Would blepharoplasty help minimize the appearance of my hollow under eye circles? (photo)

Hello! Thank you for your question.As far as I can see from your photos you do not have any extra skin so lower eyelid blepharoplasty would not help you about the dark circles. You may need fat injection to under your eye but It would be more convenient to decide with face-to-face consultation. Best Regards!

The eye area needs significant combinations to get improvement. Lasers like erbium, co2, halo, profractional/contour, or Fraxel can all be used to build collagen long term. Plasma pen is a newer less invasive option but will take many treatments and require proper skincare. Plasma Pen is focused electrical plasma energy to tighten skin, producing small columns of energy just above the skin, allowing the skin to tighten to help improve wrinkles. This area will have 3-5 days of small “dots” that will then scab and peel, then the skin will tighter and brighter after. Numerous treatments are needed over lasers where only one or two give a bigger result, but more downtime. After plasma pen you NEED peels 2 weeks like later Cosmelan, enlighten or aerify, see emeragecosmetics (link). At home derma rolling should be started weekly even after plasma pen or lasers to further increase collagen, see emeragecosmetics AERIFY x anteagemd stem cell ampules. To properly heal you need light Stim red LED, EmerageSkin refit face, refit eye; AnteageMD serum, silagen silicone gel, jan Marini bioshield, EmerageSkin enzymatic polish, and EmerageSkin hyla b and AOX, and Sente dermal repair. Otherwise there is EXTREME risk of pigmentation issues and “dots” in the treatment area. at home peels like cosmelan, enlighten and aerify along with dermarolling (AERIFY emerageskin roller with Anteage MD ampules) should be started now regardless for antiaging, sun damage, and wrinkle prevention. 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 eyelid blepharoplasty with or without fat pad repositioning (if doing lower eyelid surgery) 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, lasers, microneedling/PRP, cosmelan peels, 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. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Thank you for your question and photo. You may benefit from dermal filler injections to treat the under-eye circles you’re referring to. These hyaluronic acid formulas can diminish under-eye circles by filling in hollow areas and creating a smooth transition between the lower eyelid and the upper cheek area. In my office, we use a micro-cannula to inject this area, which minimizes bruising and swelling and ensures the smoothest outcome.
Results from dermal fillers can last for up to a year or more, depending on the formula used. I recommend scheduling an in-person consultation with an experienced, board-certified injector who can review your aesthetic concerns and suggest the best treatment option for you.

It has been shown by several autors in our proffesional journals, that injection of nano-fat grafts with high content of stem cells, may improve discoloration around eyes. In person consultation with a board certified plastic surgeon, familiar with this procedure is recommended. HGood luck.

There are two types of lower Blepharoplasty. The open one is used when you have excess skin, which you do not. The transconjunctival one with fat transposition is supposed to help with problems like yours, but it has been my experience that it rarely does much good or lasts as long as the proper filler in the right place. You need a heavy filler like Juvederm Voluma placed below the orbital ligament deep in the hollow above the muscles on the bone. This can last 5 years, more than a transconjunctival Blepharoplasty. Make sure you see an expert.