What can be done to treat my dark circles? (Photo)

Question

Hello, I used to have pigmentation under my eyes (not dark circles but pigmentation). After I had a facelift and the surgeon cut off skin by pushing it forward from my lower eyelid - I didn't have pigmentation / colored eyelids / dark circles. For 2 years (since I got my surgery) it was all white and perfect. But 3 days ago - I saw dark circles coming? I'm so confused. I sleep and drink well. Is it the pigmentation coming back after 2 years or are they just temporary dark circles?

Raffy Karamanoukian, MD, FACS · Answer

Our treatments use combination therapy to improve the epidermis and dermis for most deep scars. The options available for acne scars depend on the character of your scars, in terms of topography and contour. We see atrophic and hypertrophic acne scars, as well as scars that have hypo and hyperpigmentation. We begin each scar evaluation with an assessment of scar quality and subtype. Our main concern is rebuilding collagen and that is why we use a HIDEF protocol that includes combination therapy. Morpheus 8, scar subcision, fibrous release, fractional laser, CO2 laser, Thulium laser, PDL Vbeam laser, and fractional resurfacing can be used in addition to TCA Cross and chemical peels to further improve skin. Patients should start Melarase AM and Melarase PM for active hyperpigmentation. Always begin with a consultation to decide whether early subcision should be started.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

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.

What can be done to treat my dark circles? (Photo)

Answers (2)

Recommended reading

Everything you need to know about Skin Lightening

Our mission is to create a world where every investment in modern beauty is Worth It.

What can be done to treat my dark circles? (Photo)

Answers (2)

Browse related questions

Recommended reading

Everything you need to know about Skin Lightening

Our mission is to create a world where every investment in modern beauty is Worth It.