I have dark hollowing and lines underneath my eyes, along with sagging eyelids. What is the best remedy to be used?

Dr. Dean Kane Q & A shutterstock_170024777 Q. I have dark hollowing and lines underneath my eyes, along with sagging eyelids. What is the best remedy to be used? A. ​Pigmentation or dark circles under the eyelid may come from any combination of the following. 1. Eyelid bags and laxity with shadowing 2. Cheek laxity and shadowing 3. Thin eyelid skin with a reflection of the underlying muscle 4. Eyelid veins. 5. A separation of the eyelid structures from the sagging cheek structures 6. Pigmentation, laxity and fine lines of the skin Many options are available depending on the problem above. 1. Eyelid lift 2. Cheek lift (with Contour Threads or short scar facelift) 3. Injection of fillers, either into the skin or deep under the fat for volumizing using Restylane, Juvederm or fat 4. Vein ablation 5. Mid-face lift, a lift of all the structures of the cheek with a eyelid lift 6. ZO Obagi Skin therapeutics and Peel or Laser to rejuvenate and tighten eyelid and facial skin. ​ ​Evaluation by a Board Certified and skilled Plastic Surgeon or Oculoplastic Eye Surgeon is recommended to understand your particular needs. ​ ​I wish you the best!   This information is not meant as medical advice. It is provided solely for education. Our practice would be pleased to discuss your unique circumstances and needs as they relate to these topics.
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