What Treatments Are Best for Hyperpigmentation Under Eyes Post Facelift?

I would try a new bleach cream called elure, or hydroquinone in 2% strength by La Roche.  I have yet to see someone sensitive to it.  Just apply a bit with a Q-tip and a thin film once a day will help.  You can also consider Kojic acid 2% and evaluate that.  Also, you should be using a SPF 30 or more under your eyes.

This doesn’t typically happen, but there are some lasers that can be effective for this purpose and getting rid of the hyperpigmentation you are experiencing.

Dark circles under the eyes can be contributed by multiple factors:


post-inflammatory hyperpigmentation

uneven surface contour such as 'tear-trough' deformities or bulging orbital fat casting a shadow in this location.

inherent dark color of the eyelid skin versus the cheek skin due to the lack of any substantial fatty layer between the skin and eyelid muscle.


At this point 4 months following your face lift, the majority of healing will have occurred and a reasonable diagnosis regarding the cause of the dark circles should be possible.  Once the cause has been determined, then attempts at correction can be suitably chosen.  For example, if the cause is a tear trough deformity then injectable fillers or fat transfer can be tried.  If the cause is hyperpigmentation, then topical whitening agents or intense pulsed light my be of benefit.  If the cause is bulging orbital fat then perhaps a lower blepharoplasty will improve the dark circles. 

Sincerely, Mario J. Imola