Restylane for Under Eye Vascular Pooling?

asked 1 year ago by J1
Latest answer by Ryan Greene, MD, PhD
Question viewed 666 times
Tags: under eyes, male, dark circles, Indian

I'm interested in Restylane for dark circles. I've read about "indents" occurring, is this common? I think vascular pooling may be the cause of my condition, I recently had sinus surgery 8 weeks ago-should I wait to see if I have improvement first? I've seen some change since but it fluctuates... I've been told through the years that sinuses are the causative factor, although being East Indian may be contributory. I've attached a picture for illustration, thank you for your expertise

6 answers to Restylane for Under Eye Vascular Pooling?

Vascular pooling does not cause the dark circle.

There are many "wive's tales" regarding dark circles, including many told by doctors. Mothers would be told that their children had "allergic shiners," when asking their pediatrician about dark circles. An article appeared in the scientific literature suggesting that dark circles were caused by blood vessels except that the eyelid biopsies cited by the article did not should this. In your case, the dark circle is caused by several things.... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Restylane for darkening below eyes

I am not so sure that the darkening below your eyes is due to vascular pooling. It may well be due to your skin type. Darkening below the eyes can be very difficult to treat. Restylane usually does not help, unless the darkness is due to shadowing at the eyelid-cheek junction (the tear trough). I have had great success treating patients in this area with Restylane, but I don't think this would help in your case. Judging from your photo, shadowing does not seem to be your problem. The... more

Ryan Greene, MD, PhD
Fort Lauderdale Facial Plastic Surgeon

Fillers can worsen vascular darkening

It is my guess that you have several causative factors for your circles. First, I think your allergies cause you to rub your eyes, stimulating the pigment cells. Second, your ethnic background adds to pigment increase risk. Next, your sinus troubles cause vascular dilation, giving the circles a bluish hue. It is good that you had sinus surgery and I'd expect you to improve a little. Allergy eye drops, regular antihistamines, nasal/sinus flushing with mild salt water, sleeping on 3... more

Mary Lupo, MD
New Orleans Dermatologist

Restylane for dark circles

Dark circles are almost impossible to treat. Restylane placed under the eyes usually does not improve this.

Steven Wallach, MD
Manhattan Plastic Surgeon

Dark circles are hard to treat

Dark circles under the eyes are quite difficult to treat. It is possible that your sinus condition has made you worse, especially if you have allergies. The darkness under your eyes may be hyperpigmentation (given your East Indian background, this may be likely) and may improve with treating you for allergic rhinosinusitis. You might even need a bleaching cream to lighten the skin. If the darkness is due to be vascular pooling, it is likely very hard to treat. Fillers like... more

Theda C. Kontis, MD
Baltimore Facial Plastic Surgeon

facialplasticsurgerymd.com

Juvederm is not a great treatment for under eye darkening

You should wait much longer after sinus surgery to see if it gets better. Juvederm would have to be injected above the muscle and under the skin to hide this color (provided that it is related to blood flow and not skin pigment in you) and that can leave visible lumps and swelling, especially with having a history of sinus problems.

Ronald Shelton, MD
Manhattan Dermatologist

www.thenyac.com

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