I need some advise regarding a new development on my face. So the skin underneath my eyes is a bit saggy. I've always had a very young face but in the past year, I see that when I smile, the skin under my eyes folds. Note, it's only when I smile. There is literally extra skin there that I just want to pinch off. I had a couple of consults with plastic surgeons who told me that whatever any other surgeon may tell me, DO NOT ever get a skin pinch because cutting the extra skin would just expose part of my eye, which would look very unnatractive. One doctor went on to recommend a fat transfer to the face to fill out the face a bit, including under the eyes, so I did that. Howeve, that seemed to have improved things only slightly. I still have the folds when I smile, and half of the fat injected into my face will reabsorb in the next few months, maybe even more since I've upped my running routine substantially since the procedure. Another doctor recommended a strong peel, a TCA peel, to see if that improves things with the skin laxity. I'm exploring laser skin resurfacing as well. Anyone have any suggestions as to the correct course of action for this type of problem?
I want to blame this issue on the juvaderm I had under my eyes for several years. That stuff draws in so much water. I don't understand why patients are not warned about the potential for new wrinkling once the product wears off due to it's stretching the skin, much like breast implants stretch the skin and the skin is lax after the implants are explanted. Or am I wrong in thinking that past fillers could have been the cause, and it's probably my genetics and/or lifestyle?



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