34, female - Would PRP injections get rid of my genetic dark circles? (Photos)

Question

I am a 34 year old female and for my entire life I have struggled with dark circles. There has always been a hollow under my eyes due to my bone structure and the shadows have always been present. No matter how much concealer and color corrector i use under my eyes you can still see some darkness and hollowing. It makes me very self conscious and something id like to get rid of or improve. Would PRP help me? Any suggestions are greatly appreciated! Also i believe it is genetic since my brother and mother have the same dark circles.

Behnoush Zarrini, MD · Answer

Hello and thank you for sharing your photos and history. As a practitioner at Beverly Wilshire Aesthetics, I completely understand how frustrating it is to deal with lifelong, genetic dark circles that resist even the best makeup techniques. When under eye shadows are rooted in your natural bone structure, the issue is twofold: a physical indentation that catches light to create a shadow, and thin skin that allows underlying blood vessels to show through. Platelet rich plasma, or PRP, is a fantastic option that will absolutely help your situation. PRP utilizes the natural growth factors from your own blood to stimulate collagen production, thicken the delicate skin, and improve overall microcirculation, which directly targets the pigment and vascular darkness. However, it is important to know that while PRP dramatically improves skin quality and tone, it cannot completely fill a deep structural hollow on its own.
To achieve the comprehensive improvement you desire, the gold standard approach is combining PRP with a treatment that restores structural volume. Carefully placing a soft hyaluronic acid dermal filler into the tear trough area can instantly lift the physical depression, eliminating the structural shadow that concealer cannot mask. Alternatively, platelet rich fibrin, known as PRF, can be processed into a natural gel matrix to provide both volume and cellular rejuvenation without using synthetic fillers. By lifting the hollow and thickening the overlying skin simultaneously, we can significantly reduce the visibility of those genetic shadows. I highly recommend scheduling an in person consultation with an expert provider to evaluate your specific anatomy and design a safe, customized plan. Have you ever noticed if your dark circles appear worse when you are fatigued, or do they remain completely constant regardless of your sleep schedule?

Mark Beaty, MD · Answer

PRP (platelet-rich plasma) can be a helpful treatment for certain types of under-eye concerns, particularly mild pigmentation and thin, crepey skin. It works by stimulating collagen production and improving overall skin quality, which can gradually soften the appearance of darkness. That said, PRP is unlikely to completely “get rid” of genetic dark circles — especially if a significant portion of the shadowing is due to hollowing from your underlying bone structure.

If volume loss is contributing to the hollow appearance, treatments such as carefully placed under-eye filler may provide more noticeable improvement by reducing shadowing. In many cases, a combination approach is most effective. It’s also important to keep in mind that PRP typically requires a series of treatments and gradual improvement rather than an immediate, dramatic change. A thorough in-person evaluation can help determine whether pigmentation, hollowing, or both are driving your concerns so the right treatment plan can be created.

Homeira Izadi, MD · Answer

There are two options: 1. EZ PRF injection ( from your own blood and nothing added) 2. EZ gel which is similar to EZ PRF but one of the tubes after centrifuge and separating the plasma goes to the heater to denature the proteins in the plasma and make a thick gel from your own blood to inject under the eyes. It helps with most patients but like any other procedure the success rate is not 100% meaning that there are always some patients who do not see the improvement. You never know until you try it and since it is a natural regenerative way of stimulating collagen, it has no serious side effect. I encourage everyone to try it.

34, female - Would PRP injections get rid of my genetic dark circles? (Photos)

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