8 Weeks Post Upper and Lower Blepharoplasty: Dark Circles Below Eyes

As other colleagues have stated, excessive fat removal can be one cause of hollowness and dark circles beneath your eyes. It is unclear from your photographs if this is the case, and if you look good in person, then I would relax and give the overall healing and bruise resolution process its due time.

Post-inflammatory hyperpigmentation generally occurs in scars themselves, or in areas of ongoing healing such as dermabraded or laser-resurfaced skin, but usually not in the actual lifted or tightened skin areas. Discoloration CAN occur in these regions where there has been significant bruising, as the breakdown products from hemoglobin (hemosiderin) can cause dermal "staining." This too usually resolves over time, but can take several months or longer, and is slower if you are taking vitamin supplements that include iron.

I would first give this area 4-6 months to settle and resolve, after which IF there is still a hint of hollowness and/or dark discoloration of the eyelid, chemical peel or even a slightly depigmenting peel such as phenol peel may be considered. For now, be patient. This may well simply be a transient phase of healing, as your own doctor has stated.

Of course we do not have the before photographs.  Here is the deal, the lower eyelid fat is an innocent bystander in many cases.  It becomes visible because of thinning eyelid skin and descent and loss of malar fat.  Removing too much of this fat makes the lower eyelid look deflated and hollow.  It is very important to preserve fat in the lower eyelid-less is more.  At two months out, no you are not yet fully healed.  However, we have a very good idea of where you are headed.  I would recommend letting yourself heal about 6 months before beginning a search for what to do to help your deflated lower eyelids.  Your surgeon is too invested in his surgery to say you have an issue.  After all to him, this is what surgery is supposed to accomplish.

It is a bit too early too judge as you are still healing.  Consult with your surgeon.  It may that the area under your eye will be too hollow but there are options too address that once everything heals.