Why Radiofrequency or Laser Devices Can't Treat Under Eye Bags or Hollowing

[@gloryboyant]

This video was 4 years ago. What about now? Is there any reason why before and after photos and videos of testimonials using Agnes seem to be positive?

[@AmiyaPrasadMD]

Hi DrewsNightmare, Thermal treatments on their own can't safely reduce or remove the prolapsed orbital fat that causes eye bags, especially since the fat is behind very thin lower eyelid skin; nor can thermal treatments create volume if a volume deficiency is hollowing. Thermal treatments can tighten, and resurface the skin, though. I hope this clarifies things for you.

[@TSlowdive]

Can person that has ender eyes hollows use radiofrequency and laser devices? Would those destroy the vet pads left under eyes because of the heat generated or any other reasons and result in even bigger under eyes hollows?

[@AmiyaPrasadMD]

Hi @TSlowdive, It’s important to understand that results, or complications are determined by the judgment, experience, and skill of the doctor or practitioner using the device, not the device itself. You can refer to this video about it - kzbin.info/www/bejne/oYvYq2aGpLmcZqs

[@Lakshmi_vaasudeva]

Can exillis used to face to reduce eye bags or micro needling RF be used for mildly puffy eyes ,some promising patient references was seen for these treatment .Am looking for non surgical approach for the eye bags

[@AmiyaPrasadMD]

Hi Lakshmi AV, The devices you are referring to are skin treatments, but the prolapsed orbital fat that causes eye bags that are always visible is below the skin, and below the muscle, so these devices would have to go through these two layers before even reaching the cause of the puffiness. You can review these videos on how filler can camouflage some cases of mild eye bags, and how eye bag surgery can be done more safely, and be for convenient for patients than even non-surgical treatment: kzbin.info/www/bejne/r6TdoY2JhKp6pbM kzbin.info/www/bejne/p5izpXacjdWlh6s kzbin.info/www/bejne/j4W3k2avmdZoa5I kzbin.info/www/bejne/i4OwkoicYs2FqaM

[@ehabmamdouh9519]

So do you recommend carboxtherapy for brightening the skin around eyes? Thanks

[@AmiyaPrasadMD]

Hi @ehabmamdouh9519, I don't use carboxytherapy to treat darkness around the eyes, but if you are considering this approach, you need to consider the doctor's experience in doing it as the device is just a tool in the hands of an experienced doctor. You can refer to these videos on how I treat dark under eye circles: kzbin.info/www/bejne/h3PZm52srbWnaMk kzbin.info/www/bejne/iWfCn4eIp5ann9E

[@Bless-m1z]

For hollowness and sunken dark eye circles for a 60 yr old.? What would you Recomended?

[@AmiyaPrasadMD]

Hi @olgaconway9131, Hollowness under the eyes, and dark circles can be the same issue, or two separate issues, so an examination is needed before recommending a specific treatment plan for you. These videos show the possible treatments for under eye hollowness: kzbin.info/www/bejne/iXeUgGCqhbt6hZI kzbin.info/www/bejne/h2G0moF-bLGIjKs These videos show possible treatments for under eye dark circles: kzbin.info/www/bejne/h3PZm52srbWnaMk kzbin.info/www/bejne/iWfCn4eIp5ann9E kzbin.info/www/bejne/oIK4k2lth9WUd68 kzbin.info/www/bejne/iHmtoJeYaZhqpZY

[@mimibunny8409]

I had Morpheus 8 done yesterday to treat my eye bags and now I'm stuck with redness and puffiness that won't go away. Im African American. Theres also scabs under my eyes that won't peel. This procedure ruined my face

[@AmiyaPrasadMD]

Sorry to hear that, mimibunny. I make these videos so people are more informed about cosmetic procedures, so they make better decisions about procedures for themselves. Unfortunately, your doctor or practitioner misinformed you about what the device can do for your issue. Eye bags caused by prolapsed orbital fat so they are always visible are best treated with surgical removal. You can refer to this video on how it's best done in darker ethnic skin that is prone to keloid (raised) scars - kzbin.info/www/bejne/kH_Op3ZvaZahnZY

[@ivetakovacova4969]

What about Endolift? I have seen some good before and after photos.

[@AmiyaPrasadMD]

Hi Iveta Kovacova, Keep in mind that the heating device would still need to pass through very thin eyelid skin, as well as the muscle that's over the fat in the lower eyelids. The risks are too great for a non-surgical treatment when an eyelid specialist can do a more predictable procedure without making an incision on the eyelid skin. I hope this clarifies things for you.

[@gargiganguly5076]

Hi doctor can cupping and caffeine creams reduce moderate puffy eyes?? And can topical volufiline help with filling eye hollows?

[@AmiyaPrasadMD]

Hi Gargi Ganguly, Since eye bags that are present all the time are caused by prolapsed orbital fat, cupping can make it worse by suctioning more fat to prolapse. Creams don't treat the fat that causes eye bags at all. You can refer to these videos about treating eye bags, why creams don't work, and treating concurrent puffiness and hollowness: kzbin.info/www/bejne/ameuoWmXrsussMk kzbin.info/www/bejne/r6TdoY2JhKp6pbM kzbin.info/www/bejne/navHhZ9tgJugZ7c kzbin.info/www/bejne/h2G0moF-bLGIjKs kzbin.info/www/bejne/oXXbdYpthsqopck kzbin.info/www/bejne/jKvdpJWEedGUfrM

[@gargiganguly5076]

@@AmiyaPrasadMD okk dr thank you for replying ❤️

[@AmiyaPrasadMD]

You're welcome, @@gargiganguly5076!

[@aprilcloyce7426]

Is it ok to use vivace on top of eye. After procedure eye Dr said I got eyebrow ptosis almost 2 months later inner eye still swollen. The Dr at spa said they don’t go around eyes until I showed him video of esthetician did go over my eye one eye red swollen hurt more during procedure. The Dr put Botox to lift my eye but it’s still swollen a month later should I worry will it get better or worse he didn’t tell me what happened just that it will take awhile to heal and me to be patient. Why do I still have swelling over a month later ty

[@AmiyaPrasadMD]

Hi april Cloyce, Radiofrequency microneedling won't cause, or improve brow ptosis directly, but it's possible that the fluid volume from swelling can cause the appearance of brow ptosis. This would need to be examined by your doctor to verify the cause, as well as the swelling subsiding to improve appearance. I hope this helps you.

[@aprilcloyce7426]

@@AmiyaPrasadMD it helps thank you so much. My optomologist referred me to eye surgeon cuz she thinks the brow pad was damaged after radio frequency and is concerned about my temple pounding and veins protruding. She gave me steroid eye drops but can’t see eye surgeon until April but has me on cancellation list. If the brow support pads are damaged can it be fixed. It’s been 1 month 2 weeks since vivace radio frequency will my eye keep getting worse I notice with time lid has dropped more ty

[@AmiyaPrasadMD]

You're welcome,@@aprilcloyce7426. I hope it works out well for you.

[@brooklove90]

Is radio frequency safe for the upper eyelid near the brow? I did a few treatments a year ago just on one eye and I swear that eye has trouble opening up all the way almost like I had botox but not that drastic. Can it damage muscle or nerves?

[@AmiyaPrasadMD]

Hi brooklove90, I do perform laser, and radiofrequency treatments to the upper eyelids safely. However, it’s important to remember that the particular device does not determine results, or causes complications, but rather the experience and judgment of the doctor using the device. The device is just a tool, and it’s the doctor’s judgment using the tool that separates great results from ineffectiveness, or potential complications. You can refer to this video about it - kzbin.info/www/bejne/oYvYq2aGpLmcZqs

[@mariapopova129]

Is the procedure Agnes good for getting rid of malar bags?

[@AmiyaPrasadMD]

Hi Maria Popova, I don't recommend radiofrequency treatments in general for malar bags as they can induce more inflammation, making the bags seem worse. Malar bags are generally challenging to treat, so I would need to see you consultation before making specific treatment recommendations. I hope this helps you.

[@patricialopez5358]

Dr I have seen about 4 eye surgeons for my under eye bags and they all say I am not a candidate for surgery yet because my bags are too mild. I am really considering rf microneedling with Genius or Agnes lasers. I will never do filler again because of a bad experience with hyaluronidase which left my eyes extremely dry and feeling of scalded tongue as well as nerve sensations of burning all over my face and body for four months !

[@AmiyaPrasadMD]

Hi Patricia Lopez, Did your surgeons mention transconjunctival blepharoplasty with no external incision on the eyelid skin? I do recommend surgeons who perform this more specialized procedure as it looks more natural, and can avoid common complications associated with lower eyelid surgery. It may be possible to sculpt a little of the prolapsed fat of the lower eyelids, but I would need to confirm this in an examination. RF, RF microneedling, or lasers don't treat under eye bags, but they may tighten or resurface lower eyelid skin, as explained in the video. I hope this clarifies things for you.

[@patricialopez5358]

@@AmiyaPrasadMD Dr P. These surgeons did not recommend any type of surgery because they said there could be a risk of over-correction due to the fact that my lumps of fat are very mild. It seems that the Botox herniated my under eye fat pads . When u pull my mouth down, I can see these bulges all along my infraorbital rim. It almost looks as if it’s the bone itself showing through thin skin. But I never noticed this before botox. And I am only 31 years old. I have no volume loss.

[@Lisadelarosaproperties]

@@patricialopez5358 I’m having the same issue but the dr that i went with injected fat under my eyes and around my face to reduce wrinkles now I regret I can literally see little fat balls under my eyes and with the under eye bags it looks horrible.. The doctor till this day has not gotten back to me to let me know what is it that I can do I went from being pretty to looking like the kid ridding the bike on the saw movie.

[@2toosexE]

So you don't think accutite is effective for puffy eyes?

[@AmiyaPrasadMD]

Hi 2toosexE, No, I don't recommend Accutite or other thermal devices for eye bags caused by orbital fat. Accutite is a radiofrequency device, and I explain in the video how other radiofrequency devices are not safe or predictable in treating prolapsed orbital fat that causes puffy eyes. I hope this clarifies things for you.

[@alexdelacruz3543]

Is a lower blepharoplasty just for bags and can they do this procedure for excess skin? (eye lift essentially).

[@AmiyaPrasadMD]

Hi Alex Delacruz, Excess lower eyelid skin is a very rare occurrence, even in older people. It is assuming that skin quantity rather than skin quality causes wrinkles that leads to so many complications of lower eyelid surgery. You can refer to these videos on treating wrinkles with surgery causing lower eyelid surgery complications, and why under eye wrinkles should be treated non-surgically: kzbin.info/www/bejne/i2jOe2d5gsh9ZqM kzbin.info/www/bejne/d3KrZGqhn8usgZo kzbin.info/www/bejne/homwmYxvZbmFm68

[@alexdelacruz3543]

@@AmiyaPrasadMD Thank you for this as I learned so much in so little time. I have a problem with under eye bags and volume loss (based on the recommended video) on upper cheeks below the crows feet that filler may fix the problem. I will go see someone in the San Francisco Bay Area. Much Appreciated.

[@AmiyaPrasadMD]

You're welcome, @@alexdelacruz3543!

[@obram17]

Hello doctor! Is it Morpheus 8 effective for malar bags or festoons? Thank you!

[@AmiyaPrasadMD]

Hi obram17, Thermal treatments are generally not recommended for treating malar bags or festoons, as they are usually caused by trapped fluid in numerous small chambers, so you don't want to heat the fluid. While malar bags are challenging to treat, an examination is needed to determine what could best help your particular case. I hope this clarifies things for you.

[@DerekHki]

The video is a response to a young person but what about a person closer to 50 years old who wants eye bag treatment? Would HIFU be appropriate for eye bags in this age group?

[@AmiyaPrasadMD]

Hi DerekHki, Eye bags that are visible all the time, regardless of amount of sleep, allergies, salt intake, and sinus issues, are likely caused by the orbital fat normally around the eyeballs for support and cushioning, but have prolapsed or herniated forward, creating these bulges. The only way to reduce the fat is through lower eyelid surgery, but some slight cases can be camouflaged temporarily with a cosmetic filler. You can refer to these videos on how eye bags are treated in my practice: kzbin.info/www/bejne/ameuoWmXrsussMk kzbin.info/www/bejne/r6TdoY2JhKp6pbM

[@jem9370]

I have a big eyebag. Can i do the RF? Can it cause scar? Thanks doc

[@AmiyaPrasadMD]

Hi Jem, Radiofrequency treatment can be done to treat under eye wrinkles in people with darker skin types, and can be done at the same time as lower eyelid surgery, but radiofrequency is not a safe or effective for treating eye bags without surgery. You can refer to the video you are commenting on about it, or you can refer to this more recent video about it - kzbin.info/www/bejne/mYaTc2xjfsabfc0

[@vishaldharanidhar]

where can we submit photos for review doctor???

[@AmiyaPrasadMD]

Hi VISHAL DHARANIDHAR, You can send your pictures through prasadcosmeticsurgery.com/virtual-consultation/ or eyelifts.com/virtual-consultation/ or puffyeyes.com/virtual-consultation/ for a preliminary review. Please note that this is not a formal consultation, but a preliminary evaluation. I hope to hear from you soon.

[@babunjewelrycollection1972]

What can I do if my eyes are completely black below

[@AmiyaPrasadMD]

Hi Babun jewelry collection, While a physical examination is needed before making specific recommendations for you, these videos feature the ways I treat under eye dark circles in my practice: kzbin.info/www/bejne/h3PZm52srbWnaMk kzbin.info/www/bejne/iWfCn4eIp5ann9E kzbin.info/www/bejne/oIK4k2lth9WUd68 kzbin.info/www/bejne/iHmtoJeYaZhqpZY

[@reinaa7450]

Thank u

[@AmiyaPrasadMD]

You're welcome, @reinaa7450. I'm glad you found the video helpful. Thank you for watching!

[@nomkhosizondo5548]

Doctor can you please recommend the doctor in Dubai to help me get rid of my tear trough😩😩😩

[@AmiyaPrasadMD]

Hi nomkhosi zondo, Sorry, I'm not familiar with doctors there, but you can look for eyelid specialists. I hope this helps you.

[@jbfox2024]

Can you provide insight on Accutite ?

[@AmiyaPrasadMD]

Hi Jessica Bibbs-Fox, While I do use a radiofrequency device in my practice, it's not Accutite. However, it’s important to remember that the particular device does not determine results, or causes complications, but rather the experience and judgment of the doctor using the device. The device is just a tool, and it’s the doctor’s judgment using the tool that separates great results from ineffectiveness, or potential complications. I hope this clarifies things for you.

[@ksero1000]

Love your videos. Hope you will still be around when I am ready!

[@AmiyaPrasadMD]

Thank you for watching, caughtinamosh!

[@minty6858]

So what's the best way to get rid of eyebag?

[@AmiyaPrasadMD]

Hi MINTY Entertainment, The only way to remove prolapsed orbital fat that causes eye bags is with surgery, as shown in the video. You can refer to these other videos about treating eye bags: kzbin.info/www/bejne/ameuoWmXrsussMk kzbin.info/www/bejne/r6TdoY2JhKp6pbM

[@minty6858]

@@AmiyaPrasadMD is there a future side effect of surgery? Like when I'm getting old my eyebag area will look ugly

[@AmiyaPrasadMD]

Hi@@minty6858, You need to be careful in choosing a doctor when having eye bag surgery, as explained in the video as there is more than one type of eye bag surgery, where removing eyelid skin is prone to complications. As shown in the video, not removing skin, and making to incision in the skin can avoid complications. I hope this clarifies things for you.

[@alexdelacruz3543]

​@@AmiyaPrasadMD Is a lower blepharoplasty just for bags and can they do this procedure for excess skin?

[@AmiyaPrasadMD]

Hi@@alexdelacruz3543, Using lower blepharoplasty to remove "excess" skin is a cause of many common complications. Wrinkles under the eyes are most often due to diminished skin quality, not excess skin quantity. You can refer to these videos on why surgery is not advised for most cases of under eye wrinkles, and "excess" eyelid skin; how wrinkles under the eyes can be treated more safely without surgery; and avoiding the common complications of lower eyelid surgery, specifically ones caused by unnecessary skin removal: kzbin.info/www/bejne/d3KrZGqhn8usgZo kzbin.info/www/bejne/homwmYxvZbmFm68 kzbin.info/www/bejne/rYWcnoZ4q6afpNE

[@lisaray101]

I have dark circles do you know of any alternatives for under eye fillers or plastic surgery? thank you.

[@AmiyaPrasadMD]

Hi Sharissa Davision, We have a recent video about the causes and treatments of under eye dark circles kzbin.info/www/bejne/h3PZm52srbWnaMk

[@psylocce]

Hello Doc! I have some serious undereye condition. Darkness, permanent puffines and very visible scar under my other eye lid. I would love to hear your comments about my situation, Im depressed. Where can I send my photos?

[@AmiyaPrasadMD]

Hi Jusu / Tuubitoleranssi, You can send your pictures through prasadcosmeticsurgery.com/virtual-consultation/ or eyelifts.com/virtual-consultation/ or puffyeyes.com/virtual-consultation/ for a preliminary review. Please note that this is not a formal consultation, but a preliminary evaluation. A formal, one-on-one Skype or FaceTime video consultation with me can be arranged through prasadcosmeticsurgery.com/skype-and-facetime-virtual-consultations/ I hope to hear from you soon.

[@veenapatras7739]

can laser help in tear trough treatment ?

[@AmiyaPrasadMD]

Hi veena patras, Lasers can help resurface, tighten, and improve color of under eye skin, but they cannot treat hollowness. I hope this clarifies things for you.

[@user-js6ch1mf8g]

It got my chin good ! That's all that matters

[@AmiyaPrasadMD]

I'm glad it worked out well for you, G

[@malishah32]

Very informative., Live long dr i pray

[@AmiyaPrasadMD]

Thank you malishah32! Glad you found it informative!

[@dogoganguly5461]

Will hyaluronic acid filler eye cream can work for this issue

[@AmiyaPrasadMD]

Hi dogo, Ganguly, Injectable hyaluronic acid filler can camouflage some cases of slight eye bags, but creams cannot reduce the fat that causes constantly puffy eye bags. You can refer to these videos about how filler can help camouflage them, and why creams don't work for eye bags: kzbin.info/www/bejne/r6TdoY2JhKp6pbM kzbin.info/www/bejne/navHhZ9tgJugZ7c

[@susenparikh2959]

Can laser remove eyebags??

[@AmiyaPrasadMD]

Hi Susen Parikh, I don't recommend lasers at your age, and lasers applied externally are not going to help eye bags. Lasers are used in eye bag surgery to close the internal incisions after removing fat, without using sutures. I hope this clarifies things for you.

[@superconnie5003]

Let the other aesthetics Drs know this info.They still touting RF laser [i.e AGNES] able to 'MELT AWAY FAT'...

[@AmiyaPrasadMD]

Hi SuperConnie, Body fat is different from orbital fat as orbital fat is not affected by diet and exercise. Also, orbital fat that causes eye bags needs to sculpted and removed carefully and artistically, with a little fat being left behind, to avoid a hollow appearance, and for the lower eyelids to have a nice contour. I hope this clarifies things for you.

[@superconnie5003]

@@AmiyaPrasadMD Absoutely!. i am having an tête-à-tête with a doctor here in Singapore where he claims for eyebags, his RF micro needle AGNES machine can "melt away fats". I believe all laser/heating technology is good for collagen production. I told I only trust a Trans Blep to do the job.

[@AmiyaPrasadMD]

It is nice to see you are well-informed, @@superconnie5003!

[@superconnie5003]

@@AmiyaPrasadMD I got my info and the courage to do a lower blep from your vids Doctor!.Thank you.

[@AmiyaPrasadMD]

I'm glad my videos helped you, @@superconnie5003!