Best Dark Circles Treatment for a 20 Year Old? Doctor Answers, Tips
Dark Circles: Q&A
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Best Dark Circles Treatment for a 20 Year Old?

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 Doctor Answers | Asked by AliMarie in Ohio
+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... more
+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... more
+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... more
+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.
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