Hi, I believe my under eye darkness is part heretidary and part allergic shiners. Last few years there's been a lot of eye rubbing due to eczema and allergies, I believe the under eye skin has thinned a lot and redness has increased too. (Not sure if the "sullen-ness can be improved with weight loss). Would Juvederm be a suitable treatment, and if I am still exposed to allergens after treatment and rub my eyes, will this render the treatment useless?
November 18, 2016
Answer: Improving dark circles around eyes - allergic shiners The pigment around the eye won't improve with filler. What filler will do is improve the volume loss around the eye. If there is shadows from volume loss, this is what will improve. Pigment requires skin care, peels, and maybe laser for best results. If you pull the skin down and the pigment moves, the problem is in the skin and filler will only minimally help. I wouldn't use Juvederm here because it leads to chronic swelling. Use Restylane with cannulas for this.
Helpful 1 person found this helpful
November 18, 2016
Answer: Improving dark circles around eyes - allergic shiners The pigment around the eye won't improve with filler. What filler will do is improve the volume loss around the eye. If there is shadows from volume loss, this is what will improve. Pigment requires skin care, peels, and maybe laser for best results. If you pull the skin down and the pigment moves, the problem is in the skin and filler will only minimally help. I wouldn't use Juvederm here because it leads to chronic swelling. Use Restylane with cannulas for this.
Helpful 1 person found this helpful
November 18, 2016
Answer: Causes for a prominent tear trough: allergic shiners, descended cheek, thin skin. The tear trough exists on everyone. In some patients, it is subtle. In others it is very prominent. A prominent tear trough is the result of a contrast between light shining around it and shadow falling in the trough. Many factors can contribute to this light/shadow contrast: allergic shiners, a descended (ptotic) cheek, thin skin, congested vessels under the eye, and hyperpigmented skin. Identifying the cause helps select the appropriate treatment. Allergic shiners need to be treated with allergy control therapy. A ptotic cheek needs augmentation to improve the lid-cheek junction. It's often a combination of treatments that produce the best results. A single treatment used too aggressively can cause problems in the sensitive eyelid. I recommend a consultation so you can be examined and photographed. Once a correct diagnose is made, your doctor will determine a treatment plan appropriate for your face to produce a safe and happy result. Safety comes first.
Helpful
November 18, 2016
Answer: Causes for a prominent tear trough: allergic shiners, descended cheek, thin skin. The tear trough exists on everyone. In some patients, it is subtle. In others it is very prominent. A prominent tear trough is the result of a contrast between light shining around it and shadow falling in the trough. Many factors can contribute to this light/shadow contrast: allergic shiners, a descended (ptotic) cheek, thin skin, congested vessels under the eye, and hyperpigmented skin. Identifying the cause helps select the appropriate treatment. Allergic shiners need to be treated with allergy control therapy. A ptotic cheek needs augmentation to improve the lid-cheek junction. It's often a combination of treatments that produce the best results. A single treatment used too aggressively can cause problems in the sensitive eyelid. I recommend a consultation so you can be examined and photographed. Once a correct diagnose is made, your doctor will determine a treatment plan appropriate for your face to produce a safe and happy result. Safety comes first.
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