27 - hollowness/pigmentation. Best treatment for under eyes? (Photos)

Addressing hollowness and pigmentation under the eyes can be challenging, but there are several treatment options that may help improve these concerns:

Dermal Fillers: While you mentioned that tear trough fillers did not make a noticeable difference, it might be worth discussing with your dermatologist whether a different type or technique of filler could yield better results. Sometimes, adjusting the placement can make a significant difference.

Chemical Peels: Mild chemical peels can help improve pigmentation issues by exfoliating the top layers of skin and promoting new skin growth. However, these should be performed by a professional, especially in delicate areas like under the eyes.

Laser Treatments: Lasers, such as fractional laser therapy or intense pulsed light (IPL), can be effective for both pigmentation and skin texture. They help stimulate collagen production and improve skin tone.

Microneedling: This procedure can help with skin texture and reducing pigmentation by promoting collagen production. It can be particularly effective when combined with platelet-rich plasma (PRP).

Topical Treatments: Products containing ingredients like retinol, vitamin C, or peptides can help improve the appearance of pigmentation and skin texture over time. Consistent use is key for seeing results.

Consultation with a Specialist: Given your experience with fillers and the complexity of treating both hollowness and pigmentation, consulting a dermatologist or cosmetic surgeon who specializes in under-eye treatments can provide personalized recommendations.

It's important to discuss all potential treatments with a qualified specialist to determine the most suitable approach for your specific concerns and skin type.

Thank you for sharing your concerns. Based on your description and photos, I can understand your frustration with the darkening and hollow appearance of your under-eye area. These features can sometimes create a tired look and are often influenced by factors such as genetics, pigmentation, and structural anatomy.
To determine the best course of action, I recommend starting with a comprehensive consultation, including a Visia scan and physical examination, to accurately diagnose the root causes of your concerns. From there, we can create a tailored treatment plan, which might include the following options:
- Tailored skincare: Products like Alastin Restorative Eye Cream or Sesderma KVit can help improve skin quality and address pigmentation. - Biostimulation with PRF (Platelet-Rich Fibrin): This helps regenerate and rejuvenate the under-eye area naturally. - IPL (Intense Pulsed Light): Effective for treating pigmentation caused by sun exposure or vascular issues. - SylfirmX with exosomes: A great option for targeting vascular and pigmented components while improving skin texture. - Specific fillers: Using fillers like Restylane Lyft or Eyelight, placed deeply and precisely, can restore volume and reduce the hollow appearance.
My approach emphasizes not only providing immediate results but also ensuring long-term improvement and rejuvenation of the under-eye area. With a combination of these treatments, we can address both pigmentation and volume loss to achieve a refreshed and natural look.
Let me know if you’d like to schedule a consultation to get started!
Best regards,