Under 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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7 answers to “Under eye hollowing and dark circles...”

A: juvederm works well

By Min S. Ahn, MD - Westborough Facial Plastic Surgeon

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... more

A: Juvederm for undereye circles

By Brent Moelleken, MD - Beverly Hills Plastic Surgeon

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... more

A: I prefer fat grafting to correct under eye hollows and dark circles

By Hisham Seify, MD, PhD - Orange County Plastic Surgeon

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... more

A: Probably the answer is "yes"

By Richard P. Rand, MD - Seattle Plastic Surgeon

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!

A: Juvederm for the hollow and bleaching cream for the dark

By David J. Levens, MD - Ft. Lauderdale Plastic Surgeon

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... more

A: Juvederm can improve under eye hollowing

By Bryan K. Chen, MD - San Diego Dermatologist

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... more

A: Hollowness of lower lids

By Steven Wallach, MD - Manhattan Plastic Surgeon

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.

Comments

lhaney
156 posts
6 Jan 2009

As many patients/consumers are realizing, many times the areas of concern are better addressed by volume restoration versus pulling the skin and muscles tighter. Volume loss under the eye area (tear trough) is a common concern for both men and women. We prefer to use Restylane for these procedures because it is less likely to move away from the area shortly after it is placed. Tear trough correction with fillers is very technique-dependent, and I would highly recommend that you find a practitioner that has much experience with this procedure. Placing the product under the muscle is much more desirable than above it. Some people may observe less darkening under the eyes, but using a combination of modalities (lasers, topicals, fillers, etc) is usually the best recipe. Undergoing minimally invasive tear trough/hollowness correction to the under eye area is very rewarding for both patient and practitioner.

dfriant
15 posts
7 Jan 2009

Juvederm or Restylane can restore volume loss under the eyes. This simple and almost painless procedure can make a huge difference. The tear trough or hollowing under the eyes, sometimes extending onto the cheek, is created by fat loss and herniation or sagging of the surrounding tissue. This hollow alone can create a shadowing effect that leads to dark circles under the eyes. The dark circles can also be caused by many superficial vessels in this area. The dark circles are best improved when caused by shadowing but can also alleviate those cause by superficial vessels. The filler lifts the area to the level of the surrounding skin and the results can be fantastic. An experienced injector that has been specifically trained in this procedure should perform this procedure.

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