Dark circles and aging under the eyes are among the most common concerns in my New York City private plastic surgery practice. Women and men of all ages report that these characteristics-- thin skin, wrinkling, puffiness, and darkness under the eyes-- make them look older and more tired than they actually are.
My approach to correcting the under-eye area is non-surgical in many patients. I use Botox to smooth out the crows feet and injectable hyaluronic filler to smooth out the tear troughs to achieve beautiful results in my patients. Botox lasts 3-4 months, while hyaluronic filler (Juvederm, Restylane, or Belotero) lasts 1-2 years in this area.
I caution patients to seek tear trough augmentation and correction only from highly experienced providers with extensive experience and proven results in this area. Not only is tear trough filler technically delicate and challenging, but poorly executed filler can cause tissue injury, asymmetry, lumpiness, skin necrosis, and permanent blindness. Please do your homework before seeking tear trough filler, and remember to find a board-certified plastic surgeon to take excellent, meticulous care of your face.