How Can I Fix My Undereye Hollows and Dark Circles?

Q: Dr. Eppley, I was wondering about a reduction of dark circles and under eye hollowing.  I am desiring a more uninterrupted eye cheek junction.  I am wondering if a custom malar infraorbital rim implant would have an anti aging effect on my face. A:Custom infraorbital implants (not standard infraorbital implants as they don’t saddle the rim) are most effective at improving undereye hollows which is a volume problem. Dark circles may or may not be significantly improved as their cause is not just a volume problem. Any shadowing that occurs from lack of infraorbital rim projection that contributes to the dark circles will be improved. But if hyperpigmentation is a significant cause of the dark circles it may have no to minimal improvement.

In other implants correct bony deficiencies (hollowing) and overlying soft tissue contours (dark areas by shadowing) by their push out on the overlying soft tissue. They can not change excessive pigment in the tissues.

Dr. Barry Eppley

World-Renowned Plastic Surgeon