Dark Circles in the Lower Lids

Many patients come to the office complaining of dark circles in the lower lids which make them look tired. This is usually due to a lack of volume in the tissues of the lower lid, creating what we call a tear trough deformity. Lower eyelid blepharoplasty may help this a little, but what they really need is some filler injected into the tear trough. Filler will help to elevate the area, and smooth out the transition from cheek to eyelid. This will decrease the appearance of the dark circles. There are a couple of fillers which are ideally suited to be used in the tear trough: Restylane and Belotero. The other HA fillers, and the longer lasting non-HA fillers can cause prolonged swelling and nodules in this area. Restylane and Belotero are injected using just topical anesthesia. A cannula is used for injection to decrease any bruising. There is often some mild swelling for one to two days after injection. These fillers usually last about one year, and patient satisfaction is very high with this procedure.

(305) 444-5950

ivon@johnmartinmd.com