Would a lower blepharoplasty minimize the appearance of hereditary dark circles or should I consider other options? (photos)

Hi @Humorous851107. Thank you for sending your photos-- you would be a great candidate for a transconjunctival lower blepharoplasty with fat transposition. A lower blepharoplasty will address the herniated fat pads and excess skin under your eyes giving you a more refreshed and rested appearance.

Best of luck,

Dr. Nima!

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.

You would benefit from a lower lid blepharoplasty with fat transposition. This would move your fat from your lid to your tear trough to fill the hollow. Additional CO2 laser would help tighten the skin and build collagen to help with the "dark circle." By adding volume and improving the skin quality, the "darkness" will improve.

Based on these, very limited images, you seem to have malar hypolasia, smaller cheek bones. This is, most likely, the major reason why this condition appeared so early in your life. If that is the case, small cheek implants and lower eyelid, transocnjuctival, blepharoplasty would create significant difference. Addition of small amount of nano-fat grafts would help with discoloration. Hope this helps. Good luck.

Lower blepharoplasty works great in reducing the bags. The circles are a shadow effect of light coming from above and the bags casting a shadow.
Removing the fat that is causing the bulge helps tremendously. There can be some hyperpigmentation that is part of the skin and can be treated with lasers or creams.
Regards
Dr. J

Hello! Thank you for your question.As far as I can see from your photos you have extra skin both under and above your eyes. For get rid of the extra skin I recommend you upper and lower blepharoplasty. In addition to these surgeries for the dark circles I can suggest you fat injection to under eye area. If you can provide photos with better lighting, from the side of your face and 1 meter away I would be able to make a proper evaluation.Best Regards!

Hereditary dark circles are a common concern, and can often be difficult to treat. While lower blepharoplasty (eyelid surgery) can be an effective option for improving the appearance of the under-eye area, it may not be the best choice for everyone.

Before considering surgery, it is important to address any underlying causes of the dark circles, such as allergies or a lack of sleep. Other non-surgical options include:

Topical treatments: There are various creams and serums available that can help to brighten the under-eye area and reduce the appearance of dark circles. Look for products that contain ingredients such as Vitamin C, Vitamin K, caffeine, or retinol.
Dermal fillers: Injectable fillers such as hyaluronic acid can be used to fill in hollows and smooth out the under-eye area, reducing the appearance of dark circles and bags.
Chemical peels: A chemical peel can help to improve the texture and tone of the skin, reducing the appearance of dark circles and improving overall skin quality.
Laser therapy: Laser resurfacing can help to stimulate collagen production and reduce hyperpigmentation, improving the appearance of dark circles and fine lines.
It is important to consult with a qualified dermatologist or plastic surgeon to determine the best course of treatment for your individual needs and concerns. They can help you assess the underlying cause of your dark circles and recommend the most appropriate treatment options for you.

Best of luck !

A lower blepharoplasty is one way to improve under eye circles. A non surgical option that can give improvement is under eye filler. By treating contour irregularities the eye area can look more refreshed. I've included a video I hope you find helpful.

A trans conjunctival lower blepharoplasty simply removes the fat pockets creating the puffy look on your lower lids. The incision is completely located on the inside of lower lid. The color of the skin will not change.

Thank you for your question. The appearance of dark circles under the eyes is typically hereditary and I see patients most commonly in their late 20s or early 30s. Typical patients tell me they have noticed a dark appearance underneath her eyelids since they were young children.

Correction on removal of dark circles under the eyes requires a very very specific surgical treatment which is not widely available. The treatment involves an incision inside the lower eyelid removal of excess fat release of a structure which is creating the dark circle and a small transplant of the fat that has been removed to plump the area of the dark circle.

Find an experience board-certified plastic surgeon who has experience with the specific technique.