I'm not sure what procedure I need - any advice? I currently really struggle with dark circles (Photo)

Question

I'm currently really struggling with my appearance. Always have. I'm eager to get a professional opinion on what should be done because the longer I stare I feel like I just need everything. I currently really struggle with dark circles and overall just feel terrible about the way I look. Any Advice?

Anna Chacon, MD, FAAD · Answer

Dark circles can be frustrating, especially when they make you look tired even when you don't feel tired. The important thing is that “dark circles” can come from several different things, and the right treatment depends on what is causing them.

Common contributors include:

Brown pigmentation of the skin
Visible blood vessels or thin under-eye skin, which can give the area a blue or purple appearance
Tear-trough hollowing, which creates a shadow under the eyes
Under-eye bags or fat prominence, which can create additional shadows
A combination of these factors

From a photo, it can be tempting to think that you need several procedures, but I would not approach it that way. I prefer to first determine what is actually creating the appearance you're concerned about and then treat that specific issue.

If pigmentation is the main concern, a consistent sunscreen and carefully selected brightening ingredients can help. If the issue is primarily thin skin or fine lines, treatments that stimulate collagen, such as certain lasers or microneedling-based treatments, may be considered. If there is significant hollowing, volume-based treatments can sometimes help, although under-eye filler is not appropriate or necessary for everyone. When prominent fat pads or excess skin are the main issue, a surgical approach may be more appropriate than adding volume.

I also want to emphasize something that is easy to overlook: you don't need to “fix everything.” When you spend a lot of time looking closely at your face, it's very easy to start seeing every small feature as something that needs treatment. Good aesthetic treatment should be about addressing specific concerns while keeping your natural features and proportions intact—not trying to change your entire face.

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin. This is a great question. There is a wide variety of treatment options available. I highly recommend scheduling an in-person consultation in order to better assess your areas of concern and discuss an appropriate treatment plan to help achieve your aesthetic goals. Our office phone number is: (312) 944-0117. I hope this helps and best of luck!

Camille Cash, MD · Answer

You may want to consider Morpheus8 treatments to optimize skin tone and texture.  We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day to keep skin youthful and healthy.  In an person consultation is best to learn about options in more detail.

Rick Ramos, MD · Answer

Hi! The most important part of healthy skin is making sure you have good at home skincare product and that you stay consistent. You have beautiful skin! For the dark circles we can do a series of RF Microneedling + CO2 Laser which is going to promote overall healthy skin, build structure and help to produce new collagen and elastin. Getting on a good Retinol will help with cell turnover and work to lighten skin tone :)

Anna Avaliani, MD · Answer

Thank you for the photos. You don't even need anything as you have amazing bone structure. I would suggest lasers to brighten the skin, get rid of acne marks and darkness under eyes PicoSure Focus laser would be amazing for you and maybe just a little cheek filler as your left side is a little lower and that's why you see more darkness there as it is likely the side you sleep on. A little laser and a little filler and you skin is glowing. Hope this helps

I'm not sure what procedure I need - any advice? I currently really struggle with dark circles (Photo)

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