I'm 19 I have undereye darkness and bags that will not go away no matter what I try. They been there since a child, always had a poor diet, insomia. BUT I've made changes, eat much better, vitamins, proper rest, workouts, drink TONS of water. I am underweight, can't seem to gain it. But nothing changes for my eyes. I have Hyperthyroidism that comes and goes but my eyes never change! It effects me, I dress like a muslim to hide my face. Surgery would be okay if there's promising results!
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Dr. Hannah Vargas, MD
Board Certified Plastic Surgeon
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Dark circles can be due to a variety of issues and the treatment really depends on what the underlying cause is. Many times this area can have increased pigmentation (hyperpigmentation). These areas of brown discoloration can typically be addressed with bleaching agents which can be done topically at home by the patient or more aggressively but with chemical peels done by a physician’s office. Another cause of dark circles in the eye area can be due to shadowing from fat pseudoherniations. These pseudoherniations are typically best addressed through blepharoplasty, a surgical procedure to rejuvenate the eye. For those not ready for surgery, sometimes injectable fillers such as Juvederm or Restylane can be injected in this area to help camouflage the puffiness. Lastly, allergies or just skin that is thin and hypervascular (increased number of superficial blood vessels) can be the cause of darkening in the eyelid area. This is typically best treated with topicals. Teamine is an excellent product which treats a variety of causes of dark circles in this area. Lastly, in this situation too, sometimes chemical peels can be helpful. Determining which option is best for you can start by meeting with a facial plastic surgeon to evaluate what is causing your dark circles and determine the best option.
Dr. Mark Hamilton, MD
Board Certified Plastic Surgeon
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Dr. Steve Laverson, MD, FACS
Board Certified Plastic Surgeon
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Dr. Catherine Winslow, MD
Board Certified Plastic Surgeon
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It difficult to tell from your photos but it appears that you have hollows under your eyes as well as fat bags. In such case, both problems are contributing to the darkness under your eyes. Improvement in the hollows can be achieved by injecting a fillers such as restylane which may reduce the darkness as well. You may however need to have the fat bags removed through a transconjunctival blepharoplasty for further improvement. The proper treatment approach would be determined during a thorough consultation with your facial plastic surgeon.
