8 Weeks Post Upper and Lower Blepharoplasty: Dark Circles Below Eyes

Is this a normal post-op problem and will it improve with time? In person, my eyes look fine (with the exception of upper lid post-inflammatory hyperpigmentation of one eye). At my follow-up visit, my surgeon said I am healing well and everything looks great. I am hoping I did not trade under eye baggage for under eye circles....

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7 Doctor Answers | Asked by quisp in New Jersey

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Hollow lower eyelids and hyperpigmentation

From your responses you can tell that there are two issues involved. Dark circles or hyper pigmentation of the skin is common after eyelid surgery. This can be due to pigmentation from prior blood after your surgery. There is also a shadowing effect of the skin due to the change in the contour after your surgery. It is still too early to make any final decisions on the ultimate results of your surgery however if after 6 months you still have concerns then this issue needs to be addressed.... more

8 Weeks Post Upper and Lower Blepharoplasty: Dark Circles Below Eyes

Photos posted are acceptable to show your issue. These dark circles may improve over the next few months but I believe you need to be pro active in your care. Use of bleaching creams is indicated as well as IPL therapy. Discuss with your surgeon.

Cause of "dark circles" after eyelid surgery.

As other colleagues have stated, excessive fat removal can be one cause of hollowness and dark circles beneath your eyes. It is unclear from your photographs if this is the case, and if you look good in person, then I would relax and give the overall healing and bruise resolution process its due time. Post-inflammatory hyperpigmentation generally occurs in scars themselves, or in areas of ongoing healing such as dermabraded or laser-resurfaced skin, but usually not in the actual lifted... more

Dark circles under the eyes 8 weeks after upper and lower eye lifts

I have performed Eye Lifts, for over 20 years and from the photos, it looks like there is a bit of hemosiderin pigment staining of the lower eyelid skin along the top of the malar bone (cheek). You said that, in person, your eyes look fine. Does this mean that the dark circles are not visible in person? I think it's a bit premature to say that you have hollowing, of the lower eyelids, especially from a set of over exposed photos. You still have... more

Hollow look after lower blepharoplasty

In the old days we used to try to take out as much lower eyelid fat as possible. Now we look back and realize how this skeletonized patients. Not only did this make them look older, but it also made it obvious they had lower eyelid surgery. Now the goal has changed to creating a smooth transition between the lower eyelids and upper cheek, while maintaining a youthful fullness to the area. Taking photos is an art unto itself, but it looks like you have been very hollowed... more

Yes your lower eyelid definitely look deflated.

Of course we do not have the before photographs. Here is the deal, the lower eyelid fat is an innocent bystander in many cases. It becomes visible because of thinning eyelid skin and descent and loss of malar fat. Removing too much of this fat makes the lower eyelid look deflated and hollow. It is very important to preserve fat in the lower eyelid-less is more. At two months out, no you are not yet fully healed. However, we have a very good idea of where... more

Kenneth D. Steinsapir, MD

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Los Angeles Oculoplastic Surgeon

Hollowness after lower blepharoplasty

It is a bit too early too judge as you are still healing. Consult with your surgeon. It may that the area under your eye will be too hollow but there are options too address that once everything heals.