Struggle with dark circles. Tried ipl,co2,creams and 1 prp. After the prp they got 10 times worse. Not sure if its staining or broken blood vessels, super depressed i look worse then before. Ive went to several consults but confused bc different recommendations. Some said use hydroquinone for 6-8 weeks, some said dont use this as its not for eye area and wont help. Some said dont dare do under eye filler, do cheek filler to remedy this. Please help, im so upset over this
Answer: Dark Circles/Eye Bags/Wrinkles - Fillers (Belotero, Juvederm Volbella); Lasers (Fraxel/CO2); Renuvion; Microneedling/PRP; Peels At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers (Belotero, Juvederm Volbella), lasers (Moxi/Halo/Fraxel/CO2), Renuvion (J-Plasma), microneedling/PRP, stem cells and microneedling RF like Fractora PiXel8 or Morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.
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Answer: Dark Circles/Eye Bags/Wrinkles - Fillers (Belotero, Juvederm Volbella); Lasers (Fraxel/CO2); Renuvion; Microneedling/PRP; Peels At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers (Belotero, Juvederm Volbella), lasers (Moxi/Halo/Fraxel/CO2), Renuvion (J-Plasma), microneedling/PRP, stem cells and microneedling RF like Fractora PiXel8 or Morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.
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August 31, 2022
Answer: Facial fillers: things you should know Thank you for submitting your question and photo. You may benefit from a non-surgical eyelift that uses facial fillers to add subtle volume beneath the eye and reduce hollows, resulting in a brighter and more vibrant appearance. This injectable treatment may address the discoloration and dark circles you describe. Facial fillers can also define the cheekbones to brighten under-eye shadows and allow light to reflect in this area naturally. I recommend that you schedule an in-person consultation with an experienced, qualified injector who can assess your needs and make the best recommendation to help you achieve your desired aesthetic.
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August 31, 2022
Answer: Facial fillers: things you should know Thank you for submitting your question and photo. You may benefit from a non-surgical eyelift that uses facial fillers to add subtle volume beneath the eye and reduce hollows, resulting in a brighter and more vibrant appearance. This injectable treatment may address the discoloration and dark circles you describe. Facial fillers can also define the cheekbones to brighten under-eye shadows and allow light to reflect in this area naturally. I recommend that you schedule an in-person consultation with an experienced, qualified injector who can assess your needs and make the best recommendation to help you achieve your desired aesthetic.
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May 21, 2022
Answer: You may be a candidate for cheek filler and/or undereye filler Thanks for your question! Since you’ve already tried quite a few treatments, you may want to consider a consultation with your provider to discuss filler injections. Though your provider will best be able to address your specific concerns, I’d recommend cheek filler as a starting point, as it can be extremely helpful in improving the appearance of undereye hollows. However, you may also be a candidate for undereye filler; your provider can assess your anatomy and determine whether or not it's right for you.
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May 21, 2022
Answer: You may be a candidate for cheek filler and/or undereye filler Thanks for your question! Since you’ve already tried quite a few treatments, you may want to consider a consultation with your provider to discuss filler injections. Though your provider will best be able to address your specific concerns, I’d recommend cheek filler as a starting point, as it can be extremely helpful in improving the appearance of undereye hollows. However, you may also be a candidate for undereye filler; your provider can assess your anatomy and determine whether or not it's right for you.
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April 18, 2022
Answer: Dark circles Thanks for your question. “Dark circles” don’t necessarily mean pigment. I suggest you find a dermatologist who will do a thorough exam under dermoscopy. Based on your photos I would not be surprised to see dilated blood vessels in that area. Because prp promotes neovascularization, it’s not surprising that the problem got worse, not better. IPL on a vascular setting or even pulsed due laser might be helpful. Also don’t rule out filler in the tear troughs. In good hands this may make a big difference. Good Luck!
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April 18, 2022
Answer: Dark circles Thanks for your question. “Dark circles” don’t necessarily mean pigment. I suggest you find a dermatologist who will do a thorough exam under dermoscopy. Based on your photos I would not be surprised to see dilated blood vessels in that area. Because prp promotes neovascularization, it’s not surprising that the problem got worse, not better. IPL on a vascular setting or even pulsed due laser might be helpful. Also don’t rule out filler in the tear troughs. In good hands this may make a big difference. Good Luck!
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April 17, 2022
Answer: Fillers would improve under eye circles Fillers would improve this but you would have to start with idea that some improvement would make you happy and not expect perfection. You still will have hyper pigmentation but less shadow. You photos are too close up to know whether you need fillers in cheek but I often tell patients similar to yourself that I prefer to inject cheek first as that sometimes will make a huge difference and you might need less filler in eye area. Go to dermatologist or plastic surgeons that you trust and that has experience with this. this is not something I would do at a spa or in a place with inexperienced injectors.
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April 17, 2022
Answer: Fillers would improve under eye circles Fillers would improve this but you would have to start with idea that some improvement would make you happy and not expect perfection. You still will have hyper pigmentation but less shadow. You photos are too close up to know whether you need fillers in cheek but I often tell patients similar to yourself that I prefer to inject cheek first as that sometimes will make a huge difference and you might need less filler in eye area. Go to dermatologist or plastic surgeons that you trust and that has experience with this. this is not something I would do at a spa or in a place with inexperienced injectors.
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