Juvederm and Vascular Laser Under Eyes for Hollows and Purple Shadows?

Be careful. It all depends on your particular anatomy.  As far as correcting the contour defects, fat can either be removed or repositioned to improve the contour and reduce the shadow (if the darkness is a shadow from slightly protruding fat.)  If the darkness is from underlying vasculature showing through, you can try a vascular laser but they may not be effective. Be patient. The same is true if the darkness is due to pigment in the skin.  It is not an easy problem with an easy solution.  If you try the laser treatments, try them before the filler because the laser may break down the juvederm.

Be careful as fillers may worsen your problem!  If the dark purple color is from hemosiderin, the chemical from blood that has been pooled in an area, like the lower lids, then filler may add pressure to the already leaking vessels and the discoloration may worsen.  You can try IPL treatments first and if there is a good response, you might consider fillers after; however, the IPL may not be able to get close enough to the area causing the problem, as the eye must be protected during the treatment.  In your case, surgery may be your best option...with fat transposition and control of the vessels.

Best of luck,

Dr. Michelle Yagoda

NYC Facial Plastic Surgeon