The aesthetic appearance of the lower eyelid and its surrounding anatomy can be a telltale sign of aging. When evaluating the lower lid, it is important to understand that it is a much more complex process as compared to the upper eyelid.
The upper eyelid problem is usually sagging and or extra skin. Removal of the extra skin in addition to occasionally lifting the brow usually rejuvenates the upper eyelid appearance and for the most part eliminates the signs of sagging and aging.
The lower eyelid however presents a more challenging situation. Initially the evaluation of the lower lid requires the determination of whether there is herniated fat or bags.
Eye Filler
If the lower lid is troubled by fat pockets creating bags, then the procedure is to remove this excess fat. In addition to fat removal a small amount of skin accompanied by muscle trimming can be of great benefit. If, however the problem is hollowness and or discoloration then the treatment will be different.
The concept of fillers is relatively mature insofar as we have learned to use volume enhancement as well as collagen production injected into the lower lid to improve its appearance and fill out any volume loss. Standard fillers, including PRF have been beneficial. As you know the standard fillers are commercially prepared and available. PRF requires use of the patient’s own blood products appropriately prepared to inject into the lower lid.
Ez gel is a system of using one’s own blood with very specific preparation to create a gel substance like the commercially available fillers but with the advantage of being autologous – – or completely natural. It requires 3 to 4 treatments spaced 6 to 8 weeks apart then annual maintenance. This process of creating an all-natural filler to add volume as well as a biologic way to improve collagen is unique.
It can improve dark circles, improve hollowness, and skin quality over a period of time. It truly is an advancement in the aesthetic medicine field.