Actual RealSelf Patient Comment:  38yo male, pale skin, suffering from under eye bags and slight hooding on left upper eyelid. How can i improve eye appearance and help rebuild my self confidence?

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Dr. Persky’s Reply: There are a few choices to help you. Surgery, a lower transconjunctival blepharoplasty with fat transposition by an expert surgeon only would correct the problem. It appears that you also have ptosis of your left upper eyelid that could be corrected at the same surgery. If your do not wish to have surgical correction then other options include hyaluronic acid filler injection, or if you prefer a 100% natural option, there is a procedure called EZ Gel that uses your own blood to create the blood protein albumin and platelet rich fibrin, when combined form an injectable gel that works well under the eyes. It involves two treatment sessions 6-8 weeks apart followed by once a year maintenance.