What Are These Dark Circles/marks Under Eyes After Lower Bleph? Can They Be Fixed? (photo)

Dark circles under the eyes are a combination of ethnic pigmentation, skin thickness, vascularity, and other factors such as allergies. After eyelid surgery, there can be some temporary darkening of the skin particularly in people who tan easily. In my practice in New York, I advise my patients after blepharoplasty to wear an under eye cream with sunblock and typically the skin color returns to it's normal pigmentation. I even developed a medical-grade skin care line dedicated to helping my patients maintain their skin after surgery.

Without seeing you in person, it's difficult to say. However, if you had a transconjunctival approach with fat removal, it is possible that the dark circles are due to hollowness after the fat removal.  The darker vasculature and muscles can "show through" the thin lower eyelid skin. In rare cases, patients with vary thin or pale skin can hve residual staining from blood products (bruising).  This should be resolving by 4 months.  Lastly, hyperpigmentation is possible but would be much more common in patients with darker complexion. The treatment for each of these issues will be, naturally, different. Best of luck moving forward!
 

The photo is helpful, but an in-person evaluation is more valuable. In general, there are three reasons why the skin around the eyes can be [or seem] darker:

1. The think skin allows the darker muscle underneath to show

2. The hollowness around the eyes can create a shadow effect that exacerbates darkness

3. Skin pigmentation [sometimes from blood products from bruising]

 

If it is blood product pigmentation, it could last months to improve.

Depending on which of the above is the issue, different modalities may be helpful [time, fillers, laser resurfacing, etc].



If you decide to explore this further, I would recommend consultation with an ASOPRS trained Oculoplastics surgeon. You can find one close to you on the ASOPRS dot org website.