Under Eye Hollowing and Dark Circles Recommendation?

In my experience, using conservative amounts of Juvederm (i.e. 0.1 cc/tear trough) just above the level of the bone in a serial point technique works quite well for hollowing of the lower eyelids. It will not change your skin color, unless the darkness is related to the lighting/shadowing because of the hollow. The treatment takes about fifteen minutes and just requires icing for preparation. You can have slight bruising for a couple days though not frequently. It must be done properly,... more

For patients whose goal is to avoid surgery, Juvederm or Restylane for undereye circles is a fine treatment. It has become routine in many practices. Patient should be aware of the chance for swelling around the sensitive periorbital tissues with hyaluronic acids, and of the temporary nature of the treatments. For patients wanting more permanent results, cheeklifts with placement of autologous grafts (fat injection or LiveFill) are also options that achieve more permanent results. This... more

A common problem, difficult to treat. Lower eyelid "bags" are multifactorial. Causes are fat pockets, heredity, age, loose skin and tissues and discoloration from thin skin with hypervascularity, sun damage pigmentation and again, heredity. Multiple surgical and non-surgical treatments may be indicated as with blepharoplasty and/or fat repositioning, filling hollows with fillers such as Juvederm, chemical peels and/or IPL/minimally ablative type laser peels, and finally various... more

Old fashioned lower lid surgery often took too much fat out of the eyelids leaving patients looking hollow and tired with dark circles years later. Restylane is an excellent way to improve this volume loss in many cases. Seek the consultation of an excellent plastic surgeon and see if you are a candidate!

Juvederm and Restylane, when injected judiciously, can improve the "hollowing" of the lower eyelid region. The material should be placed in a deep plane (under the muscle), or it will appear bluish. There are many potential causes, however, of dark circles. If the appearance of dark circles is due to loss of soft tissue of the lower eyelid region, then injection of filler will help. The appearance of dark circles though can be due to several causes including allergy-related... more

The use of fillers to correct contour deformities of the area around the eye is a good technique as long it is done by a surgeon who is familiar with the anatomy of this sensitive area. It is easy to inject a filler but when the injection is close to the eye it should be taken very seriously. Excellent results could be acheived - moderation is the key. Start with Restylane to give the idea of the correction needed. My personal preference is fat grafting; it lasts longer and if used... more

Facial fillers can used judiciously to fill hollowing in the lower lids and may mask some of the circle darkness.  It can also cause lumps and bumps if not used carefully.