purplish blue color under eyes as well as thin skin there and slightly puffy. I'm only 28. Sinus disease caused it, it wont go.

I didn't have this problem 15 months ago. Started after acute sinus infection that got better but never completely healed. I waited 2 months for it to go away, it didn't & my PCP gave me a 30 day antibiotic course and rinses ect. Using flonase & a rinse caused another small sinus cold a few months later and it became a chronic thing. Was given 2 weeks levaquin by ENT and given the option for sinus surgery. Two other ENTs Scoped my nose and said It's clear. Cosmetically now I need help I feel.

Doctor Answers 3

Under eye area

It sounds like your concerns may be related to your sinus issues.  Getting your symptoms under control should help.  The skin is very thin under the eye, so slight variations in puffiness or discoloration show easily.  Best wishes.


Houston Plastic Surgeon
5.0 out of 5 stars 29 reviews

Puffy Eyelids

It seems like you're concerned about the appearance of the skin under your eyes.  Can you provide a photo?  You can consider a consultation with a board certified oculoplastic surgeon to discuss your condition and possible treatment options.  Good luck!

Samuel Baharestani, MD
Long Island Oculoplastic Surgeon
4.8 out of 5 stars 27 reviews

Purple coloring under eyes

Thanks for your question- 

The purple coloring under the eyes can be caused by several different things. Yours sounds to be related to sinus injections or allergies which is quite common. The skin under the eyes is so thin that it can be almost transparent to the underlying tissue which can appear purple. 

Definitely getting the sinus problems cleared up will help (sounds like you've done that) - filler can help by several ways here. 1. I often will mix my hyaluronic acid filler with a bit of Radiesse because it adds a soft white color to counteract the bluish hue. 2. The filler can put a layer between your skin and the deeper tissues which helps decrease the coloring and 3. Some people have dark coloring under the eyes because of shadows that are caused in that area- fillers can soften the area and decrease the troughs. 

Hope this helps and God Bless!

Dr. Robb

Philip K. Robb Jr., MD
Evans Otolaryngologist
5.0 out of 5 stars 11 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.