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Hi , I’m 49 and live in Dublin. I have quite puffy under eyes. Have tried Profhilo and plasma therapy and haven’t had great results with either. Profhilo seemed to cause bigger eye bags and my skin under my eyes seems thinner since plasma therapy. Am look

By Georgia Seago
22nd February 2022

Hi there. Your question cut off before you could finish but I’m guessing you were going to ask what I’d suggest you do next. I’m wondering if you went to the same practitioner for both treatments you’ve already had, as the first thing I’ll say is to find a really great practitioner who can carry out a thorough, holistic assessment of the area and take into account the procedures you’ve already tried. My practitioner finder doesn’t yet cover Ireland but in Dublin I recommend Kambiz Golchin at Beacon Face & Dermatology (kambizgolchin.com) or Dr Patrick Treacy  (ailesburyclinics.com). 

Secondly, if you don’t already use one, invest in a good eye product. This one is particularly good for strengthening the thin skin around the eye, and was also shown in a clinical study to reduce puffiness. Give it a couple of months of daily use and you may find you see enough of an improvement.

However, given that you’ve already tried Profhilo and plasma treatment, I imagine you’ll want to do something more. Personally, I wouldn’t have thought either of these tweakments would be useful for puffiness under the eyes, but it depends what kind of ‘puffiness’ you’re talking about. Is it sagging skin, fluid retention or a result of the fat pads under the eyes descending with age? Some practitioners can do amazing things with dermal fillers to reduce the appearance of sagging, ‘baggy’ under-eye skin – but if it’s puffiness caused by fluid retention, the last thing you want to do is add a hyaluronic-acid based injectable (like Profhilo), because hyaluronic acid attracts and retains water, which is what makes it so good at plumping skin. In your case though, plumping is the opposite of what you need.

It could be that a lower blepharoplasty is your best bet for a permanent solution, but this is a serious surgery that is considerably expensive and requires about two weeks to recover afterwards. As mentioned above, a good doctor will give you their professional opinion from all angles and will be able to refer you to a surgeon if appropriate – and if that’s a route you want to go down.

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