Tear troughs - would a lower blepharoplasty improve the appearance of my eyes? (Photo)

Circles under the eye are generally caused by multiple
factors.First, the sack or septum of
the lower lid begins to loosen and the front part of the fat that sits around
the eye starts to protrude forward.This
tends to never go below the boney rim of one’s eye.Secondly, the tear trough area where tears
run down ones face) deepen.So, the step
–offs are greater from the lash line down to the cheek.Also, as the cheek falls it pulls on the eye
complex exaggerating the contour problem.
Treatments include removing the bag (Lower Lid
Blepharoplasty) and lifting the tear trough with filler or fat grafting.Each procedure is good alone and together
they are even better.
Darkness around the eye is a different issue and can be due
to skin thickness and how close blood vessels are to the eye.Usually it is genetic.I never guarantee improvement in skin
darkness with the above procedures but sometimes they do help.
Find someone you trust whose before and after photos you
admire and speak with them further about these issues.Good luck!

It is certainly possible to improve the lower eyes with either filler which is short term or a blepharplasty which is long lasting. Both are safe and effective treatments.regardsDr J