Under eye puffiness/bags/dark circles, is there anything I can do? (photos)

Hello @Gentle171620, thank you for your question and showing your pictures. The cause of dark circle are mainly for lack of sleep, which leads to dilation of the blood vessels, or by the passage of time. The nasolacrimal furrows are a distinctive feature of the face, their appearance is related to different causes:Tiredness, stress, unhealthy lifestyle habits, excessive consumption of alcohol and tobacco, incorrect iron production, less oxygenation in the tissues, some allergies can congest the blood vessels, loss of fat around the eyes or genetic antecedents. It is important to develop a non surgical protocol that fits your possibilities, to fulfill your wishes for improvement and to take into account what can actually be achieved with out fillers. Is best if consult one or several board certified plastic surgeon for more information and recommendations. Best wishes! Alan Gonzalez MD, FACS.

Hi @Gentle171620! Thank you for sending your photos. The surgical option would be a lower blepharoplasty with fat transposition. A non-surgical approach would be hyaluronic acid dermal fillers. Best of luck to you!

The eye area needs significant combinations to get improvement. Lasers like erbium, co2, halo, profractional/contour, or Fraxel can all be used to build collagen long term. Plasma pen is a newer less invasive option but will take many treatments and require proper skincare. Plasma Pen is focused electrical plasma energy to tighten skin, producing small columns of energy just above the skin, allowing the skin to tighten to help improve wrinkles. This area will have 3-5 days of small “dots” that will then scab and peel, then the skin will tighter and brighter after. Numerous treatments are needed over lasers where only one or two give a bigger result, but more downtime. After plasma pen you NEED peels 2 weeks like later Cosmelan, enlighten or aerify, see emeragecosmetics (link). At home derma rolling should be started weekly even after plasma pen or lasers to further increase collagen, see emeragecosmetics AERIFY x anteagemd stem cell ampules. To properly heal you need light Stim red LED, EmerageSkin refit face, refit eye; AnteageMD serum, silagen silicone gel, jan Marini bioshield, EmerageSkin enzymatic polish, and EmerageSkin hyla b and AOX, and Sente dermal repair. Otherwise there is EXTREME risk of pigmentation issues and “dots” in the treatment area. at home peels like cosmelan, enlighten and aerify along with dermarolling (AERIFY emerageskin roller with Anteage MD ampules) should be started now regardless for antiaging, sun damage, and wrinkle prevention. 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 eyelid blepharoplasty with or without fat pad repositioning (if doing lower eyelid surgery) 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, lasers, microneedling/PRP, cosmelan peels, 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. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.