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Hollow Dark Circles: What to Do? HA Filler, Blepharoplasty, Fat Grafting, Laser? (photo)

asked 3 months ago by deleciel in West New York, NJ
Latest answer by Brooke R. Seckel, MD
Question viewed 234 times
Tags: congenital, dark circles, hollowness, options

Hello Doctors, I have genetic dark circles. Their darkness is exacerbated further by the hollowness around my orbital bone and the indentation of my tear troughs. This is something that would be remarkable for me to fix. I've tried expensive creams w/ no luck & want tangible results. The 2-fold problem seems to only be solved by restoring volume & diminishing darkness. Should I get laser Arcus Marginalis release (transconjuctival incision), fat repositioning, laser therapy? Thank you!

2 answers to Hollow Dark Circles: What to Do? HA Filler, Blepharoplasty, Fat Grafting, Laser? (photo)

+4

Transconjunctival Arcus Release and Open Composite Fat Grafting is the Best Solution for Hollow Eye

There are 3 problems contributing to the Dark Circles: 1. Thin Eyelid Skin- The eyelid skin is so thin that the purple color of the muscle under the eyelid skin is transmitted through the skin-this cannot be effectively changed 2.The Arcus Deformity or Naso Jugal Fold is deep and accentuated because of a lack of normal fat around the eye and frequently there is an unusually deep depression in the bone underlying this area 3. Pigment on the upper layers of the skin. Many many... more
Brooke R. Seckel, MD

Boston Plastic Surgeon
+1

Using a laser to perform lower eyelid surgery will not add anything to your result.

Given your age and issues, what you need is under eye fillers using Restylane by a surgeon who really knows what they are doing. I suspect you will be disappointed with lower eyelid surgery.
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon

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