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Under eye Hyperpigmentation vs Tear Trough Depression

September 11, 2008
I have very dark circles underneath my eyes. I don't think that it is hyperpigmentation just heredity (I am white). Is there anything that might work to take some of the darkness away. I bought something called Dermalex but that didn't fade them at all. Would Vitamin K cream help reduce the darkness? I am so tired of people asking me if I am tired!

hi,
the first question i would have is whether its just color or if you have indentations in the tear trough area under the eyes. a tear trough depression looks like hyperpigmentation because a shadow falls into the depression. if there's a tear trough depression, it can be filled with juvederm and the results are quite dramatic. if its just color and the area under the eyes is flat, then your options are fairly limited. hydroquinone sometimes helps, but i would get the higher percentage creams - 8% or more. kojic acid sometimes helps as well.

2 thoughts on “Under eye Hyperpigmentation vs Tear Trough Depression”

  1. Toly says:

    Dear Dr. Rifkin,

    What would you consider the best cream for eye wrinkles (50 year old male)?

    Also, is there a difference between a carbon dioxide laser treatment and Active FX

  2. Dr. Alexander Rivkin says:

    well, active fx is fractionated co2 laser. the fully ablative co2 laser treatment that is performed in the operating room is more invasive, more risky and has much more downtime. the results can be really good, but the risks are frequently not worth the benefit now that the fractionated devices are on the market.
    eye products that are good include: skinceuticals eye balm, a product that replenix makes for our office that is really nice, vivite and teamine

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