What Are These Dark Circles/marks Under Eyes After Lower Bleph? Can They Be Fixed? (photo)

Hi
I think if I knew your approximate age, whether your surgeon took trans-cutaneous vs trans-conjunctival approach, and finally a picture of your eyes prior to surgery, I can probably advise you better
But if I were to take a stab at your situation, you are relatively young and thin faced with early fat bag formation and took a pre-emptive approach to this first significant sign of aging..which I am a huge proponent of...
I really don’t see any issues with the surgery you have received... but I always emphasize to my patients the importance of taking an individualized approach and in your case, I would have sparingly remove the fat only, through trans-conjunctival approach and leave the rest of your anatomy completely untouched to avoid any appearance of surgerized look... I would have also discussed with you that  removing the fat bag would potentially “un-mask” the tear trough partly made more prominent by the fact that your nasal-lower eyelid bony junction is more anterior to the eyes...
The solution would be to try Restylene over the darkened and hollowed area... if this looks good, ultimately you will benefit with fat grafting to the area both deep and superficial to the muscle using micro technique which should restore the “cushion” or “glide zone” between the different layers of the eyelid, and hopefully improvement of the darkened area you are experiencing.   Good Luck!

Dark circles under the eyes are a combination of ethnic pigmentation, skin thickness, vascularity, and other factors such as allergies. After eyelid surgery, there can be some temporary darkening of the skin particularly in people who tan easily. In my practice in New York, I advise my patients after blepharoplasty to wear an under eye cream with sunblock and typically the skin color returns to it's normal pigmentation. I even developed a medical-grade skin care line dedicated to helping my patients maintain their skin after surgery.