Dark Circles: Q&A
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Dark Circle Still There After Restylane - What Now?
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.
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12 Doctor Answers |
Asked by
darkcirclestruggle
in nyc
+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.
+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.
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+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...
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+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...
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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.
+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?
Austin 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.
+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...
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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.
+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...
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