• Texas Facial Aesthetics

    Your Face Deserves a Specialist

    At Texas Facial Aesthetics, we specialize exclusively in the treatment of the face, eyes, nose, scalp, and neck. We combine meticulous technique and delicate artistry to provide each patient with a personalized, natural result that reflects their own inner beauty.

    Learn More
  • Texas Facial Aesthetics

    Your Face Deserves a Specialist

    At Texas Facial Aesthetics, we specialize exclusively in the treatment of the face, eyes, nose, scalp, and neck. We combine meticulous technique and delicate artistry to provide each patient with a personalized, natural result that reflects their own inner beauty.

    Learn More

Dark Eye Circles

Dark circles under the eyes vary widely from one patient to another. Dark circles may be caused by a shadow effect from bulging of the fatty pads under the eyes, wrinkling of the lower eyelid skin, genetic hyperpigmentation, or medical issues like allergies. It is important to treat the underlying cause in order to achieve the best result.

We all have fatty tissue around the eye that cushions the eye ball. In many of us, that tissue tends to bulge as we age and can create a tired appearance due to the bulge itself and also the shadow under the eye. Treatment of this fatty pad surgically  can greatly help to improve the appearance of the lower eyelid area. Most commonly, this fatty tissue can be reduced or re-positioned in such a way that it is much more youthful and cosmetically-pleasing in appearance.

In some cases, the “valley” of the dark circle can be filled in with an injectable filler. These injections are commonly known as tear trough filler injections. This can be performed with various products such as Restylane, Volbella, or Belotero. This is an advanced injection technique, and should not be performed by novice injectors. We always recommend using expert physician injectors like Dr. Richardson and Dr. Cain.

Wrinkling of the lower eyelid skin can also be quite problematic. While this can be improved surgically as well, other options such as topical creams, laser resurfacing, and occasionally even Botox injections can be helpful to improve wrinkles under the eyes. Laser and Botox treatments in this area are technically advanced techniques that should be left to experts in facial aesthetics.

Laser resurfacing of the under eye area can work well to improve wrinkling and occasionally to help with pigmentation issues, but this is less predictable. When used in combination with a lightening agent, such as a medical-grade eye cream or hydroquinone, some pigmentation improvements are possible. Often the best result is achieved through a combination of surgery, laser, and topical treatments.

In some cases, even a series of microneedling treatments or microdermabrasion can be helpful to improve the lower eyelid area.

As you can see, improving dark circles in the lower eyelid area can be quite complex. Let us help you sort through the options and customize a treatment plan for you!

CLICK HERE to email us or call us at (469) 362-6975 to find a time to come in for a consultation. Let us help you look your best, and remember, your face deserves a specialist!

To see more photos of patients treated for dark eye circles, CLICK HERE (Tear Trough Filler) or HERE (Lower Eyelid Surgery)


Before

After tear trough filler


RealSelf Q&A with Matthew Richardson, MD

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