What's the best creams for tear trough under eye blue/purple/red discoloration? (Photo)

Question

I have always had a blue-ish/purple/red discoloration to my inner tear trough. I have been told that there is no laser treatment available for this, only creams. My plastic surgeon has had me using ZoMedical HYDRAFIRM™ Eye Brightening Repair Crème but it hasn't made a dent and I'm not sure it is my best option of treatment. I am willing to spend whatever it takes to find a great product to help with this discoloration. Are there any new products on the market that could help?

Jason Emer, MD · Answer

There are many ways to treat dark circles, as well as under eye wrinkles and bags. It is important to note however, that the majority of times the cause for discoloration is genetic and due to the viability of the blood vessels below the skin.  A  combination approach is always needed to get the best results in this area and this includes: topical skin care, laser and/or radiofrequency treatments, and fillers if placed appropriately.

Brian Windle, MD (retired) · Answer

I am sorry that you have this problem.  It is a very difficult to correct but the unerlying cause must be diagnosed correctly first.

The first step is to determine what the problem is.  Sometimes it is simply a shadow cast by deep
troughs.  In this instance, correction of
the deep troughs will fix the problem usually with a filler and occasionally
with surgery.

Other times the dark circles are pigmentation of the skin
under the eye.  In this case, correction
of the pigmentation with a skin lightener or one of the light treatments like a
laser tuned for pigment or a broad band light (BBL) treatment will help the
best.

Finally the problem may be thin skin that allows the
underlying, very small blood vessels to show though the skin or alternatively
the blood vessels have more blood in them than normal or are dilated and this
shows in the skin.

From your photos, it appears that you may have the problem
of the small blood vessels showing through the skin plus a bit of
shadowing.  Unfortunately, ZoMedical
HYDRAFIRM&trade; Eye Brightening Repair Crème is a Vitamin A cream that is designed
to help with fine wrinkles.  It actually
has some vasodilators in it that will make your condition worse if the problem
is due to blood vessels that are swollen or dilated.  Other "solutions" include peels but they can thin the skin and make matters worse.

Unfortunately, there are few creams that actually work to
help your problem unless it is pigmentation related. You would need an
evaluation to first determine the cause of the problem and then to strategize
what would be the best solution.  If the
problem is related to dilated vessels or thin skin overlying the vessels there
are a couple of things that can help. 
Sometimes, the answer is fillers, sometimes it is a light treatment, and
sometimes it is a combination of treatments that is required.  The goal is to thicken to collagen over the
vessels and hide them.  Micro needling
may also be of benefit but again, an evaluation is required to first get a
diagnosis.I hope that helps.Best regards.

What's the best creams for tear trough under eye blue/purple/red discoloration? (Photo)

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What's the best creams for tear trough under eye blue/purple/red discoloration? (Photo)

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