Dark undereye circles with deep set eyes, hollowing of the year trough - PRP, fillers, or just stick with makeup? (Photo)
Doctor Answers 3
Fillers for the Tear Trough vs PRP
First, thanks for providing photos as this helps formulating a specific answer. Your concern is something we seem to see on an almost daily basis these days. The dark under your eyes is caused, in large part, by the shadow of the hollow. Unfortunately, this will get worse as you “mature” and loose more volume in this area. It is also due to thinning of the skin in this area and as a result you can now see the blood vessels that are just under the skin and contributing to the blue hue.
Make up will help but filler is your best alternative.
PRP is really just filler is really just your blood that has had the red cells removed. It is used for many therapies but it will not help with filling this area. There is a filler that is made from your blood in which the platelet rich protein or PRP is used to create filler. This will work but it only last about 2 years and will not thicken your skin or tissue to hide the blood vessels that are showing through the thinning skin.
What we find the best is the long term filler, Bellafill or Artefill. It can be air brushed just under the skin to get exactly the correction you are looking for and completely remove the hollow. In addition, the PMMA beads in this filler act to thicken the skin to help with the blue. It has been shown to last at least 5 years and we have many patients who are still very happy with their correction 8 years later.
I have added a link to some before and after photos that may help you.
I hope that helps.
Your concerns are...
Judicious fillers in addition to periocular laser resurfacing [conservative] would give you a nice result.
An in person consultation is very important to assess your eyelid tone. You seem to have prominent eyes and in some photos your lower lids seem to be a little low [retraction]. This may be due to the angle of the photography, but its a feature that needs to be assessed if laser resurfacing is considered.
Dark undereye circles with deep set eyes, hollowing of the year trough - PRP, fillers, or just stick with makeup?
Following the advice of anyone who would presume to tell you what to do without seeing photos and without taking a full medical history, examining you, feeling and assessing your tissue tone, discussing your desired outcome and fully informing you about the pros and cons of each option would not be in your best interest. Find a plastic surgeon that you are comfortable with and one that you trust and listen to his or her advice. The surgeon should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS). You should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
La Jolla, California