Will cheek filler reduce dark circles/tear trough? (Photo)

Question

I had a consultation for dark circle treatment and the dr said because I have seasonal allergies (hay fever) under eye filler is not reallyan option for treating my dark circles. They instead recommended cheek filler and said it would help with the tear troughs and perhaps reduce pigmentation. If the tear troughs were of my skin tone, I wouldn’t mind as much, the thing I am looking to reduce is the red/purple pigmentation. Would cheek fillers really be the best bet or lasers?

Jason Emer, MD · Answer

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. There are many things you can do to treat under eye hollows and dark circles. A surgical option to remove skin and/or fat will such as lower eyelid blepharoplasty with or without fat pad repositioning will be the best long term. There are many things you can do to treat under eye hollows and dark circles without surgery. Non invasive less downtime options such as fillers (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells and microneedling RF like Fractora PiXel8 or Morpheus can all help give some improvement. Accutite can often be used or stronger lasers like erbium or co2 spot treatment can tighten the skin and give very quick improvement in wrinkles and texture. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Harold J. Kaplan, MD · Answer

Hello BT.  It's unclear why your physician said you are not a candidate for tear trough injections as you are  perfect candidate.  With color (brown or purplish darkening) under the eyes, usually Restylane helps.  It provides a layer of "padding" for lack of a better word that diffuses the darkening (see photos at link below).  Normally our patients see improvement in the color of the under eyes, rather than complete resolution.  Best of luck finding the right injector for Restylane under the eyes.

Will cheek filler reduce dark circles/tear trough? (Photo)

Answers (2)

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