No one wants to appear worn down or tired, but rather relaxed and refreshed. People strive with a healthy lifestyle to be vibrant and full of energy! However, natural changes of facial fat, bone, and skin affect our appearance to the world.
The eyes, more than other facial features, can convey the appearance of low energy via dark circles, eye bags, droopy eyelids, and wrinkles. Patients complain of appearing tired despite a healthy diet, adequate sleep, and energy levels with exercise. Even millennials can have bags and dark circles, which is not from age alone or sun worship. The eyes can start showing these features at an early age.
Eyelid rejuvenation, with or without surgery, is common in a cosmetic surgery practice. – Houtan Chaboki, MD
Nonsurgical Eyelid Rejuvenation with Filler
Nonsurgical eyelid rejuvenation primarily focuses on the lower eyelid to reduce shadows and add volume. Facial fillers (ex. Restylane®) or fat injections add volume to the “valley” of the lower eyelid, commonly referred to the tear trough and infraorbital rim by cosmetic surgeons. The added volume from fat or fillers replaces the fat and bone loss and can help camouflage both dark circles and bags.
Fillers are made of a hyaluronic acid gel, which is a natural component of the skin. Fillers are frequently used by plastic surgeons as part of a liquid facelift for a variety of purposes, ie. plump lips, soften facial wrinkles, improve temporal hollows, and augment cheeks. Juvederm®, Restylane®, and Belotero® are the more commonly known brand names of hyaluronic acid fillers. Lower eyelid rejuvenation is performed in the office vial local anesthesia and takes a few minutes by experienced injectors, such as Dr. Chaboki
Read more about filler treatment for eyelid rejuvenation.
Chemical Peel for Lower Eyelid Wrinkles
A chemical peel is often used in the lower eyelid to remove superficial layers of skin. By removing the top layers of wrinkled skin, the deeper skin can regenerate a newer and healthier surface.
Chemical peels come in a variety of strengths, which affect the depth of penetration. The deeper the peel results in a more dramatic change in appearance. Deeper peels, however, have a longer recovery compared to superficial peels. Your plastic surgeon or dermatologist can determine an appropriate peel for you based on factors such as skin type, ancillary procedures (ex. filler or Botox), and downtime.
Read more about chemical peels for skin wrinkles.
Botox® or Dysport® for Eye Wrinkles
Wrinkle relaxers, such as Botox and Dysport, work by relaxing the muscles around the eyes and forehead. These nonsurgical treatments are quick office procedures that last several months and often combined with fillers for an enhanced effect.
Read more about wrinkle relaxers such as Botox and Dysport.
What is the Best Nonsurgical Eye Treatment?
A plastic surgeon will perform an evaluation to help a patient choose the “best” option for them. Mild eye bags and dark circles may benefit from a nonsurgical liquid lift alone, with or without a peel. For those who want a permanent change and have severe eye bags, then lower eyelid surgery (blepharoplasty) and fat injections may be better options. In addition, upper eyelid rejuvenation is primarily done with surgery.
As a surgeon, Dr. Chaboki typically doesn’t just jump to surgery and may recommend a nonsurgical lift first. Dr. Chaboki works with patients to develop a treatment plan to look refreshed, not necessarily different.
The primary factor that determines the treatment plan to achieve a patient’s desired results will be an individual’s anatomy. How much fat is present? Where is fat relatively excess and insufficient? What is the quality and shape of the bone? What is the condition of the skin? Each patient is unique and circumstances will vary.
What questions do you have regarding nonsurgical eyelid rejuvenation? Share your questions below and request a consultation.