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Dear Dr Seckel, I hope you can shed some light to my dilemma. Exactly 30 days ago, My Doctor recommended Restylane injections under my eyes to create fullness under my eyes and correct the dark circles under my eyes. He and I expected 7-10 days to heal. It took 28 days for the swelling and the bruising to diminish completely. However, I have a new problem due to the Restylane, I have one dark circle under my right eye while my left is back to normal coloring. I have tried skin lightener, Vitamin K, gels, etc. and to no avail. I am asking for your Professional opinion as to what I can do to remove the dark circle. I am forced to hide with heavy Concealers. HELP. Is this a permanent condition, or is there something I can do? Thank you, Margaret, Sugarland, Texas

Dear Margaret,

I am sorry to hear of your problem following Restylane injection around the eye for eyelid rejuvenation and to treat dark circles under the eyes. As you know from reading my blogs I do not do Restylane injection around the eye because I believe there are many risks to the eye and the companies that make the fillers do not recommend soft tissue filler injections around the eyes.

If the dark color is simply residual bruising it should eventually go away. Bruising, especially bruising around the eye can take 6-8 weeks to resolve so I would give it more time and use a concealer like Covermark or Dermablend.

Another possibility is that the Restylane was injected too superficially near the surface of the skin. When this happens a dark discoloration can occur. I do not know how long this type of discoloration can last. If this has happened to you all you can do is wait until the Restylane dissolves completely which can take up to 6 months. I do not know if this type of discoloration is permanent-I just have not seen this, have only heard about it.

I also recommend that you visit the very informative website devoted specifically to dark circles under the eyes where you will find many helpful suggestions.

Please feel free to email me your photos and I will try to give you a more informed opinion.

For more information on dark circles under the eyes, eyelid rejuvenation and non-surgical facial rejuvenation read Save Your Face or contact me.

Sincerely,

Dr Seckel

Boston, Massachusetts