28, female. What is a long term solution for under eye darkness? (Photos)

Question

I am 28f and my number insecurity is my under eye darkness. I jabs done three sessions of PRF and didnt see much of a difference. I use volufiline and other products, but I fear I’m wasting $ on less effective solutions. What do you recommend as a long term solution for me? Ive been reading about exosomes, lasers, lower bleph, fat pa transfer, etc.d

Nelson Lee Novick, MD · Answer

Sorry that you have been disappointed with the PRF sessions, but I am hardly surprised. I have been cautioning my regular followers for years that the hard science to support the use of this, as well as PRP, are backed far more by marketing hype and social media buzz than hard science. Sorry for the loss of time and money. The same "buyer beware" caution should be exercised when considering the expensive bells and whistles fraxel laser, RF devices, etc. 
You would be wise to make sure to consult with a board certified cosmetic dermatologist to discuss the use of a series of in-office superficial peels, such as with high concentrations of glycolic acid or salicylic acid, Jessner's Solution or low concentrations of TCA accompanied by the at-home daily use of certain topical Rx medications. Hope this helps and remember, "Buyer Beware"  going forward. Good luck.

Zoran Potparic, MD · Answer

Based on these very limited photos, you should consider a combination of transconjuctival lower blepharoplasty and periorbital fat grafting. In person consultation with a board certified plastic surgeon with experience in these procedures is recommended. Good luck.

28, female. What is a long term solution for under eye darkness? (Photos)

Answers (2)

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