Best Treatment Options For Dark Under-Eye Circles and Hollows

How to Best Reduce Dark Under-eye Circles and Under-Eye Hollows?

Dark under-eye circles or periorbital hyperpigmentation, is a skin condition that involves dark pigmentation of upper and lower eyelids. Aesthetically, dark circles around the eyes can make a person look tired and older than actual age. Dark eye circles tend to be more common in individuals with darker skin and we have many patients who seek treatment for under-eye dark circles in our Dallas and Southlake offices. Dark under-eye circles affects men and women equally, it gets worse with aging due to loss of skin thickness and elasticity and loss of volume below the skin.

In addition to extra pigmentation, dark under-eye circles and under-eye hollows are frequently associated with other issues such as thinning skin, loss of elasticity and loss of volume below the skin. The extent of each of these problems determines the presentation of dark under-eye circles and hollows in each individual and the best outcome is achieved with treatments aimed at correcting each of the additional issues.

Adequate treatment of dark under-eye circles and under-eye hollows starts with a thorough evaluation of patient’s medical history and close examination of  the skin around the eyes to determine the extent of each of the problems mentioned above in the delicate peri-orbital skin.

For treatment of dark under-eye circles and hollows in Dallas and Southlake we almost always recommend PRP -Platelet Rich Plasma injected into the dermis and below the dermis and we combine a second or third treatment to address thinning skin, elastosis, loss of volume etc as follows:

  • Dark under-eye circles with poor texture and fine lines- PRP + Micropen
  • Dark under-eye circles with loss of skin elscticity- PRP + Microneedle Fractional Radiofrequency (MFR)
  • Dark under-eye circles with deep wrinkles, poor texture, milder loss of elastcity- PRP + CO2 fractional Laser resurfacing or the Madonna lift.
  • Dark under-eye circles with deep hollows and loss of volume below the skin- PRP + Hyaluronic acid dermal filler

PRP is a regenerative skin treatment which means the results are progressive and cumulative as your skin responds with regeneration of new healthy tissue. More than one treatment is usually needed for optimum results. We usually recommend three treatments, four to six weeks apart combine and we combine any of the above treatments with a topical prescription skin lightening product for further improvement of pigmentation and to improve the skin texture and fine lines in between treatments.

Platelet-Rich Plasma or PRP use  in treatment and management of various degenerative medical conditions has become increasingly popular during the last 10 years. Most studies on the effectiveness of PRP in wound healing are carried out in areas such as orthopedics, sports medicine, and odontology. Only recently studies relating to the use of PRP in dermatology have started to be published. In our Dallas Cosmetic PRP regenerative practice, we use PRP to improve many different skin conditions; texture, scars, wrinkles, laxity, stretch marks with great results. We have also seen tremendous improvements in hair density with PRP + ACell treatments for male and female pattern hair loss.

In the last year we have successfully treated many patients with PRP for under eye pigmentation and hollows. The photos below are from a study published in American Journal of Dermatology and Venereology 2014.

These patients received PRP injections alone with no other treatments or topical skin lightening agents, individual results vary



Call 888-210-9693 for a consultation for treatment of dark under-eye circles and hollows in Dallas and Southlake