Can fraxel be effective for darkness under the eye?

Thank you for your question. For darkening under the eye, hydroquinone is a prescription medication that helps with bleaching hyperpigmentation. Melanage peel helps with hyperpigmentation/melasma too. I would recommend consulting with a Board Certified Dermatologist for best treatment plan. I hope this helps!

Fractional laser is certainly not the best first option for discoloration. I would prep the skin with skin lighteners (Melarase creams) twice daily for at least a month before considering fractional laser. Best, Dr. Karamanoukian Los Angeles

Fraxel® laser can thicken the under eye skin, so if your under eye darkness is because the skin is thinning and the under eye dark blood vessels are showing through, then Fraxel® should help. Depending on your individual eye area, the number and frequency of maintenance treatments.

Thank you for your question. There are many causes to
darkness under the eyes thus before treatment it is important to understand
what is causing it. Often times these conditions can be treated a single
treatment or with a combination of treatments such as fractional laser around
the eye to even out pigment and injectable filler to give volume to hollow tear
troughs eliminating the shadow that can cause darkness around the eyes. My recommendation is to consult with a
qualified physician so he can properly guide you as to the best treatment plan
for you.

There are multiple causes of dark circle including:  1) hyperpigmentation, 2) shadows caused by bags or hollow tear troughs, 3) periorbital veins 4) wrinkles giving the illusion of hyperpigmentation.  Hyperpigmentation and fine wrinkles can be treated with the Fraxel Restore Dual Laser.  Hollow tear troughs can be treated with fillers.  Periorbital veins can be treated with a Nd:YAG by laser experts who know how to do the treatment safely and effectively.

I find the best treatment is to use Restylane in this area.  Pigment won't be improved but the shadows from hollowing will.  Eye creams can help too.  Not an easy problem to fix if fillers don't help you.