Is Juvederm Effective in Getting Rid of Dark Circles?

Juvederm can help fill in the tear troughs.  However, dark circles usually require more than just filler.  I tend to treat them with lower blepharoplasties, fat injection and a light laser resurfacing.  You can see some results (patients C.M. and T.A.) on my website.

There are many things you can do to treat under eye bags, but a combination approach with nonsurgical treatments would give the most improvement: fillers (Belotero, Juvederm Volbella), lasers (Fraxel/CO2), Renuvion (J-Plasma), microneedling/PRP, Cosmelan peels and stem cells. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest getting a formal evaluation with a cosmetic dermatologist to see what is best for you and your goals. Best, Dr. Emer.

Dark circles under the eyes can be due to a number of causes.  Typically, when associated with aging, there is hollow area, the tear trough, that develops a shadowing effect and appears like a dark line.  This hollowed area can be filled with Juvederm or Restylane injectable fillers.  This should be done by an experienced injector.  Too superficial of an injection will lead to a bluish hue under the skin. 

Dark circles may also be caused by thin skin with underlying blood vessels, blood staining of the skin, or allergies.  This cannot be helped with filler injections. 

Fillers like juvederm and restylane can be used to correct a prominent nasojugal groove or tear trough region around the eyes. Care must be taken with these injectables as they can sometimes appear lumpy and make the eyelid area have a prolonged puffy appearance. While I routinely use both fillers, I think the restylane does a little better in that area with less "blue" color effect under the skin there. I hoe this information helps.

You can use hyaluronic acid fillers like Juvederm and Restylane to fill in the areas under your eye. By filling an area of hollowness, you can improve the tear trough deformity and help make your eyes look younger. The technique of injecting juvederm under the eyes is not as straightforward as injected around the nasolabial folds, so you should consult with a board certified plastic surgeon.

Juvederm works well as a filler for the lower eyelid area in certain patients.  Those who have a pronounced "teartrough deformity" or hollow area under the eyelids can be treated effectively with one to two cc's of Juvederm.  The injection typically has minimal to no bruising and is performed with local anesthesia and topical (cream) anesthesia.  The effects are seem immediately and last for 6-12 months. Restylane can also be used in this area with good results.

Please consult with a board certified plastic surgeon or dermatologist who is experienced in this type of injection.

Best wishes,

Dr. Bruno

Hi Belroche,
Juvederm and Restylane are both great choices for getting rid of dark circles. Usually, this procedure does not require more than a .4 cc syringe, but in some patients it can be as much as 1 cc. The product is placed "under the muscle" with this technique so that no lumpiness occurs.

Soft tissue filler under the eye is a great "nonsurgical" lower eyelift. 

Some of the darkness under the eye is due to hollowing and loss of volume.  There can also be a shadow effect.  These will improve with a filler.

Some of the darkness may be due to thinning of the skin, visibility of the underlying blood vessels, or staining in the skin.  None of these will improve with filler.

The nice thing about the hyaluronic acid fillers is they are temporary (and reversible if you hate it).  Have an evaluation by a plastic surgeon and see if you are a good candidate. 

Some people either by genetics or age have a hollow circle that develops under the eyes.  Filling this area blends the cheek into the eyelid producing a full, youthful, energetic looking lower eyelid cheek area.  The goal is to make the lower eyelid look like a continuous extension of the cheek.  Filling can be done with temporary injections like Juvederm and Restylane, or permanently with an implant or (if you are lucky and it survives) fat grafts.  While Juvederm is acceptable in the lower eyelid, I prefer its cousin, Restylane.  Juvederm in this area tends to be more prone to puffiness.

Dark circles around the eyes can sometimes be caused by the loss of fat and volume in the eyelids, which allows dark veins to show through -- making the lower eyelid area look blue or black.

Restoring volume via a filler like Juvederm or Fat grafts is a good option.  Fat grafts can be permanent, whereas Juvederm can last approximately one year.  Each has advantages.  

For Juvederm -- takes 30 minutes, looks great, and is reversible with time if you don't like the results.  It is less expensive for one treatment, but over a decade it will cost the same as surgery.

For Fat graft -- it is your own tissue, fully compatible, may be permanent (approximately 40% does absorb away), but involves a 1 hr surgical procedure and a weekend for recovery.