Q. I had a consultation for my under eye ‘bags’ (seeking a short & long term fix). Based on my previous research I was expecting to the doctor to confirm Restylane was needed short term. He recommended .5cc of Restylane plus .5cc of Voluma (on upper cheeks) for a smooth transition from the under eye to upper check area. I went back and tried to research how Voluma could impact the ‘shadowing’ of the under eye but I haven’t found much. Any thoughts on the best injections would be great. Thank You!
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. A separation of the eyelid structures from the sagging cheek structures
5. Pigmentation, laxity and fine lines of the skin
Many options are available depending on the problem above and how long you wish the problem resolved.
1. Eyelid lift
2. Cheek lift
3. Injection of fillers, either into the skin or deep under the fat for volumizing using Restylane, Juvederm or fat
Injectables like any other procedure takes experience, talent and skill. Today, there are many techniques to achieve the improvements you desire depending on which problem exists: bone, deep fat, separation of tissues, superficial fat, skin creases.
4. Mid-face lift, a lift of all the structures of the cheek with a eyelid lift
5. ZO Obagi Skin therapeutics and Peel or Laser to rejuvenate and tighten eyelid and facial skin.
You are best served with a well experienced, Board Certified Plastic Surgeon or ENT Face surgeon who understands the anatomy, the nuances of the different fillers and has the skills to achieve what you want.
I wish you the best! Restylane or Restylane plus Voluma for under eyes?
Q. I had a consultation for my under eye ‘bags’ (seeking a short & long term fix). Based on my previous research I was expecting to the doctor to confirm Restylane was needed short term. He recommended .5cc of Restylane plus .5cc of Voluma (on upper cheeks) for a smooth transition from the under eye to upper check area. I went back and tried to research how Voluma could impact the ‘shadowing’ of the under eye but I haven’t found much. Any thoughts on the best injections would be great. Thank You!
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. A separation of the eyelid structures from the sagging cheek structures
5. Pigmentation, laxity and fine lines of the skin
Many options are available depending on the problem above and how long you wish the problem resolved.
1. Eyelid lift
2. Cheek lift
3. Injection of fillers, either into the skin or deep under the fat for volumizing using Restylane, Juvederm or fat
Injectables like any other procedure takes experience, talent and skill. Today, there are many techniques to achieve the improvements you desire depending on which problem exists: bone, deep fat, separation of tissues, superficial fat, skin creases.
4. Mid-face lift, a lift of all the structures of the cheek with a eyelid lift
5. ZO Obagi Skin therapeutics and Peel or Laser to rejuvenate and tighten eyelid and facial skin.
You are best served with a well experienced, Board Certified Plastic Surgeon or ENT Face surgeon who understands the anatomy, the nuances of the different fillers and has the skills to achieve what you want.
I wish you the best! 
