Botox injections are a type of cosmetic treatment that can be used to reduce the appearance of under-eye bags and wrinkles. The procedure involves injecting a solution of botulinum toxin into the facial muscles, which temporarily paralyzes them and prevents muscle movement.
"Botox in the crow's feet can help reduce the tension around the eyes and relax the wrinkles, which can help improve the appearance but will not remove the eye bag," Dr. Shafer says. Like filler, Botox is only temporary and will need to be injected every three to six months to maintain results.
Botox is typically the best choice for reducing fine lines at a relatively low cost. Fillers are better for reducing the appearance of sunken eye sockets. Blepharoplasty can be a more permanent option for patients who are comfortable with surgery and concerned about the bags under their eyes.
Generally, it'll cost between $200 and $600. Some of the most prominent variables that factor into that cost include: Price Per Unit - for the most part, under-eye Botox requires around 8-10 Botox units. Each unit can be priced anywhere between $10 and $20, but it varies by doctor.
A lower eyelid lift (blepharoplasty) is an outpatient procedure where the surgeon readjusts the fat in the lower eye area and tightens the muscle and skin to create a smooth appearance. In most cases, a lower eyelid lift gets rid of under-eye bags for life — it's rare for people to need future touch-ups.
Also known as collagen-induction therapy, microneedling uses tiny needles on the top layer of skin to trigger your body's natural production of collagen and elastin to plump up your skin's appearance. Dermal fillers gently lift the area to improve dark circles and reduce the appearance of eye bags.
“Non-surgical eye bag removal involves the use of a hyaluronic acid dermal filler, injected using a thin needle deep underneath the actual eye bag just above the orbital bone. With multiple puncture and threading techniques, the trough is then filled, lifting the under-eye area up.
Bags under eyes are caused when the tissue structures and muscles supporting your eyelids weaken. The skin may start to sag, and fat that's usually around the eye can move into the area below your eyes. Also, the space below your eyes can gather fluid, making the area look puffy or swollen.
How long do under-eye fillers last? Hyaluronic acid filler is gradually absorbed by the body. Says Dr. Gohara, “People metabolize things differently — generally, under-eye fillers last for 6 months to a year.”
It's generally recommended that your professional inject 1-2 units of Botox in the undereye area. This can help provide a smoothing appearance, without running the risk of baggy and droopy results.
In some cases, facial filler injections that are placed underneath the eyes can lead to additional swelling, and can make a festoon pocket appear more evident or larger. At times, the festoon pocket may persist for a longer period even after an unwanted facial filler product is dissolved with hyaluronidase.
Those who had them in the lower eyelids and crow's feet area were more likely to report positive results than those who only received injections in their lower eyelids. These results suggest that Botox injections can make the lower eyelid appear fuller and plumper, helping to reduce wrinkles and bagginess.
Botox Cosmetic can affect the muscles that control your eyelids, so you might blink less after your injections. This can result in problems such as dry eye, eye irritation, or eye damage. Chronically dry eyes can lead to a scratched cornea.
As you age, muscles and tissues weaken, and the fat that naturally supports the eyes can sink to the area beneath your eyes, making them appear swollen. Fluids can also collect in the area.
Bulging eye bags
Bulging bags under the eyes indicate a deficiency of Kidney Yang. This means that the flow of Fluids is blocked and too much Fluid has accumulated in the tissue.
Whether it's alcohol, too much salt, or dehydration causing your under-eye bags, you need to restore water into your body. Simply drinking plenty of water should plump your skin back up to smooth the temporary bags (plus get rid of any of the physical unpleasantness caused by too much alcohol or not enough water).
The laser treatment for under eye bags is particularly suitable for young patients or patients with mild, moderate or unilateral lipoptosis. It is also provides good results in "difficult" patients where surgery would be very complicated and there is no guarantee of a good outcome.
If you want a more lasting solution than concealers and over-the-counter creams can provide, see a dermatologist for advice. Depending on what's causing the circles under your eyes, your doctor may recommend prescription creams or a combination of treatments to erase or reduce discoloration.
Botox injections. Although not specifically a volume treatment, Botox injections in the lower eyelid can decrease puffiness in the area immediately beneath the lashes in some people.
Fraxel Laser Treatment
Fraxel laser treatment is a non-invasive under eye bag treatment that targets aging skin with thousands of microscopic laser columns. The lasers penetrate the dermis (the deep layer of the skin) to activate the body's natural healing process and stimulate collagen production.
What is the best filler for under eye hollows? Less viscous hyaluronic acid fillers such as Restylane, Restylane Silk, and Juvederm Ultra are typically recommended for treatment of under eye concerns due to delicate and thin lower eyelid skin, which measures only about 0.5mm in thickness.
Thyroid conditions—both hyperthyroidism and hypothyroidism—can cause under-eye bags or circles. Treating these conditions will often help improve your eyes' appearance.
Dermal fillers
While lower eyelid surgery is an effective, long-term treatment for the lower eyelids, dermal filler applied under the eyes by an expert facial plastic surgeon can achieve smooth volume under the eyes, resolving dark circles and balancing puffy bags.