Blue Shadows Treatment with Eyelid Surgery?

Can anything be done at the same time with eyelid surgery for "blue" shadows under the eyes? It looks as if the veins are almost on the surface of the skin.

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5 Doctor Answers | Asked by csd323 in Nashville, TN

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Blue shadows under the eyes can be due to genetics or allergies.

The blue shadows that are underneath the eyelids can be genetic, or related to allergies. Very thin, translucent skin will show blood vessels underneath the skin. Make sure your allergies are under control and on a low-salt diet, as these can increase puffiness. Bags under the eyes can be removed through a transconjunctival lower lid blepharoplasty.

Blepharoplasty, dark lower eyelid skin, under eye hollows

Dear Csd323 The dark color under the eyes is very difficult to correct completely. It is caused by the thin skin - the muscle being visible thru the skin, existing pigmentation in the skin and the blood vessels that are visible thru the skin. Also, the region under the eye has a loss of volume with age- this creates a hollow in which there is a shadow in certain light- thus dark color as well. Filliing the hollow with micro fat grafting works extremely well to correct the hollow. The... more

Blue Lower Lids and Blepharoplasty

Blue or dark lower eyelids are due to thin skin over veins or muscle. The key to treatment is removal of the veins, adding product to the subcutaneous space and treating the skin. If the veins are large cautery may be necessary. If they are small than laser ablation or IPL may be necessay. Treatment of the skin to increase thickness could include laser resurfacing, peels and tretinoin. For the subcutaneous space micro fat grafting would be helpful.

IPL combined with arcus release and fat grafting is best for blue circles under eyes

Very specific procedures are required to correct blue circles under the eyes. Thin skin and visible veins are part of the problem. Some lasers and IPL (intense Pulsed light) treatments can help remove pigment and close many of the small blood vessels. Many patients with dark circles also have a depression beneath the lower eyelid which creates a shadow and makes the dark circles worse. To plump the depression and improve the dark circle i dpo a procedure which involves placing a fat graft... more

Treatment for dark shadows under eyes

Blue shadows are common at the lower eyelid skin. The skin in this area is very thin, so underlying structures such as veins and orbital muscles may be visible through the skin. Surgically, there is no ideal solution for the problem. Carbon dioxide laser resurfacing can improve the texture and tone of the skin, but won't do much for the blue color. If the dark shadows under the eyes are due to excess brown pigmentation, laser resurfacing or certain prescription bleaching regimens may... more