I am a 31-year-old Indian male. I have gotten contacts recently and I'm constanly being told I look tired because of my sunken eyes and my dark circles. I really want to treat this and want to know my options are. I have heard of Juvederm and Fat grafting. I would like not to do fat grafting at this time, however, if its the best option I will do it.
Answer: Restylane a better choice than Juvederm. Dear Mark This is the risk of seeing better without glasses, it makes you want to look better as well. Under eye Restylane is a fantastic option for your under eye area. However, you need about 2.5 ml of Restylane on each side. I think you risk being under treated with will lead to disappointment. I very much prefer Restylane and Perlane for this application. Juvederm which is marketed as being "smooth" in my opinion is too runny for this application and seems to slip out of the lower eyelid space and accumulates at the top of the cheek. It is impossible to achieve an acceptable result for this area with grafted fat because the tissue covering in the tear trough hollow is so minimal. I encourage you to look at before and after filler results at my website: lidlift.com Dr. Steinsapir
Helpful 3 people found this helpful
Book a consultation
CONTACT NOW Answer: Restylane a better choice than Juvederm. Dear Mark This is the risk of seeing better without glasses, it makes you want to look better as well. Under eye Restylane is a fantastic option for your under eye area. However, you need about 2.5 ml of Restylane on each side. I think you risk being under treated with will lead to disappointment. I very much prefer Restylane and Perlane for this application. Juvederm which is marketed as being "smooth" in my opinion is too runny for this application and seems to slip out of the lower eyelid space and accumulates at the top of the cheek. It is impossible to achieve an acceptable result for this area with grafted fat because the tissue covering in the tear trough hollow is so minimal. I encourage you to look at before and after filler results at my website: lidlift.com Dr. Steinsapir
Helpful 3 people found this helpful
Book a consultation
CONTACT NOW Answer: Dark Circles and Tear Troughs It's not unusual for patients to note periorbital aesthetic problems when they transition from eyeglasses to contact lens. The most likely explanation for this phenomena is that eyeglasses hide these problems while contacts expose them.Nevertheless, dark circles beneath the eyes and tear trough deformities are two of the most difficult problems treated by plastic surgeons. These problems occur for a variety of reasons and the treatment is entirely dependent upon the cause.In this particular case, it's virtually impossible to make treatment recommendations without pictures or a physical examination. In some cases, fat pads can accentuate hollows beneath the eyes and cast shadows that give the appearance of dark circles under the eyes. Under these circumstances, lower eyelid blepharoplasty with fat re-positioning is probably appropriate.In other cases, tear trough deformities may be the problem. Under these circumstances, the injection of hyaluronic acid fillers may be appropriate. Finally, pigmentation changes may be related to allergies and other medical problems. When this situation arises, treatment with bleaching creams may be indicated.It's appropriate for patients with these changes to consult a board certified plastic surgeon. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.
Helpful
Book a virtual consultation
CONTACT NOW Answer: Dark Circles and Tear Troughs It's not unusual for patients to note periorbital aesthetic problems when they transition from eyeglasses to contact lens. The most likely explanation for this phenomena is that eyeglasses hide these problems while contacts expose them.Nevertheless, dark circles beneath the eyes and tear trough deformities are two of the most difficult problems treated by plastic surgeons. These problems occur for a variety of reasons and the treatment is entirely dependent upon the cause.In this particular case, it's virtually impossible to make treatment recommendations without pictures or a physical examination. In some cases, fat pads can accentuate hollows beneath the eyes and cast shadows that give the appearance of dark circles under the eyes. Under these circumstances, lower eyelid blepharoplasty with fat re-positioning is probably appropriate.In other cases, tear trough deformities may be the problem. Under these circumstances, the injection of hyaluronic acid fillers may be appropriate. Finally, pigmentation changes may be related to allergies and other medical problems. When this situation arises, treatment with bleaching creams may be indicated.It's appropriate for patients with these changes to consult a board certified plastic surgeon. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.
Helpful
Book a virtual consultation
CONTACT NOW
July 24, 2015
Answer: Dark circles under the eyes Unfortunately, there is no great solution for your problem. Fillers would help somewhat hide the shadow beneath the eyes, but not to a great degree. Your skin is darker in that region and Hydroquinone 4% would lessen the hyperpigmentation. Hopefully, this combination approach gives you a satisfactory appearance.
Helpful
Book a consultation
CONTACT NOW July 24, 2015
Answer: Dark circles under the eyes Unfortunately, there is no great solution for your problem. Fillers would help somewhat hide the shadow beneath the eyes, but not to a great degree. Your skin is darker in that region and Hydroquinone 4% would lessen the hyperpigmentation. Hopefully, this combination approach gives you a satisfactory appearance.
Helpful
Book a consultation
CONTACT NOW
FIND THE RIGHT
TREATMENT FOR YOU
October 30, 2014
Answer: Very difficult to treat but can be improved I believe with injection of fillers in the tear trough, your dark circles can be improved. There is no permanent treatment for dark circles. So you can just improve them. Also there are some products that can decrease the pigmentation in the area along with PRP that can help with this area.
Helpful
Book a consultation
CONTACT NOW October 30, 2014
Answer: Very difficult to treat but can be improved I believe with injection of fillers in the tear trough, your dark circles can be improved. There is no permanent treatment for dark circles. So you can just improve them. Also there are some products that can decrease the pigmentation in the area along with PRP that can help with this area.
Helpful
Book a consultation
CONTACT NOW
July 17, 2017
Answer: IPL can lighten eyelid skin color; Injectible fillers can darken eyelids A perfect result following filler injection can achieve a good result for the hollow eye. However very very few physicians can achieve and excellent result in my opinion. Delicate eyelid skin often bleeds, forms bruises and the injected filler can show through as a lump. Some patients, ESPECIALLY dark skinned patients have reported permanent discoloration of the lower eyelids following bruising caused by filler injection in the lower eyelid. I am not trying to scare you but I am honestly telling you the negative side of filler injection in the lower eyelids that I have seen in patients who end up in my office having had complications with filler injections done elesewhere. My personal opinion is that the best solution for the characteristic hollow eye seen in patients of South Asian heredity is an arcus release and fat grafting (not fat injection as is commonly done but open fat grafting done under direct vision). I have done many people from India and Pakistan over the years and have had uniformly excellent results. I also use very specific IPL (Intense Pulsed Light) settings to lighten the dark skin. See before and after Fat Grafting for eyes.
Helpful 3 people found this helpful
Book a virtual consultation
CONTACT NOW July 17, 2017
Answer: IPL can lighten eyelid skin color; Injectible fillers can darken eyelids A perfect result following filler injection can achieve a good result for the hollow eye. However very very few physicians can achieve and excellent result in my opinion. Delicate eyelid skin often bleeds, forms bruises and the injected filler can show through as a lump. Some patients, ESPECIALLY dark skinned patients have reported permanent discoloration of the lower eyelids following bruising caused by filler injection in the lower eyelid. I am not trying to scare you but I am honestly telling you the negative side of filler injection in the lower eyelids that I have seen in patients who end up in my office having had complications with filler injections done elesewhere. My personal opinion is that the best solution for the characteristic hollow eye seen in patients of South Asian heredity is an arcus release and fat grafting (not fat injection as is commonly done but open fat grafting done under direct vision). I have done many people from India and Pakistan over the years and have had uniformly excellent results. I also use very specific IPL (Intense Pulsed Light) settings to lighten the dark skin. See before and after Fat Grafting for eyes.
Helpful 3 people found this helpful
Book a virtual consultation
CONTACT NOW