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A 23-year-old lady has hereditary eye bags that she feels makes her look older. She had a lower blepharoplasty done in 2014 with unsatisfactory results, and now she wants to know how to achieve tight, normal-looking under eyes, and asks if Pelleve can help.

New York oculoplastic and reconstructive surgeon Amiya Prasad, M.D. reviews her concerns in this video, and explains how radiofrequency and other heating devices have limited benefit on younger individuals, especially if there are pronounced fat pockets underneath the eyes:

1:13 — Dr. Prasad details his background training in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience as a eyelid surgery specialist

1:59 — The importance of determining whether the under eye bags are caused by fat volume or not

2:43 — How Pelleve will not be able to shrink back any pronounced fat pockets that are present under the eye

3:30 — How lasers are more suited for those with progressive facial aging, and not for younger people

4:08 — The role of fillers in softening under eye hollowness

4:39 — How tear troughs can be injected with filler to camouflage mild under eye puffiness

5:15 — How tight skin doesn’t not necessarily translate to younger-looking skin

5:35 — Why Dr. Prasad prefers to take a conservative approach when helping younger patients with cosmetic issues

5:59 — How skin folds that appear when making certain facial expressions cannot be addressed by laser technology

6:24 — Dr. Prasad’s recommendation

7:10 — How Dr. Prasad evaluates a patient for this type of concern

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