Volume loss directly under the eye is the most common reason for under-eye hollows. The volume loss under the eye and in the upper portion of the cheek, accentuate the “bags”. The “bags” then get the most light reflection which then gives the appearance of looking older.
Eyelid ptosis is loose skin; this is a result of aging and exposure to sun. Your eyes look smaller when the skin above and under the eye is loose and wrinkled. With volume loss or skin laxity you end up looking tired no matter how well rested or healthy you are.
Treatment Options for Eyes that Look Older
- Fillers
Filler injections, such as Restylane is an excellent under the eye volume replacers.
- Ultherapy and/or Microneedling
Ultherapy uses ultrasound energy delivered to the skin around the eye area to stimulate new collagen production. Microneedling also increases collagen production to result in tighter, smoother skin by creating a minimally invasive, microscopic, controlled injury to the skin. Either treatment (or a combination of both) produces a result in about 3 months.
- Wrinkle Relaxers
Dysport or Botox (or a combination) can elevate the brow, relax crow’s feet and eliminate frowns. The right mix of these nonsurgical procedures can nearly mimic the results of plastic surgery with far less downtime.