Restore a more rested, youthful appearance by addressing dark circles, often marked by under-eye hollows, puffiness, skin discoloration, and visible blood vessels. As a dual-fellowship trained oculofacial plastic surgeon, Dr. David Isaacs specializes in identifying the root cause of your dark circles and creating customized treatment plans that improve both form and function.
- Common Symptoms of Dark Circles
- Dr. Isaacs’ Approach to Dark Circles Treatment
- Lower Blepharoplasty
- Under-Eye Fillers
- RF Microneedling
- CO2 Laser Resurfacing
- Skincare & Topical Treatments
- Neurotoxins (Botox, Dysport, Xeomin, and Daxxify)
- Tear Trough Implants
- Fat Grafting & Nanofat Injections
- The Underweekend™ Lift
- Schedule Your Consultation
Restore a Refreshed Under-Eye Appearance
Dark circles under the eyes are a common cosmetic concern that can make you look tired, aged, or unwell. They may appear as discoloration, hollowness, or puffiness and result from several overlapping factors, including thin under-eye skin, visible blood vessels and muscles, shadowing from tear troughs or under-eye bags, hyperpigmentation, and even midface volume loss. While often blamed on poor sleep, dark circles are more often caused by anatomical issues, genetics, aging, vascular congestion, dehydration, or sun exposure.
Dr. David Isaacs takes a comprehensive approach to dark circle correction. He carefully evaluates each layer, from bone structure to skin quality, to identify the underlying cause of dark circles. Whether your concerns stem from volume loss, pigmentation, or skin laxity, Dr. Isaacs tailors your treatment plan to achieve a refreshed, natural-looking result.
Common Symptoms of Dark Circles:
- Appearing tired despite adequate rest
- Hollowing or sunken appearance under the eyes
- Purplish, bluish, or brown discoloration beneath the lower lids
- Visible blood vessels or underlying muscle through thin skin
- Puffiness or under-eye bags creating shadowing
- Fine lines or crepey texture in the lower eyelids
Dr. Isaacs’ Approach to Dark Circles Treatment
Treatment options for dark circles must be tailored to each individual, as the causes often include a combination of volume loss, pigmentation, thin skin, and anatomical shadowing. Dr. Isaacs offers a comprehensive range of solutions, from advanced surgical correction to non-invasive rejuvenation, addressing the root of the problem and delivering natural results.
Lower Blepharoplasty
For patients with under-eye bags, puffiness, or skin laxity, lower blepharoplasty offers a definitive solution. Dr. Isaacs removes or repositions excess fat to smooth contour irregularities and may perform a skin pinch to address laxity, resulting in a refreshed appearance.
Under-Eye Fillers
To treat volume loss and shadowing, Dr. Isaacs precisely injects hyaluronic acid fillers into the tear trough. This technique helps soften hollowing and improves the transition between the lower eyelid and cheek. For deeper support, midface fillers may also be added.
RF Microneedling
Ideal for thin, crepey under-eye skin and mild laxity, RF microneedling stimulates collagen production to thicken the skin and reduce fine lines.
Dr. Isaacs recommends a series of three sessions, followed by CO2 laser resurfacing, to improve texture and pigmentation.
CO2 Laser Resurfacing
This resurfacing tool tightens skin, smooths fine lines, and brightens pigmentation. Whether used alone or in combination with surgery, CO2 lasers enhance skin quality and help camouflage underlying vessels that contribute to the darkened appearance of the skin.
Skincare & Topical Treatments
For milder cases or as maintenance, Dr. Isaacs may recommend a regimen of retinol, vitamin C, and skin-brightening agents. These topicals can help improve pigmentation over time. He also emphasizes the daily use of sunscreen to prevent UV-induced darkening.
Neurotoxins (Botox, Dysport, Xeomin, and Daxxify)
When fine lines and muscle activity worsen the tired appearance under the eyes, Dr. Isaacs uses neurotoxins to gently relax the orbicularis oculi muscle. This softens the area, minimizes wrinkles, and contributes to a more youthful, smooth under-eye contour.
Tear Trough Implants
For patients with deep, structurally hollow tear troughs, permanent implants may be a better alternative to fillers. Dr. Isaacs expertly places these through hidden incisions to restore long-term volume, creating a more lifted under-eye contour without repeated injections.
Fat Grafting & Nanofat Injections
Using your own fat, Dr. Isaacs fills under-eye hollows to correct volume loss naturally. Nanofat (ultra-refined fat rich in stem cells) can also be injected to improve skin tone, texture, and elasticity. This dual benefit enhances both contour and skin quality over time.
The Underweekend™ Lift
For patients wanting dramatic improvement with minimal downtime, Dr. Isaacs offers the UnderWeekend™ Lift, a minimally invasive deep-plane lift that repositions under-eye and midface volume. This technique restores overall youthful structure and contours.
Schedule Your Consultation
David Isaacs, MD, is a dual-fellowship trained oculofacial plastic surgeon with advanced fellowship training in aesthetic and reconstructive facial surgery. Known for his meticulous, layered approach, Dr. Isaacs carefully evaluates each cause of dark circles to design a plan that delivers natural, refreshed results. He spends more time in both consultation and surgery to ensure every detail is addressed with precision. If you’re ready to improve tired, hollow, or discolored under-eyes, schedule a consultation in Beverly Hills today.
