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Dark Circle Still There After Restylane - What Now?

asked 2 years ago by darkcirclestruggle in nyc
Latest answer by Joseph A. Eviatar, MD
Question viewed 2,893 times
Tags: under eyes, dark circles

I had very bad under eye hollows. The hollows improved significantly after restylane treatment and made the transition between cheek and hollow smoother. However. Now the actual dark cirkce color (not shadow of the skull like before) underneath is the same or slightly worse. It's purple/brownish/reddish; cant really tell. When I move the skin the coloration moves too for the most part. Is it the muscle underneath? Veins? Combination? Pigmentation? I am considering bleach and or laser. Any recommendation welcome. Thank you.

12 answers to Dark Circle Still There After Restylane - What Now?

+3

Dark circles under the eye

I agree with Dr. Wallach.  This is commonly due to thin lower eye lid skin, allowing the "color" of the muscle to show through. This is a tough problem and there are no good treatments for it, as far as I know.
Michael A. Jazayeri, MD

Santa Ana Plastic Surgeon
+2

You need much more Restylane!

I have the largest practice I am aware of for treating dark circles. You say you were treated with Restylane with improvement. That is great. However as I look at your photo, it is my opinion that you need at least another 1.5 ml of undereye Restylane. Of course there are surgical alternatives but the services easily last over a year and are flexible so as your face changes, treatments can be tailored to those changes and an enzyme is available to adjust treatment if necessary. more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+1

There may be a pigment issue or another residual problem

Dark circles may still appear even after treating them with Restylane because there may be a pigment issue or another residual problem. It may be that the dark circles cannot be treated with Restylane. Or, it may be that the Restylane was not injected in the right place. The best way to treat dark circles is to see an oculoplastic surgeon who specializes in injecatbles and other treatments. This type of specialist should know what is causing the dark circles in each individual patient... more
Joseph A. Eviatar, MD

Bronx Oculoplastic Surgeon
+1

Discoloration after under eye Resyltane

Sometimes, if it is a little bluish, it can be the filler material that is visible through the very thin lower eyelid skin. If that is the case, then a very small injection of dissolving material can solve the problem. Otherwise, dark circles can be hard to treat. Some topical options include: hydroquinone 4% Vitamin c serums Retin-A Combination therapy (such as Triluma) with Retin-A or retinoids, steroid, and hydroquinone Some laser options exist as well. Finally, medical issues such as... more
Richard W. Westreich, MD

Manhattan Facial Plastic Surgeon
+1

Replace lost volume with what was lost

Great advances have been made recently with very gentle fat extraction - say from the tummy, hips etc and placing in areas that have lost volume with time. We have seen very encouraging results with this all natural technique of fat cell transfer. Unlike synthetic fillers, your own cells can stay permanently --- the amount will vary with the method, and each individual person. It also looks great in other areas. Hope this info is helpful.
Christopher J. Peers, MD

South Bend Facial Plastic Surgeon
+1

Restylane and dark circles

Difficult to tell the differences without before and after photos.  How long has it been since the injection?  Has it changed at all with time?
Robert Whitfield, MD

Milwaukee Plastic Surgeon
+1

Dark circles under the eyes

Yes, the dark circles under the eyes are often due to the appearance of the muscle throught the thin overlying skin. Unfortunately there really is not much that can be done to correct this.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Dark under eye circles

There are many different reasons for under eye dark circles. Filling in the hollow will address the shadow but as the skin thins, the underlying tissue can create the appearance of dark circles. Also, quite often we see patients look like they have dark circles because of the filler. It is not an easy diagnosis over the web. I recommend that you go back to your original doctor and have a follow up assessment. It might just be that you need more filler. After that, I like the... more
Lee Robinson, MD

Portland Facial Plastic Surgeon
+1

Dark circles after Restylane

It would be necessary to examine you to determine the situation, please see your doctor who injected you for the most accurate diagnosis, first before you see other doctors. This may give you a more efficient result.
Ronald Shelton, MD

Manhattan Dermatologist
+1

Dark Circles Under Eyes after Restylane

Discoloration after Restylane or any HA injection can be caused by many factors. If you have a bluish hue, it may actually be the product itself reflecting the light. If this is the cause, we have products that we can inject to "melt" the product away. If you have reddish or dark discoloration that is persistent and not due to bruising, then it may just be the thin skin of the lower lids revealing the underlying anatomy - muscles and blood vessels. In this case, there really... more
David Shafer, MD

New York Plastic Surgeon
+1

Dark Circles under eyes

Blood vessels may be a large contributor to the appearance of your dark circles. I would first consider use of a topical cosmeceutical product containing caffeine and green tea (there are several on the market). If there are fine visible spider vessels (telangiectasias), use of a vascular laser would likely be beneficial. Good luck.
Bryan K. Chen, MD

San Diego Dermatologist
+1

Treating thinned lower eyelid skin

As we age the skin of the lower eyelids thins. At some point in the process the deeper tissues i.e. muscle and blood vessels begin to affect the visible color as seen from the outside. Unless you have sufficient excess eyelid skin to the thinned portion can be removed you are stuck. I have not seen any treatment available that reliably thickens this skin. This is a separate problem from increased pigmentation of that skin. When the problem is just thinned skin without excess the best viable... more
Aaron Stone, MD

Los Angeles Plastic Surgeon

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