Will dermal fillers correct dark eye pigmentation? (Photo)

Dark pigmentation that is melanin-based will respond to topical creams. Lasers and dermal fillers may not necessarily improve the pigmentation. I would recommend Melarase+ twice daily but do not get it into the eyes.

Best,
Dr. Karamanoukian

Thank you for your question and photo. Dermal fillers can minimize discoloration around the eyes that is caused by volume loss. These hyaluronic acid formulas fill in hollow areas to create a smooth transition between the lower eyelid and upper cheek. In cases where a loss of volume isn’t noted, laser resurfacing can improve uneven pigmentation in this area.

Treating the under-eye area with fillers requires a great deal of skill and precision to achieve the best possible results. Injections with a microcannula are favorable to reduce bruising and swelling while ensuring the smoothest outcome. I recommend scheduling an in-person consultation with an experienced expert injector. They will be able to evaluate your concern and determine the treatment plan that may be best for you.

At home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules) should be started now. 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 lower eyelid blepharoplasty with or without fat pad repositioning 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 (Belotero, Juvederm Volbella​), lasers (Moxi/Halo/Fraxel/CO2​), Renuvion (J-Plasma), microneedling/PRP, stem cells 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. A surgical option to remove skin and/or fat might be the best solution long-term. I suggest you get a formal consultation to see what is best for you and your goals. Best, Dr. Emer.

Dark undereye circles can be a very difficult condition to treat. A series of superficial peels may be helpful to lighten the area. Filler, too, can be helpful in some cases. The use of an appropriate HA filler with or without the addition of a very small amount of Radiesse (as a lightening agent) has also been used for this purpose. You would be wise to consult with an experienced, board certified cosmetic dermatologist to discuss your treatment options. Best of luck.

Generally, purplish under eye discoloration is due to years of nasal allergy and it's consequences.Injectable fillers may be considered for improving upon under eye hollows, however, they will do nothing to change the pigment of your under eye skin. I hope this helps. Sincerely, Dr Joseph

Dermal fillers can certainly help correct this issue! Restylane tear trough treatments are especially effective for creating fullness under the eyes to reduce under-eye shadows. Another great option for treating darkness around the eyes is PRP therapy, which helps to restore lost volume under the eyes by promoting the growth of collagen. Depending on the particulars of your situation, there are several other skin rejuvenation treatments that could help you, and you could benefit from a tailored treatment that combines several techniques.

We have had great success with a little filler under the eye for darkness. It doesn't take a lot and is relatively inexpensive. It can last 6-9 months and in certain people much longer. We hope that this answered your question.Dolores Kent, M.D.

One o fthe most effective treatments for dark circles around the eyes is nannofat with prp
It may however take several treatments.

Hi there,
Have a consultation with a Dermatologist for a proper evaluation.
I think the discoloration is more from blood vessels or hyperpigmentation then volume loss but its hard to tell from this photo.
See your Dermatologist for best results.