How Eye Bags and Hollow Under Eyes can Occur Simultaneously, and How they can be Treated

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New York oculoplastic surgeon Amiya Prasad, MD reviews how hollow under eyes and puffy eye bags can occur simultaneously, and how he treats puffiness under the eyes, and the different causes of hollowness with natural-looking and predictable results:

0:20 - Why puffy eye bags and hollowness under the eyes seem to be opposite issues, but can occur concurrently

0:44 - Dr. Prasad’s training and experience in upper and lower cosmetic eyelid surgery, as well as non-surgical eyelid treatments such as fillers, and lasers

1:47 - How some people get treatment for under eye hollowing, only to develop eye bags from improper filler placement

2:04 - How the elevation of under eye bags can make the lower eyelid look relatively hollow, and people can notice the hollowness rather than the eye bags

2:26 - How appearance of hollowing can be treated by reducing the fat that causes eye bags

2:39 - How Dr. Prasad sculpts the fat that causes eye bags with natural-looking results, like the eye bags were never there, by performing surgery without an external incision in the lower eyelid

3:24 - How transconjunctival blepharoplasty that involves no external incision can avoid complications associated with transcutaneous blepharoplasty, such as lower eyelid retraction and skin shortage

4:05 - How Dr. Prasad treats under eye wrinkles without skin removal, but instead improves skin quality with treatments like PRP and laser to stimulate collagen

4:33 - How very large eye bags can hide hollowness in the tear troughs and cheeks

4:42 - Why fat transposition in the lower eyelids is highly unpredictable and imprecise treatment for under eye hollowing

4:55 - How hyaluronic acid fillers can be placed in the cheeks and tear troughs after lower eyelid surgery safely, and predictably

5:12 - How puffy eye bags can occur at the same time as lack of cheekbone projection

5:29 - How Dr. Prasad places cheek filler differently than most doctors by placing them deeper at the structural bone level, and below the muscle layer, with a technique called Structural Volumizing

5:44 - How filler placed at the bone level is more stable, and adds more facial definition, without migrating and looking doughy like when placed at the dermal or soft tissue level

6:15 - Why addressing puffiness and hollowing is an approach for the face as a whole, as other people look at our whole face, rather than just treating areas in isolation

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