What can I do to treat my purple circles and puffy under eyes. Is Blepharoplasty something I should consider?
Doctor Answers (8)
Correction of Hollow eyes with purple skin color
.#1 Purple eyelid color–discolor is caused by the fact that the eyelid skin is thin and the purple color of the muscle underneath is showing through and the fact that there are small blood vessels in the eyelid skin. The small blood vessels can be treated with IPL and 1540 fractional erbium laser treatments can help thicken the skin and reduce the color. However at best a 40% improvement is all that is possible.
#2 the deep crease beneath your lower eyelids is causing a dark circle shadow. I correct this with a surgical procedure called and arcus release and fat grafting in which fat is directly surgically placed into this depression to plump and add volume to the upper mid face region. Please see the link below for more detailed description.
Fillers may be used but need to be repeated and I do not like repeated injections with a needle into the lower eyelid region. In addition some patients experience lumps and often visible gray lumps following filler injection in this region if the injection is not done properly.
If you do decide to have injection in my opinion only Restylane should be used and by all means avoid DuoDERM which can cause visible gray lumps.
Eye rejuvenation can be easy!
Discuss with your local board certified expert injector.
There are many reasons for lower eyelid dark circles
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Under eye circles can be treated with fillers
Cosmetic improvement of lower lids?
Following the advice of anyone who would presume to tell you what to do based on a limited 2 dimensional photo and without taking a full medical history, examining you, feeling and assessing your tissue tone, discussing your desired outcome and fully informing you about the pros and cons of each option would not be in your best interest. Find a plastic surgeon that you are comfortable with and one that you trust and listen to his or her advice. The surgeon should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS). You should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
La Jolla, California
Dark circles under lower eyelids
You do not need surgery at this time (and perhaps for a long time).
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.