Severe under eye discolouration and hollowness. Tried fillers and laser resurfacing - no change. Started at 19, now 34. (photo)
Here’s a link to the board certified doctors in your area who perform eye bag treatments.
Doctor Answers 4
Dark circles in patients with darker skin tones are very difficult to treat. Lasers are tough because they have to be done at very lower powers and will not be very effective. You may benefit from bleaching creams. HA fillers to the tear trough when done correctly should help quite a bit, so may want to try the Restylane again.
Discoloration under the eyes
Based on the photos, it appears that the biggest issue is the discoloration. You can try a skin-lightening regimen that contains hydroquinone such as the Obagi NuDerm System as a first step.
Under Eye Rejuvenation with fillers, lasers, microneedling/prp
A combination approach is needed and it can take a series of treatments for improvement. Fillers, lasers, and microneedling/PRP can improve under eye bags. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Don't let distance dissuade you, see an expert. Best, Dr. Emer.
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The best way to address discoloration like what is shown in your photos is by using bleaching creams. There are no surgical option for your situation. See a reputable cosmetic dermatologist who may be able help you slowly and conservatively. You will likely have to keep treating this long term to maintain your results. Hope this helps