Does lower eyelid surgery reduce the surface area of the dark circles?

Question

I don't have any puffiness I actually have hollowness and I am just interested in reducing the surface area my lower eyelids will a blepharolasty help? If not, what wil( if anything) that's permanent?

Alan Gonzalez, MD, FACS · Answer

Hello @Polite434570, thank you for your question. Lower eyelid surgery is not specifically designed to reduce the surface area of dark circles. Dark circles under the eyes are usually caused by a variety of factors, including genetics, aging, allergies, and lifestyle factors like lack of sleep and poor diet. While lower eyelid surgery can help to remove excess fat and tighten loose skin in the under-eye area, it may not directly address the underlying causes of dark circles. That being said, some patients may notice an improvement in the appearance of their dark circles following lower eyelid surgery. This is because the surgery can help to smooth out the skin and create a more youthful, refreshed look. However, the results will vary depending on the individual and their unique anatomy.If you are considering lower eyelid surgery to address dark circles or other cosmetic concerns in the under-eye area, it is important to consult with a qualified plastic surgeon who can help you determine the most appropriate treatment plan based on your specific needs. Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP).

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.Without the photo it is difficult to make a proper evaluation. If you can provide photos from front of your face, from the side of your face and 1 meter away I would be able to make a proper evaluation. However, from your concerns I can say that If there is not extra saggy skin, lower eyelid blepharoplasty will not help you. For the hollowness I recommend you fat injection to under your eye area. It is not permanent solution but It would give you a better under eye area.Best Regards!

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.

Shana Kalaria, MD · Answer

Yes, with skin pinch, some of the excess darkened skin will be removed. The incision will be hidden under the lashes. Please visit with a board-certified plastic surgeon. Good luck!

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you for your question.

Dark circles under the eyes can be corrected with lower eyelid surgery but a very specific and not commonly performed type of surgery is required.

If the procedure is called a transconjunctival lower blepharoplasty with arcus marginalis release and fat grafting.

You learn more about the procedure you can read the length below.

Does lower eyelid surgery reduce the surface area of the dark circles?

Answers (5)

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