Hi Candy, thank you for the question and my apologies for the delay with my response.
This is a difficult question to answer over the net as ideally one would need to examine the eye area before deciding on the best treatment option/s.
Following your description, it seems that you have lost the fatty support in the tear trough area and/or across the complete lower margin of the eye. This allows the skin to drop against the bone producing a shadow effect and the darkness that you see giving one the impression of being constantly tired. The lower eyelid skin is the thinnest in the body and will be the first to show collagen and elastin loss typically seen as a ‘thinning’ skin with fine lines and wrinkles.
There are a number of treatment options but the choice is dependent on the severity of the pathology I have described above.
Surgical correction of excess skin will improve the appearance of the bag and the lines/wrinkles but not the dark shadow. In some patients, the excess lower eyelid skin may respond to a course of fractional laser skin resurfacing treatments.
Dermal fillers will provide the necessary support to the overlying skin allowing the skin to be lifted off the bony orbit margin thereby reducing the shadow effect and the darkness noted. Prices will vary between one surgeon and the next but a lower lid blepharoplasty will most probably start at R 15,000.00
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical exmanication, diagnosis and formal
advice. Health24 and the expert accept no responsibility or liability for any damage or person harm you may suffer resulting from making use of this content.