For most, dark under eye circles are caused by the contour of the lower eyelid. As we age, the fat and collagen in the lower eyelid shift, which can case a hollow depression. This depression in the lower lid can cause overhead light to cast a shadow that appears as a dark circle. For some, the under eye skin is more darkly pigmented and this is what causes the dark appearance. There are many great solutions to lower eyelid hollows. Filler is a great option for patients in their 20’ to early 40’s who have a small hollow area. Filler is done in the office and most patients go right back to normal after the injection. Some mild swelling and bruising can occur. Lower eyelid blepharoplasty is a great option for patients who are in their 30’s and up. Surgical blepharoplasty corrects contour issues, tightens the skin and deeper structures to give a natural youthful eyelid. Often patients combine filler or surgery with laser resurfacing.

Most patients get back to their normal activities about a week after surgery. You will have stitches that stay in for a week. The eyelids will be slightly bruised and swollen. The day after surgery you will be able to use your eyes normally. So you can read, watch TV and work at a computer.

1. Oculoplastic surgeon are trained in the medical and surgical health of the eye as well as the eyelids. This allows them to keep the well being of the eye as a first priority while planning your surgery. 2. Oculoplastic Surgeons have specific training in the anatomy and function of the eyelids. They can handle the many complexities the eyelid area. 3. Oculoplastic surgeons take care of eyelid trauma as well as cosmetic issues. They have a deep understanding of the eyelid anatomy.

Cosmetic Blepharoplasty is a surgical procedure involves the removal of excess skin and the tightening of the underlying muscle. Fat pockets are also trimmed and/or repositioned to improve the contour of the eyelid. • Injectable fillers such as restylane can be injected into depression of the lower eyelid to improve contour. This can help to improve the appearance of lower eyelid bags and dark circles. • Fractionated CO2 laser reduces fine lines, gives the skin a more firm, smooth appearance, improves scars, reduces sun damage such as brown spots and reduces skin blotches. Botox, Xeomin, Dysport (Neuromodulators): When strategically placed, neuromodulators can help to rejuvenate the eyelids. An endoscopic brow lift also surgically repositions the eyebrows back to a youthful and natural position.