Solution for Permanent (Congenital) Dark Circles? (photo)

Question

I'm a 23 year old female and I have blue dark circles under my eyes no matter how much sleep I get. I constantly look tired and it's taking a toll on my self-esteem. I've tried pretty much all types of eye creams which have had no effect whatsoever on my dark circles... At this point I'd like to know which options would be suitable for me ? Is carboxytherapy a good intervention for my type of dark circles ? Fillers? Thank you in advance

Michael I. Echavez, MD · Answer

The dark circles under your eyes are due in some degree to the shadowing there from some hollowness. The simplest option for treatment would be to use a filler, like Restylane, to fill in the hollow area and improve the darkness. Although this would be a fairly easy treatment, the result would not be permanent. The other option would be to have surgery to deal with some of the fat above the hollow area, which would give a longer lasting result.

Vincent N. Zubowicz, MD · Answer

Photograph demonstrates a fairly classic tear trough abnormality. For patients undergoing blepharoplasty this can be corrected permanently by redistribution of periorbital fat. In this case small amount of filler use periodically is the best solution.

Kenneth D. Steinsapir, MD · Answer

For your age and issue, Restylane treatment in the tear trough is very powerful and likely to last up to two years. Trying to fill this with fat is likely to cause irregularities and scaring. Please don't do this to yourself. If you have a problem with fat, you will need surgery to fix the issue. With filler, if there is ever an issue, an enzyme injection can take care of the problem without surgery.

Aaron Stone, MD · Answer

This looks like it is mostly due to shadowing related to a visible tear trough. Your options would then be an injectable filler or direct placement of a thin sheet of fat as a graft to fill the trough. The first option would require repeat injections the second should not.
	
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Jeffrey Zwiren, MD · Answer

You may be a candidate for the use of a soft tissue filler. This will help to blend the junction between the lower eyelid skin and the upper cheek. You may also want to try a product like SkinMedica dermal repair of eyes that has Boron in it to reflect the light to help prevent shadowing.

Solution for Permanent (Congenital) Dark Circles? (photo)

Answers (5)