Blue inner corners of the eyes - What is the best option to treat this? (Photo)

The dark blue appearance is caused by not just hollowing but by microvascularity issues. Fat transfer will certainly help. Of course, my answer is assuming you didn’t have HA based fillers such as Juvederm to begin with because this can cause blue discoloration in the area.

I hope this helps,
best of luck !

Hello,
Thank you for your question.
Deep blue or purplish discoloration in the inner corners of the eyes is typically due to thin skin overlying visible underlying vasculature, sometimes worsened by hollowing in the tear trough or medial orbital rim. While camouflage makeup helps short-term, longer-lasting treatments can target the structural and vascular causes. Lipofilling (autologous fat grafting) is indeed an option — it can add volume to the hollow area, thicken the skin, and reduce the visibility of underlying vessels, often improving the dark coloration. However, results can be variable, especially in delicate areas like the inner eye, where overfilling or lumpiness must be avoided. An alternative or complement is hyaluronic acid filler, placed very conservatively in the preperiosteal plane, which can offer smoother, more controlled results with reversibility.
For patients with a significant vascular component (which your blue tone suggests), vascular laser treatments (e.g. pulsed dye laser or IPL) may reduce bluish tint by targeting superficial blood vessels — though they do not add volume.

Hi, This is Dr Özge Ergün
Under-eye fat injections can have indirect and sometimes direct effects on under-eye discoloration.

Under-eye dark circles are generally due to two main causes:
* Skin Thinness and Visible Veins: The under-eye skin is one of the thinnest skin layers in the body. When it thins due to aging, genetics, or other factors, the underlying vein network becomes more visible, giving the skin a purplish hue.
* Volume Loss and Light-Shadow Effect: With age, the fat pads in the under-eye area melt away, causing the formation of tear troughs. These grooves create a shadow line between the cheeks and the under-eye, making the eyes appear more sunken and tired. This shadow is often perceived as a dark circle.
The Effects of Fat Injection on Discoloration
Fat injections can provide positive effects on discoloration by targeting these two main causes:
* Volumization and Shadow Reduction: Adding volume to the under-eye creases through fat injections fills the hollowness and allows light to be distributed more evenly in this area. This reduces shadowing and significantly improves the "tired" and "purple" appearance under the eyes. This is the most significant and direct effect of fat injections on discoloration.
* Improving Skin Quality: Fat tissue is more than just a filler. The injected fat is rich in stem cells. These stem cells promote tissue regeneration and increase blood circulation in the injected area. This allows the quality and thickness of the under-eye skin to increase over time. This improvement in skin quality contributes to the reduction of visible veins beneath the eyes, helping to reduce dark circles.

This is an excellent question and a very common concern among patients. The deep blue inner corner that you are noticing is a combination of shadow, as this area has a natural valley, and possibly some veins that are visible through the thin skin. I usually do not recommend lipofilling the very inner aspect of the eye due to the dangers of the blood vessels in that region, however some correction can be made along the lower eyelid which appears darker. This can be improved with a lower blepharoplasty (Lower eyelid surgery) in combination with fat transfer.

Thank you for your question — the photo provides helpful context. The deep blue or purplish tone in the inner corners of the eyes is often due to one or more of the following:
Thin skin revealing underlying blood vessels or muscle
Volume loss in the tear trough area causing shadowing
Pigmentation or vascular pooling
Beyond topical camouflage, here are effective treatment options that may help:
Fat grafting (lipofilling): Can restore lost volume and slightly thicken the skin, helping reduce the visibility of dark hollows. Especially effective when the discoloration is due to shadowing rather than surface pigmentation.
Hyaluronic acid filler: Offers a temporary, precise correction for tear trough hollowing, especially when performed with a microcannula by an experienced injector.
Lower eyelid surgery (transconjunctival or skin pinch blepharoplasty): If excess skin or fat pockets are contributing to the hollow appearance or color contrast, lower lid blepharoplasty may provide more lasting structural improvement.
Mesotherapy: Can help improve circulation and skin tone when vascular congestion or skin thinning is present, though it is generally best used as a complementary method.
PRP or laser treatments: May improve skin quality and reduce vascular or pigment-based discoloration in certain patients.
I hope this overview helps clarify your options. A tailored assessment by a provider experienced in periorbital aesthetics will determine the most suitable approach for your goals.
— Güray Yeşiladalı, MD

thank you for positing your question. Regenerative lipofilling wil help you in different ways. The volume deficit can be restored and the regenerative cells of the nanofat, like stem cells, pericytes etc will improve skin quality and discoloration. Regenerative lipofilling is using your own cells in a smart way. An approach very different from HA fillers. I hope this helps

Lower lid pigment changes may increase the appearance of dark circles or a “deep blue” tinge.
The pigment may be decreased with topical hydroquinone. If the area is hollow it may be raised slightly with lipofilling. Finally the excess skin may be removed and or lasered to decrease the pigment.

All the Best,
Dr. J

Hello and thank you for the question. Based on review of your photo, although it is one view and that view is limited, it does appear as though there is lower eyelid and midface volume deficiency which could be contributing to the dark areas you are seeing. There are options available to correct this deficiency, including injectable fillers as well as autologous fat transfer techniques. You may benefit from a detailed consultation with a board-certified facial plastic surgeon.

Hollowing out of the superior orbital sulcus can be improved by fat transfer. Fat can reduce shadowing generated by hollowness from fat loss.

Good morning, I hope you are well. I don't think it is advisable to perform lipofilling in this area, as it could increase sagging. You could consider undergoing a blepharoplasty to remove the excess skin you have.

Thank you for your question, after analyzed your pictures I can suggest under eyes fat transfer and glabellar wrinkles fat transfer to correct the imperfection.

Kind regards,
Dr. Emmanuel Mallol Cotes.-