35 year old women, developed very dark circles under my eyes and wrinkles due to being sick. Best treatment? (photos)
Doctor Answers (6)
Belotero Balance With A Little Radiesse Works Well Nonsurgically For Dark Circles, Tear Troughs, & Hollows Under the Eyes
You Have Both Non-Surgical and Surgical Options
You non-surgical option would be liquid eyelift. Filler would be placed in the cheek and tear trough to hide the depression or bag underneath your eye.
Many times patients will try the non-surgical option first to see if they are happy with the result. If they do not get the result that are seeking, they can still undergo surgery. Other patient want a permenmant solution and choose to undergo surgery.
Each of these are viable options. I would carefully review the pros and cons of each procedure and decided what would be best for you.
Under eye dark circles
Dark eyelid skin color causing dark circles usually requires laser treatment
Fillers can camouflage the deep depression but permanent treatment requires an open blepharoplasty with fat grafting into the depression.
The dark color of the eyelid skin can be very difficult to treat. Fractional erbium ablative laser resurfacing can help but there will be a period of postinflammatory hyperpigmentation. A more conservative approach is the use of non-ablative fractional erbium laser resurfacing which will require at least 4 treatments and possibly 6 months to see the final result.
Darks circles have multiple causes including increased pigment, hollowness causing shadows, eyelid veins and wrinkles.
2. Hollowness can be treated by using fillers such as Restylane or Juvaderm.
3. Removing eye bags that cast a shadow below the bags can be performed with a lower eyelid blepharoplasty.
4. If veins are present, they may be removed by an expert who is experience in using the Nd:YAG laser. The Nd;YAG laser is extremely dangerous in unskilled hands but safe in the hands of an expert. This treatment requires compete protection of the eyeball with a metal eye shield while performing the procedure to avoid damage to the eye.