Dark Circles: Q&A
Ask a QuestionUnder Eye Hollowing and Dark Circles Recommendation?
i had a facelift in mar 2008 but i did not have my eyes done as i had a browlift that took care of the uppers but since i had my undereyes done 15 yrs ago i have hollowing. Do you think i would benefit from juvederm under my eyes? i have always had dark circles as well. would that help? i would prefer not to have any more surgery.
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9 Doctor Answers |
Asked by
mcmineok
in san mateo,ca
+4
Under Eye Hollows and Dark Circles Need Fat Graft for Permanent Correction
Thank you for your question. I do understand your wish to avoid surgery. Filler injections such as Restylane do work only when injected by an expert who understands eyelid anatomy.
Many times I see patients who have had filler injections and feel their dark circles are worse. This is because the filler was injected too superficially and the eyelid muscle squeezed the filler out of the dark circle into the area below the dark circle. This worsens the shadow and makes the dark circle worse...
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+4
Juvederm works well
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,...
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+3
Juvederm for undereye circles
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...
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+2
Juvederm for the hollow and bleaching cream for the dark
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...
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+2
Probably the answer is "yes"
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!
+1
Fillers for the hollowing and IPL for the dark circles
I like platelet rich plasma and/or HA's, such as Juviderm for under the eye treatments. Hollow areas can be filled and bags camouflaged. Juviderm or restylane are in common use for these problems, which testifies to the effectiveness of the fillers.
Along with the eyelid injections, the injector needs to take into consideration the area of the cheek, as a cheek that is fallen increases the appearance of the eyelid bag. Many consider the baggy eyelid to be a "pot belly" and...
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+1
Juvederm can improve under eye hollowing
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...
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+1
I prefer fat grafting to correct under eye hollows and dark circles
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...
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+1
Hollowness of lower lids
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.
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.
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