Best Dark Circles Treatment for a 20 Year Old?
asked 2 years ago by AliMarie in Ohio
Latest answer by Michael Elam, MD
Question viewed 1,481 times
Tags: age 18-24, under eyes, female, dark circles, fat
I went to a reputable cosmetic surgeon for a free consultation to talk about my dark circles. I had fillers in mind. He said I needed surgery to remove excess fat, which would cost roughly $3,100.
I thought my problem was that I didn't have enough fat, but he's saying I have too much. This is hereditary (my mom has it too) and I can't stand it anymore. Can anyone back up his suggestion, or are there other options?
5 answers to Best Dark Circles Treatment for a 20 Year Old?
+2
Lower lid blepharoplasty to correct circles
It is difficult to see exactly where the problem lies without a physical examination however it does appear you have a small amount of fat protruding from the lower eyelid
region. This is best removed by a transcongetival lower lid blepharoplasty. The fat is removed from inside the eyelid and no skin or muscle is taken from the area. It is as important what you take out as what you leave in. You do not want a hollow appearance under the eye. This is a hereditary condition in many patients...
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+2
Treatment for Dark Circles Under Eyes Caused by Hollows
Hi AliMarie,
I would recommend carefully placed Restylane, likely only about 0.5cc (half of a syringe) on each side. The Restylane injections in this delicate and unforgiving area should only be performed by experienced physicians.
If you are still dissatisfied with your eyelids, you can always have blepharoplasty in the future.
Now on the otherhand for your Mom......just kidding.
Good luck and be well.
Dr. P
+2
A lot of things go into making your lower eyelid issues
Dear AliMarie
I would be interested to know what flavor cosmetic surgeon you saw.
Having said that, some cosmetic surgeons have the "big cutter' mentality: every thing needs to be done with the knife. You do have a tiny amount of lower eyelid fullness that is the results of orbital fat. This is what is addressed with lower eyelid surgery. A more sophisticated approach conserves this fat and moves in into the top of the cheek as a living graft. This is called an arcus marginalis...
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+1
Treatment for dark circles under the eyes
Darkening around the eyes can be due to:
thinning of the skin with increasing visibility of the underlying tissues
shadows created by lax tissues (like bulging of fat into the lower eyelid that creates a shadow under the bulge) or deep set eyes
generalized increased pigmentation seen in dark complexioned people of Mediterranean or Middle Eastern descent
localized small blotches of increased skin pigmentation - age spots- due to chronic sun exposure & aging
You can find out which...
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Aaron Stone, MD
Los Angeles Plastic Surgeon
Los Angeles Plastic Surgeon
+1
Options for lower eyelid circles
It is difficult to tell from the photos. However, the use of fillers could be considered in your condition. If you like the result , you could proceed to more long term fillers such as autologous fat.
It is likely the surgeon recommended a transconjuntival lower lid blepharoplasty in which the fat is removed from inside the eyelid with no external incision.
Otto Joseph Placik, MD
Chicago Plastic Surgeon
Chicago Plastic Surgeon