Filler or Surgery?
There are a variety of means to address dark circles under the eyes, and surgery is often the best recommendation. In many cases, especially when the presence of dark circles under the eyes is pronounced, surgery may be advisable as the most beneficial option. Many people need surgery but are too apprehensive to seek it – perhaps they had a negative prior experience and are emotionally traumatized, or they may not be prepared for surgery for other personal or financial reasons. In these cases, a surgeon should recognize the importance of respecting emotional limits.
Both fillers for under eyes and surgeries, such as the midface lift and arcus marginalis release, have been demonstrated to be safe and highly effective in treating under eye problems. Find a surgeon who specializes in the treatment of dark circles under eyes to see what he or she recommends. Your doctor should help you decide the best approach that is right for you. When you make your decision, remember that surgery is longer-lasting and may yield more powerful results, while under eye Restylane is a flexible, long-lasting but not permanent, and necessitates little-to-no recovery time, making it a great option for those whose personal or work situation may limit their ability to undergo surgery, as well as those who have a less pronounced need for dramatic treatment.
Whether you and your midface surgeon ultimately decide to opt for surgery, a filler, or no treatment, the key to a successful outcome will be planning an individual treatment and then performing it with skill and precision so that enough treatment is given without overdoing it, and so that the look is natural and suits your face.
How Surgery Helps
Surgery addresses lower eyelid contours that contribute to the dark circle. The effect is a less haggard appearance. While no surgery lasts forever, the effects of surgery last longer than the non-surgical treatments.
Find a facial cosmetic surgeon who specializes in midface and particularly under eye treatments that also has the training, experience, and great results to make him or her highly qualified. This is important because your surgeon will need to customize your surgery. When working in the midface areas, an assembly-line-style treatment approach is not a good idea. The key to a great outcome is careful planning and performance of the surgery to make it suit you on an individual basis.
One problem with the midface area that is frequently overlooked is the descent of the malar fat pad. This worsens the hollow under the eye, the midcheek groove, and even the nasolabial fold. You may interpret what you see as a simple hollowing around the eyes, but often this is truly an entire midface concern. A midface lift can address all of these areas to smooth out your features and restore the fullness associated with youth.
There are different kinds of midface lifts, and the vertical midface lift can be a great way to lift the soft tissue in the cheek back into the lower eyelid where it belongs.
Another option may be the arcus marginalis release, which is suitable for people who have too much lower eyelid fat while also experiencing an under eye deficiency that creates a hollow. To address this, your surgeon may make a small incision behind the lower eyelid so that the scar is hidden, and then he or she surgically rotates the lower eyelid fat to place it over the orbital rim, filling the hollow naturally and relieving your eyelid of excess tissue. This is a comfortable surgery that should usually be performed under local anesthesia, followed by ten to twelve days of recovery time.
Dr. Brian Evans has had multiple fellowship trainings in both cosmetic surgery and eyelid plastic surgery, making him especially knowledgeable about how general facial treatments interact with specialized eye area treatments. As a specialized eyelid plastic surgeon, he is qualified to customize your treatment in this sensitive under eye area in ways that a generalist may not be able to. Dr. Brian is attuned to your need to carefully decide whether a surgery or a filler is better for you, and he can help you make an informed decision. Contact him today to find out how a private consultation can help you plan a course of action that improves your physical appearance and meets your needs.