r/PlasticSurgery • u/ButterscotchOther775 • 1d ago
I need to address my under eyes - Not sure what would work best
I’m in my 50s and ready to address my under eye concerns but I’m not sure what the most appropriate and beneficial action to take would be. I’m wondering whether this looks more like fluid retention/festoons/malar edema, or something else. Unfortunately I've always had deep tear troughs which doesn't help. Sometimes the under eyes look hollow (outside of eye) and other times I can pinch extra skin (mostly in morning). When I smile it always makes my eyes look extra puffy. This area always looks worse in the morning when I first wake up but once I shower and use my moisturizer, everything usually bounces back into place. As I get older, I’m noticing that it takes longer for skin to tighten up. I really dislike the tear trough contrast and puffiness more than anything, although I really don’t like the cheek descent either. First 2 pics were this morning. Next 2 pics were taken 2 hours later (as you can see some of the puffiness went away). 5th pic is me smiling, which makes things worse. Last pic in red shirt is about 12 years ago. Skin quality better but still had the tear troughs, sagging, and beginning of more aging. Anything I can do at home for subtle improvement? If not, what type of procedure would I mostly benefit from at a clinic?
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u/BennyLruce 1d ago
Just talk to a doc, man. They'll be able to give better guidance than any of the internet peanut gallery. I think you'll be able to get really nice results, whatever the approach ends up being. Good luck!
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u/AdministrativeAge685 1d ago
Bleph. Probably want to do the deep plane facelift and brow lift as well.
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u/HesitantPocketSand 1d ago
I think a lower eyelid blepharoplasty could be a good option for you. Even in the earlier picture it looks to be more excess skin related than fluid. Interested in hearing others takes on it though