Darkness Under Eyes Made Worse By Hyaluronidase - Laser Correction?

Question

I have always had darkness under my eyes, I have light skin, blonde hair, blue eyes, and I have been prone to undereye darkness. I recently had all my fillers dissolved under my eyes with Hyaluronidase. My eyes seem to look worse now, Its been a week, I have more bags and the under eye darkness is back. My question, is there a laser that takes away darkness or is filler my only option again if done right?

Jason Lichtenberger, MD · Answer

Dark hollows under the eyes is a common complaint.  Filler can be used to address the hollow if it causes darkness from a shadow, but will not affect the skin itself.  A laser resurfacing can tighten the skin and reduce fine lines, but often will still not address the dark skin.

	It seems you have tried a filler and not been happy with the results.  This is a very precise area to treat and must be done by someone who is very experienced with filling this area.  I would recommend trying a filler again, but be sure to give yourself time to heal from the filler and hyaluronidase - a week is still very early.

	Hope this helps.

Ron Shelton, MD · Answer

I have not found lasers to be very effective in reducing the dark color from blood flow. There are some individuals that have true familial hyperpigmentation and althought there is a risk of postinflammatory hyperpigmentation from the treatment, in this case lasers may help. If you just had the fillers dissolved with hyaluronidase, I would not suggest that fillers be repeated this soon.

Mehryar (Ray) Taban, MD, FACS · Answer

You are probably still hollow under the eyes, causing a shadow, dark circle effect.  Conservative filling using restylane is a great option for that problem.  Consult an oculoplastic surgeon.

	Dr Taban

William Groff, DO · Answer

&bull;Lasers can improve under eye darkness. There are different causes of this problem:

	1. pigment

	2. capillaries

	3. hollowness

	lasers can improve all aspects.  If you look at some of my before and after photos (under my RealSelf profile), you will see many of patients had darkness/hollowing that was improved with laser resurfacing.  A combination of fillers and lasers may be best.  Take care, Dr. Groff

Michel Siegel, MD · Answer

The answer is NO. Your best option in my opinion at this point is to be patient. Although Hyaluronidase was injected 1 wk ago, you may still have some filler left over and probably some swelling. I would not add another treatment at this point as it may make things more complicated. I would wait and then re-asses to see if further Hyaluronidase will be required.

	 

	Dr Siegel

Darkness Under Eyes Made Worse By Hyaluronidase - Laser Correction?

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Darkness Under Eyes Made Worse By Hyaluronidase - Laser Correction?

Answers (8)

Answer: Lasers can improve under eye darkness.

Answer: Lasers can improve under eye darkness.

Answer: Laser for dark circles

Answer: Laser for dark circles

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Recommended reading

Everything you need to know about Laser Resurfacing

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