Dark Under Eye Circles After Lower Eye Lift?

There are a number of reasons for dark circles under the eyes. Lack of sleep, allergies, pigmentary abnormalities, and postoperative bruising under the skin have all been described as possible causes. 

However, the first-time appearance and persistence of  hollowness and dark circles under the eyes several months following lower lid blepharoplasty surgery suggests that perhaps too much fat was removed at the time of surgery leaving the delicate thin skin of the lower lid to rest over the dark structures immediately below it and to reflect the underlying darkness.

The use of fillers, such as Juvederm Ultra XC combined with a small amount of a whitish colored calcium-based filler, Radiesse, injected into the darkened, hollowed areas of the lower lid can restore both the lost volume to the region and lighten the color. It takes only about ten minutes to perform and, in fact, is a nonsurgical approach often used these days in lieu of eyelid surgery to treat crinkles, tear troughs, hollows and dark circles

 

Dark circles under the eyes after eyelid surgery, there can be some temporary darkening of the skin (particularly for people who tan easily). Dark circles below the eyes are a combination of ethnic pigmentation, skin thickness, vascularity, and other factors such as allergies. In my practice in New York, I advise my patients after blepharoplasty to use 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 in helping my patients maintain their skin after surgery, including Eye Rescue and an antioxidant sunscreen. 

A photo would be helpful, but an in-person evaluation is more valuable. In general, there are three reasons why the skin around the eyes can be [or seem] darker:

1. The thin eyelid skin allows the darker muscle underneath to show

2. The hollowness around the eyes can create a shadow effect that exacerbates darkness

3. Skin pigmentation [sometimes from blood products from bruising]  If it is blood    product pigmentation, it could last months to improve.

Depending on which of the above is the issue, different modalities may be helpful [time, fillers, laser resurfacing, concealer etc].

If you decide to explore this further, I would recommend consultation with an ASOPRS trained Oculoplastics surgeon. You can find one close to you on the ASOPRS dot org website.