Best treatment for dark inner corner of eye? (Photo)

Question

Have frequent PRP micro needle sessions (not in area) but for some reason very dark bruise like colouring in dark corners

Jason Emer, MD (license on probation) · Answer

A combination approach will give the most improvement. Fillers, lasers, and microneedling/PRP can improve under the eyes. 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. Best, Dr. Emer

Ali Sajjadian, MD, FACS · Answer

Thanks shanny223 for your question! It is frustrating when you’re already investing in advanced skin treatments like PRP and microneedling, yet a specific area like the inner corners remains stubborn. That bruise-like appearance in the inner canthus (the corner near the nose) is common and usually stems from a different anatomical cause than general under-eye circles. The skin in the inner corner is the thinnest on the entire face. What you are seeing might be the underlying angular vein or a dense network of capillaries showing through the translucent skin. Because the skin is so thin there, you are essentially looking through a window at the blood vessels underneath.
You mentioned you do PRP, but switching to i-PRF (injectable fibrin) specifically in that hollow could be more effective. PRF releases growth factors more slowly and can slightly thicken the skin over the vessel, acting like a "filter" so the blue doesn't show through as clearly. A tiny amount of a very thin, low-G-prime hyaluronic acid filler like Belotero can be placed deep in that corner. This creates a physical buffer between the vein and the skin surface, instantly camouflaging the blue tint.
Hope this was helpful!
Best wishes,
Dr Ali Sajjadian

Anil R. Shah, MD · Answer

Many of my patients love PRP injections  for the under eyes as it offers an improvement with brightening. For optimal results, I would recommend a PRP injection every 3-4 months for persistent improvement until your goals are reached. I highly recommend that you seek your PRP injections with an experienced Facial Plastics office that understands your facial anatomy. Best, Dr. Anil Shah

Jacquelline Leva, DO · Answer

Hi there, it seems to be that you are concerned about the shadow of your inner canthal eye area..so you can do combination treatment with prp + microneedling and mesotherapy. if you are looking for a quicker fix can try co2 fractional laser therapy as well

Jake Wardwell, DO · Answer

I’ve had great success treating this area with a High Density PRP injection rather than microneedling. I inject at the bottom of the trough and massage the PRP up into the inner trough. Lasers like BBL to target vessels and Halo to thicken collagen can also be helpful for reducing darkness under the eyes.

Best treatment for dark inner corner of eye? (Photo)

Answers (5)

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