Ask a Surgeon - Eyelid Surgery - I am 25 years old, and have dark circling and some wrinkling below my eyes. I...

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I am 25 years old, and have dark circling and some wrinkling below my eyes. I have...

Q:

I am 25 years old, and have dark circling and some wrinkling below my eyes. I have been researching various procedures, including lower eyelid surgery, to make these conditions less prominent. I have read that a TCA peel can help, but would like to know how close to the eye this can be used and if, in fact, it can be used to treat dark circles.

A:

Dark circles below the eyes can be caused by numerous factors, such as excessive wrinkling; pronounced bulging of fat which creates prominences and shadows; or excessive pigmentation in the lower eyelids. If wrinkling is the primary problem, a light TCA (trichloroacetic acid) peel or laser treatment might help. To remove fatty deposits, surgery would have to be performed. Lower eyelid surgery can sometimes be done through incisions inside the eyelid. If excess skin also must be removed, then the incisions are made from the outside, just within the lash line. Generally, dark circles cannot be removed 100%, but the first step to improve the condition is a consultation with a board certified plastic surgeon to evaluate your specific situation.