Board Certified in Ophthalmology
Recommended for: Board Certified in Ophthalmology Oculoplastic Surgeon +0
8100 Boone Blvd, Ste. 110, Vienna, Virginia
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In your pictures, you appear to have a combination of under eye darkness and hollowness. For the hollowness, I recommend treatment with fillers. Depending on how much of the pigmentation remains/bothers you after filler treatment (since fillers can improve some degree of the dark appearance), I would then potentially recommend treatment of the pigmentation with topical creams and microneedling.
Your pictures demonstrate mild dermatochalasis (hooding of the upper eyelid skin) and lash ptosis (eyelashes directed downward). This can be corrected with a blepharoplasty with or without lash ptosis correction. When looking for a surgeon to possibly perform your surgery, it's important to see a trained oculofacial plastic surgeon. Asian eyelids present specific challenges and if done by an inexperienced surgeon, your results can be undesirable.
In some patients the glabellar lines are so deep that simple relaxation with neurotoxins (Botox, Dysport, Xeomin) is not efficient. If these cases, a combination of neurotoxin and filler may be useful to get the desired effect. It's important to keep in mind that zinc deficiency can cause neurotoxins to be ineffective. Also, repeated injections of neurotoxins in a short period of time can cause antibody production that can also cause the neurotoxin to be ineffective. In these patients, I ask them to take a break from neurotoxins for 6 months before they receive further treatments.
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