Rejuvenate, Refresh, Restore Vibrant Lower Eyelids Without Surgery
Although several situations may contribute to a fatigued appearance, among the most common is darkness of the lower eyelids. This darkness usually results from shadow and/or skin pigmentation. For Dr. Laverson, the first step in treatment is physical examination to determine the cause.
Position of the eye, type of skin, contour of skin, complexion, amount and position of fat around the eye, and other facial features influence shadows cast upon the lower eyelid. Because eyelid skin is thin, delicate, and constantly moving and blinking for years, it easily becomes loose and develops very fine creases. The cumulative effect of small shadows inside each fine crease is darkness of the entire lower eyelid. In this case, tightening of skin or removal of excess skin may be indicated. If shadow is produced beneath a bulge of fat, surgical re-positioning of the fat to reflect light rather than absorb it may be recommended. Sometimes, non-surgical filler softens the crease beneath a fat bulge to correct a tired appearance easily. Currently available fillers last for months and in many cases years, delaying or eliminating the need for surgery. If there is a concavity or “hollow” of the lower eyelid which casts a shadow beneath your eyes, filler may offer safe, dramatic, and long lasting correction. Alternatively, especially if cheekbones lack prominence, placement of a solid facial implant to augment this area is preferred.
If darkness of the lower eyelids is related to brown or tan pigmentation, skin lightening may be recommended.
Dr. Laverson believes consultation with a board certified plastic surgeon is the best first step in treatment. Because we offer both non-surgical and surgical choices, we can explain advantages and disadvantages of each objectively. Even if you choose non-surgical treatment, because of the surgeon’s deep understanding of static and dynamic lower eyelid anatomy, contouring of this area is performed most skillfully. Injected fillers, lower eyelid blepharoplasty surgery, or placement of implants must accomplish all desired ends, including lifting sagging skin around the eyes, filling hollows, adding volume, and softening and smoothing wrinkles and creases. The surgeon is also best prepared to explain and address additional important aesthetic issues such as eyelid shape and orientation.
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