.net/video/Q0QiNH7LUVI/видео.html
ruclips.net/video/46Kp6ayfyzg/видео.html
Wowwwwwww.great.
Glad you liked the video, Devyani Singh!
Hi I have sunken eyes I need help I'm 21
Hi lauran bliss,
Sorry to hear about your problem, but we can help once we a proper diagnosis is done. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877, and Garden City, Long Island at (516) 742-4636. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
I had tear trough filler 2weeks ago fealling pretty concered
Hi mandy cooper,
Sorry to hear that. I normally see my patients two weeks after filler or other injectable treatments to see how they've settled, and do enhancements if necessary. Perhaps you should do the same with your doctor for your own peace of mind.
Is an Anesthesiologist required when you use injectables as anaesthesia? If not patients would save a good chunk of money!
Hi Paula Zemeckis,
An anesthesiologist is not needed for local anesthesia with sedation, or for topical or injectable anesthesia. An anesthesiologist is needed to monitor dosage and vital signs of patients under general anesthesia, and avoid general anesthesia for almost all my surgeries, including extensive facelifts. Avoiding general anesthesia is not about the money, but for patient comfort, quicker recovery, and avoiding the risks to the patient associated with general anesthesia. I hope this clarifies things for you.