Treating Visible Undereye Capillaries After Juvederm Injection

I've had dark undereye circles since I was young. Six months ago, I had Juvederm injected for these dark circles because the doctor told me it would fill in the grooves under my eyes, blocking the dark color and preventing it from being visible.

However, the opposite happened, and the dark circles/bruising became extremely worse. It also gave me slight undereye bags. Based on the research I did, my problem seems to be excessive vascularization, and I'll need a laser treatment for this. Who is the best doctor (best type of doctor) to see for this, and what is the best type of laser for removing the broken capillaries and veins?

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4 Doctor Answers | Asked by ajc78 in new york

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Dark undereye circles typically not caused by broken capillaries

Under eye darkness is primarily caused by 3 things: thin skin which allows the underlying muscle to show through, a shadow caused by hollowness under the eye, and pigment in the skin. Injecting Juvederm (or any filler) under the eye will only help if your problem is caused by hollowness. If the hyaluronic acid filler (Juvederm or Restylane) is injected too superficially, it may cause a bluish tinge to show through which can look like a bruise. Furthermore, too much or incorrectly placed... more

Lower eyelid dark circles

Dark circles under the eyes are very difficult to treat especially if it is not shadowing that improved with fillers. Sometimes skin bleaching creams may help and sometimes lasers can, but usually it is vascular in nature and does not improve.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Visible blood vessels under the eyes after Juvederm injection

Juvederm is an excellent dermal filler that is quite versatile for use throughout the face. Of all the areas can be used, the area under the eye is trickiest. This is because this skin is the thinnest in the body and has a very high concentration of blood vessels. If you continue to have visible blood vessels after he Juvederm injection visit with the dermatologist that performed us. They may recommend to wait for the resolution of this condition or may decide to inject the area with a... more

Options for dark undereye circles

Hi AJC., We specialize in both injection procedures for the undereye area and laser procedures. We use injections almost exclusively and think that your bad experience with the undereye injections was because your practitioner's technique was flawed, not because injections don't work. The problem with trying to use lasers for dark circles under the eyes is not that you have too many veins, it's that the skin is very thin in this area. In most cases, the blood vessels that we treat with... more