Laser for Dark Circles, Under Eye Fine Lines and Wrinkles?

I'm a 36 year old Asian Female with very fair and nice skin in general. Lately, I noticed my dark circles are getting progressively worse: the tear trough area (which looks like dark crescent shape circles) are becoming more apparent, especially when I smile; this is because of my high cheek bones, it emphasizes the tear trough depression. Not to mention the fine lines and wrinkles under my eyes are also becoming more pounced and crepe-like. Having consulted with a couple surgeons, they provided me a few options to choose from a) blephoplasty for the lower eyelids, b) restlyane , or c) arcu marginalis release and fat grafting/fat repositioning. However, before pursuing/considering any of these options, I would like to try laser treatments that would naturally stimulate the production of collagen and elastin and firm up the eye area so that it would give the appearance that the dark circles are being minimized. Through talking to a few laser technicians, some suggested accent XL or Fraxel; others suggested intraceuticals. I would like to know if these are the best options or if there are other options that specifically treats the dark circle areas and under eye wrinkles and fine lines.

Asked 44 months ago by Wai
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+3

Do not have injections around the eye. An arcus release- fat grafting is effective for dark circles

I agree with ori's answer below-you are smart to do your homework! I do not do filler injections into the dark circles under the eyes because blindness has been reported in England following a filler injection into the eyelid. I have also consulted on many patients who have permanent scarring and discoloration from fillers injected around the eye. I have written extensively about dark circes under the eyes and have done over 2400 patients using the transconjunctival laser blepharoplasty... more
Brooke R. Seckel, MD
Boston Plastic Surgeon
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