Self conscious bride-to-be wanting filler in my under eye circles/hollows. Is this safe with Spironolactone? (Photo)

Facial filler (ex. Restylane) can help improve the appearance of the eyes in appropriate patients. Any bruising or swelling after this office treatment is usually mild and resolves within a couple days. Results with fillers under the eye area typically last several months to year. Your body gradually dissolves the material.An alternative to facial fillers is lower eyelid surgery to remove excess fat, which may contribute to the dark circles. If you haven't already, then speak with a plastic surgeon to review options. Acne medication generally can still be used during filler treatment. However, your plastic surgeon may decided to wait on treatment if there is any active or inflamed acne.Best,Dr. Chaboki

Fillers are a great way to correct tear troughs that frequently cause some dark circles. See an expert injector who can determine if you are a good candidate and expertly correct the problem if you are. Spironolactone, a diuretic, should cause no problem with fillers. However, you should avoid aspirin or any anti-inflammatory drugs as they will increase the risk of bleeding and bruising. Taking Arnica Montana and bromelain or pineapple juice can also reduce those risks.