Best Treatment for Dark Circles and Facial Veins?
asked 1 year ago by kim0221 in Toronto
Latest answer by Mary Lupo, MD
Question viewed 430 times
Tags: under eyes, veins
I have had very dark circles under my eyes almost all my life (not due to lifestyle factors). There is also a few blue veins that partially contribute to the problem and are even more unbearable. I am considering laser for vein removal (to remove the large veins underneath my eyes). Depending on the results, I would then consider fillers. I have attached photos. What is the best approach in this case? Thanks in advance for your advice.
2 answers to Best Treatment for Dark Circles and Facial Veins?
+1
Laser first for the blood vessel, then filler
I would get the vessel reduced first. A long-pulsed Nd YAG laser may be best if the blood vessel is larger and blue. A pulsed dye laser is better for smaller, pink blood vessels. Once the blood vessel is gone, fillers will improve the contour. For improved texture and mild pigment, try Renova, Lumierre and daily sun protection.
+1
Fill the dark circle with hyaluronic acid filler.
Hi Kim
I deal with these issues every day. The best treatment for the circle hands down is hyaluronic acid filler. I prefer Restylane for this. Once you get sufficient filler, the treatment lasts well over a year and is far more successful than surgery. Approximately 30% of patients need some sort of an adjustment to get the service right but this is pretty easy to do with hyaluronidase, the enzyme that breaks down the product. The vein is another matter...
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