Dark and dry outer corner of eyes, is there any treatment that would help me get rid of this? (photos)

Question

I got a Juvederm filler under my eyes few days ago, and it maked my tear trough area look better, but I still got a problem with outer corner of my eyes. The hollow in the outer part (next to cheek), is still very visible and the outer corner of my eyes that is really dark and dry, which makes me look unhealthy. You can see it in attached pictures. Is there any treatment that would help me with getting rid of this problem? (it is genetic, I am a healthy person so it is not a problem)

Jason Emer, MD · Answer

Thank you for your question.There are many things you can do to treat under eye bags, but a combination approach with nonsurgical treatments would give the most improvement: fillers (Belotero, Juvederm Volbella), lasers (Fraxel/CO2), Renuvion (J-Plasma), microneedling/PRP, Cosmelan peels and stem cells. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest getting a formal evaluation with a cosmetic dermatologist to see what is best for you and your goals. Best, Dr. Emer.

Ryan Mitchell, DO, FAOCO · Answer

Hello,It seems that you are experiencing at least two separate issues. Please realize that I am making suggestions based on your photos alone. I have not had the ability to examine you firsthand nor am I familiar with your medical history. First, the dry skin may just be a little dermatitis or dry skin.  What caused this can vary from your genetics to excessive tearing to makeup or your skin care regimen. However, you may benefit from using a topical steroid cream. There are many different steroid creams that vary in potency from least potent to super potent. The skin around the eye is typically thin and more sensitive to topical skin care medications. I recommend seeing a doctor you trust. Either a dermatologist or a surgeon familiar with skin care. In the mean time you might start with using over the counter 1% hydrocortisone cream. Use it very sparingly. An amount half the size of pea carefully rubbed into the area of concern, once daily may result in resolving the dryness or flakiness. I would use it for 2-3 weeks and once you have reached resolution of the dryness then only as needed. Do not get the cream in your eye. Also, steroid creams can thin skin over time so it should be used short term and only as needed. If this fails to resolve the dryness you may need to see a doctor to get a prescription for a higher potency steroid cream. Also it may be  behoove you to see a doctor initially in order to treat the darker skin that you are experiencing. Usually circles seen around the eyes  are due to visualizing the blood flow through capillaries through the thin the skin of the eyelid. Many times dark circles are difficult to treat because of this natural anatomical state. However the darkness at the corner of your eyes may be a  related to hyper pigmentation  that you are experiencing from the dermatitis. The darkness may resolve  to a degree with the steroid cream or you may seek a prescription for medications such as hydroquinone which is a skin bleaching cream. Once again this medication is certainly only to be used for no more than three months three and under the supervision of a skin care specialist.  These creams can be used separately or they can become combined at various strengths by a compounding pharmacy. You will need a prescription to receive that type of medication. I hope this helps you to resolve your skin care concerns.Best regards, Dr. Mitchell

Dark and dry outer corner of eyes, is there any treatment that would help me get rid of this? (photos)

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Dark and dry outer corner of eyes, is there any treatment that would help me get rid of this? (photos)

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