Would Restylane Be Ideal for Male with Dark Under Eyes?

The tear troughs can be fixed with fillers. However, that is a volumetric augmentation and is not going to improve the dark circles. The dark circles are hereditary, or they can come from allergies. The allergies can certainly be addressed through nasal sprays and antihistamines. If you decide to do fillers into the tear troughs, you must be very careful that the surgeon does not put this into the orbital septum since this will create a puffy eye syndrome, which can last upwards of... more

I would avoid having any filler injected into your lower eyelids. I have seen many patients who have had filler injections under the eyes who have had worsening of the dark color and permanent lumps. The eyelid skin is so thin that the filler is often visible and imparts a bluish grey color to the eyelid. In addition, bleeding during the injection can leave permanent pigment that discolors the lower eyelid. Laser or IPL can lighten the color a bit by closing some of the small vessels in the... more

Although it is difficult to evaluate your lower eyelid complex with a photograph, it seems that there are a couple of factors contributing to the "dark" appearance of your lower eyelids: a loss of volume and shadowing effect, but also the presence of blood vessels that can sometimes produce the appearance of brown discoloration. I would want to ensure that you are not having allergy symptoms contributing to venous congestion, in which case use of an antihistamine may help. If... more

In this particular case, I would advise against Restylane or other fillers in the tear trough until you improve the quality, resiliency, and thickness of the undereye skin.  There is far too much pigmentation in the lower eyelids to tolerate a hyaluronic acid filler.

As you can see from the many recommendations, there are pluses and minuses to injecting under the eyes.  Yes, it may improve it, if it can camouflage the muscle well.  However, it may cause long term swelling, and it may give a bluish hue.

To me, the coloration looks due to veins or capillaries.  The Restylane may or may not work, but may be worth a try.  Worst case, is that it wont work and it is temporary. sek

I would be very careful with using fillers in your case. You already got discoloration and thin skin. This combination will only add to the problem due to the tindall effect. The filler could act as a refractive medium giving a blue discoloration. The best explanation for this is the blue color of clear water in a swiming pool. My answer to this problem is laser genesis with a low energy setting to begin with.Best of luck!

Restylane is great for this! A very small amount is needed, and it probably needs to be repeated every 6-8 months or so, but the results can be great. The area is usually numbed with lidocaine cream, and the injections take about 20 minutes. It should fill out the dark circles and help to soften the area. Good luck!

Dear Trey The darkness under the eyes is an optical issue. In the lower eyelid, there is virtually no fat under the thin eyelid skin. What you have instead is a thin muscle called the orbicularis oculi muscle that helps close the eye. This muscle is dark red. Light penetrating the thin eyelid skin hits this muscle and much of it is absorbed.Very little is reflected back into the skin. Contrast this to the adjacent skin of the cheek. Here below the skin there is abundant yellow fat. Light... more

Part of this problem is the thin quality of your skin which makes you more likely to have visiblity of the restylane. Injection may create a blue like appearance and you should have this injected by an experienced individual. It likely would need to be placed deeply and I would urge conservative injection aiming more towards undercorrection.