Lower Eyelid Rejuvenation

Dark circles under the eyes are a common complaint at any age. The cause for dark circles in youth can be pigmentation of the skin in the lower eyelids or strong eyelid muscles resulting in a roll under the eyelid. 

Dark circles that occur as we get older are a result of weakening facial support, including facial volume, causing the normal fat behind the eye to protrude through the upper and lower eyelid. Another contributing factor is an increase in the distance between the cheek and the lower eyelid, which creates a hollow transition zone. 

Loss of facial volume creates dark shadows. Under the eyes these dark shadow are known as the tear trough.

If the dark circle improves when you smile, it is because you are raising your cheek into a youthful position and shortening the transition zone. 

Dr. Yogita Kashyap uses several methods to improve dark under-eye circles and tear troughs. Depending upon your anatomy, preferences, and the extent of the correction you need, Dr. Kashyap may recommend a chemical peel, dermal fillersBotox® or lower eyelid surgery (blepharoplasty with or without fat grafting).

Why Choose Us?

The delicate area around the eyes requires an experienced, skilled, and well-trained surgeon, even if the treatment is non-surgical. No one has a deeper knowledge of eyelid anatomy than an Oculofacial Plastic Surgeon. Dr. Kashyap trained in Ophthalmic Plastic, Reconstructive & Orbital Surgery at the prestigious New York Eye and Ear Infirmary, where she is a clinical instructor, as well as a Board-Certified Diplomate of the American Board of Ophthalmology…

Dr. Kashyap offers the benefits of both science and artistry in treatment to improve facial aesthetics, and she is dedicated to natural-looking results. She has performed numerous lower eyelid rejuvenation procedures for her patients from Manhattan, Brooklyn, Queens, the Bronx, Staten Island, Long Island, and upstate New York.

>> Meet Dr. Kashyap

Candidates for Lower Eyelid Rejuvenation

Lower eyelid rejuvenation can improve:

  • Tear troughs
  • Dark undereye circles

Your first step toward lower eyelid rejuvenation begins with a private consultation with Dr. Kashyap. This appointment includes a full face examination to carefully evaluate your candidacy for lower eyelid rejuvenation.

Dr. Kashyap recommends lower eyelid surgery if that is the only way to give you the results you want. The final decision on your treatment plan is always yours.


Lower Eyelid Rejuvenation Procedures

Chemical Peels.

If you have dark circles with little hollowing of the area under your eyes, a chemical peel may be sufficient for you. Skin peels help to lighten the skin under the eyes and tighten the lower eyelid skin. You may require more than one peel over a period of time to achieve the results you want.

Since the undereye skin is particularly sensitive, it is very important that your chemical peel is provided by a trained physician. Our specialist, Dr. Kashyap, ensures that your peel is be safe and provides you with a pleasing result.


Dermal Fillers. 

This non-surgical treatment involves strategic injections into the tear trough area and the cheeks to correct the hollows that create dark circles. These fillers – such as Vollure, Restylane®, and Belotero – are made of hyaluronic acid, a substance naturally found in the body. The results are not permanent, but they can last nine months to eighteen months.  

A topical anesthetic is applied to the skin prior to your injections, and the injection formulas themselves also contain Lidocaine for additional numbing. A tiny needle or cannula is used, so the injections are well-tolerated.  A cannula eyelift decreases the risk for bruising and swelling.

Lower Eyelid Blepharoplasty. 

Surgery is the only permanent solution to dark undereye circles and tear troughs. Dr. Kashyap performs lower blepharoplasty in her midtown Manhattan office using local anesthesia.  Surgical time varies from 30 minutes to two hours.

The incisions are made on the inside of the eyelid and remain well-hidden. If you have bags under your eyes, the excess fat is moved to fill the tear trough area. If your lower eyelids have drooped, excess skin may be tightened at the same time.

Blepharoplasty is often combined with fat grafting, as the loss in facial volume plays a role in tired-looking eyes and the appearance of dark circles. 

You will spend some time in recovery after your surgery, but you will be able to go home the same day. 

Before & After

Dermal Fillers

Recovering from Lower Eyelid Rejuvenation

Dermal Fillers.

No downtime is required after dermal filler injections. You can continue your daily routine immediately after. However, you may wish to take a couple of days off work and social activity, as there may be some residual swelling, tenderness, and even bruising to the undereye area. These symptoms should resolve within a few days. You can apply a cold compress to the eyes to help reduce the swelling and ease any discomfort.

Chemical Peels.

We use milder peels under the eyes, but may still experience redness, peeling of the skin, as well as swelling and tenderness. These should resolve within a week or two. While you do not have to take time off from work and other activities, you may wish to  minimize social interaction until these symptoms improve. You will be given a post procedure kit to used with your chemical peel which will include sunblock. Avoid avoid the sun by wearing a hat and sunglasses, as your skin is extra sensitive to the sun after a chemical peel.  

Lower Eyelid Blepharoplasty. 

Most patients take one week off from work after a lower eyelid blepharoplasty and can resume normal activities after one week. Minor swelling and bruising generally subside within two to four weeks of surgery. Cold compresses and Tylenol will ease the discomfort, which usually subsides within a few days. Arnica and Bromelain can help reduce any post-treatment swelling and bruising. For more detailed information, see lower eyelid blepharoplasty.

Dr. Kashyap will see you for follow-up visits and will remove your sutures seven to 1- days after your procedure. Please avoid heavy lifting and strenuous exercise for two weeks.

Dr. Kashyap will let you know when it is safe to resume wearing eye makeup and contact lenses, usually within one to two weeks.

If you experience dry eye after surgery, we recommend artificial tears to keep your eyes lubricated.


Dr. Kashyap is a NYC Oculofacial Plastic Surgeon that serves patients in the Manhattan, Flatiron, Gramercy, and Murray Hill areas. If you have dark circles and/or tear troughs under your eyes, call us today to schedule a consultation with Dr. Kashyap to discuss lower eyelid rejuvenation at her midtown Manhattan office near Grand Central Station.

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