Introduction
Dark circles under the eyes are a common cosmetic concern that can make people look tired and aged. In New York City, there are several top - notch doctors who specialize in using various methods, including eye radiofrequency and other related treatments, to address this issue. Here, we present the top 5 doctors who are well - known for their expertise in treating dark circles under the eyes.
Dr. Michele Green
General Information
Dr. Michele Green is an internationally renowned, board - certified dermatologist with over two and a half decades of experience. She is consistently rated as a top dermatologist in New York City by prestigious organizations such as Castle Connolly, Super Doctors, New York Magazine, and The New York Times. Her private upper - east - side dermatology office is a go - to place for many patients seeking non - invasive cosmetic procedures.
Treatments for Dark Circles
Fraxel Laser
Fraxel is a non - invasive fractional laser that she employs to treat various under - eye concerns, including dark circles. The fraxel dual laser she uses has two distinct laser beams. The erbium laser at 1550 nm wavelength is useful for improving acne scars, skin texture, fine lines, and wrinkles around the eyes. The thulium laser at 1927 nm is effective for treating sun spots, sun damage, discoloration, and pigmentation, which are often the causes of dark circles under the eyes. By creating microscopic injuries to the skin, fraxel stimulates the body’s natural healing process and promotes the synthesis of new collagen, leading to a reduction in the appearance of dark circles and a more youthful look. Typically, multiple treatment sessions are needed, spaced at least one month apart. Each session treats around 25 - 40% of the treated area at a time.
Combination Treatments
Dr. Green often combines fraxel with other cosmetic procedures. For example, thermage, a gold - standard treatment for non - invasive skin tightening, can be used with fraxel to further reduce the appearance of periocular lines and under - eye bags. Hyaluronic acid fillers such as Juvederm and Restylane can be used to treat under - eye hollows and dark circles by restoring lost volume and providing moisture to the under - eye area. Microneedling can also be part of the treatment plan to reduce dark circles and under - eye puffiness, and chemical peels like the Mesopeel periocular can be used to treat dark circles caused by hyperpigmentation.
Dr. Gary Rothfeld
Overview
Dr. Gary Jayne Rothfeld is a leading expert in cosmetic dermatology. His approach to treating dark circles under the eyes is comprehensive, focusing on understanding the root causes and then tailoring treatments to the individual needs of each patient.
Understanding the Root Causes of Dark Circles
Dark circles can stem from multiple factors:
- Thinning skin: As skin ages, it becomes more transparent, allowing blood vessels to show through and create dark shadows.
- Blood vessel visibility: Dilated blood vessels can produce a bluish tint under the eyes, enhancing the appearance of dark circles.
- Hyperpigmentation: Excess melanin in the skin can lead to dark patches around the eyes.
- Genetics: Inherited traits can make dark circles more pronounced and harder to treat.
- Lifestyle factors: Poor sleep, smoking, excessive alcohol consumption, and an imbalanced diet can exacerbate dark circles.
Cutting - Edge Treatments
Dr. Rothfeld offers a wide range of treatments:
- Topical creams and serums: Prescription - strength creams with ingredients like retinoids, hydroquinone, and vitamin C can reduce pigmentation and improve skin texture.
- Dermal fillers: Hyaluronic acid - based fillers, such as Juvederm and Restylane, are expertly injected to plump and smooth the under - eye area, diminishing hollows and shadows.
- Chemical peels: Superficial to medium - depth peels exfoliate the skin, enhance collagen production, and target pigmentation.
- Platelet - rich plasma (PRP) therapy: PRP, derived from the patient’s own blood, promotes collagen production and improves skin tone and texture.
- Laser therapy: Advanced lasers can target blood vessels, reduce pigmentation, and stimulate collagen regeneration.
- Micro - needling: This minimally invasive technique uses tiny needles to create controlled micro - injuries, boosting collagen and improving skin texture.
- Surgical options: For more severe cases, surgical procedures such as blepharoplasty may be recommended to address structural issues.
Dr. Paul Jarrod Frank
Background
Dr. Paul Jarrod Frank is a renowned expert in volume enhancement and laser surgery, particularly around the eyes. He has extensive experience in treating the delicate under - eye area and is known for his effective and non - surgical treatment approaches.
Treatment Approach
Although several fillers can be used in the sensitive under - eye area, Dr. Frank prefers Restylane®. It offers non - traumatic results, has a lasting effect, and is potentially reversible. It can give immediate, painless results, making patients look well - rested. When used in combination with other treatments like Botox®/Dysport™, he can improve the appearance of the eyes and face in just 10 minutes. For fine lines and loose skin, the Fraxel Repair® offers a non - surgical eyelift result without the need for cutting, unsightly scars, or general anesthesia. He believes that often a combination of a few non - invasive treatments gives the best result for the under - eye area.
Dr. Aviva Preminger
About the Doctor
Dr. Aviva Preminger is a board - certified plastic surgeon. Her practice on the upper east side of NYC offers treatment for dark circles under the eyes. She has the expertise to handle both non - surgical and surgical solutions for this common cosmetic issue.
Understanding the Causes of Dark Circles
Chronic dark circles under the eyes are usually caused by hyperpigmentation, visible veins, or shadows. Temporary dark circles are due to lack of sleep or dehydration that results in visible veins under the eyes. When there are chronic dark circles, the skin may be darker from more melanin, or the skin is thinner with less fatty tissue underneath. The tear troughs that extend down from the inner corner of the eyes can become deeper, creating shadows and half - circles under the eyes.
Treatment Options
Most chronic dark circles can be treated with non - surgical cosmetic procedures. Some options she may suggest include:
- Tear trough treatment: If there are deepened tear troughs or loss of volume under the eyes, facial fillers can eliminate dark shadows and rejuvenate the under - eye area.
- Dark pigmentation treatments: Laser skin treatment for hyperpigmentation can reduce dark circles under the eyes caused by dark pigmentation.
- Thin skin treatments: Dermal fillers and collagen induction treatments can add volume to thicken the skin under the lower eyelid if dark circles or eye bags are due to thin skin.
- Blepharoplasty: In some cases, patients may have sagging skin and lost fat under the eyes that contribute to the appearance of eye bags and dark circles. A lower eyelid lift may be recommended to remove excess skin.
Dr. Maurice Khosh
Doctor's Profile
Dr. Maurice Khosh is a dual - board - certified facial plastic surgeon, specializing in delicate procedures like blepharoplasty that require extreme precision and expertise. His office in Manhattan offers effective eye and brow treatments for under - eye bags and dark circles.
Causes of Eye Bags and Dark Circles
Bags under the eyes can appear for many reasons. Age is a factor, but even younger people in their twenties can have eye bags or circles due to genetics or lifestyle. Aging can change the composition of the fat under the skin, making a sunken spot under the eye or a bulge of fat that creates a “bag” above the cheekbone. For younger people, genetics can create a tired appearance even when they are well - rested and healthy.
Treatment Solutions
There are both surgical and non - surgical treatments available:
- Injectable fillers: One option to eliminate dark circles under the eyes is injectable fillers, which can plump the area below the eye to get rid of dark circles. If there are other aging issues, a liquid face lift could be recommended as an effective treatment for eye bags, circles, wrinkles, and other facial issues.
- Blepharoplasty: This is a permanent solution that can reposition or remove fat pockets under the skin that create eye bags. The incision is usually placed inside the eyelid so there is no visible scar.
Comparison of the Doctors
| Doctor | Specialty | Main Treatments for Dark Circles | Notable Features |
|---|---|---|---|
| Dr. Michele Green | Dermatology | Fraxel laser, combination of multiple non - invasive procedures like thermage, fillers, microneedling, and chemical peels | Highly experienced, uses state - of - the - art techniques, and has a “less - is - more” approach |
| Dr. Gary Rothfeld | Cosmetic Dermatology | Topical creams, dermal fillers, chemical peels, PRP therapy, laser therapy, micro - needling, and surgical options | Comprehensive approach, tailors treatment to individual root causes |
| Dr. Paul Jarrod Frank | Volume Enhancement and Laser Surgery (Eye - focused) | Restylane® filler, combination with Botox®/Dysport™, Fraxel Repair® | Prefers specific fillers for under - eye area, offers non - surgical eyelift alternatives |
| Dr. Aviva Preminger | Plastic Surgery | Facial fillers, laser skin treatment for hyperpigmentation, collagen induction treatments, blepharoplasty | Can handle both non - surgical and surgical solutions |
| Dr. Maurice Khosh | Facial Plastic Surgery | Injectable fillers, liquid face lift, blepharoplasty | Specializes in precise delicate facial procedures |
Conclusion
Dark circles under the eyes can have a significant impact on one's appearance, making them look tired and aged. In New York City, these top 5 doctors - Dr. Michele Green, Dr. Gary Rothfeld, Dr. Paul Jarrod Frank, Dr. Aviva Preminger, and Dr. Maurice Khosh - offer a variety of effective treatments to address this concern. Whether through non - invasive laser treatments, dermal fillers, chemical peels, or surgical procedures, they have the expertise to customize treatment plans according to the individual needs of their patients.
If you are bothered by dark circles under your eyes, we encourage you to reach out to one of these doctors. Schedule a consultation to learn more about the treatment options available and take the first step towards a more youthful and refreshed appearance. Share this article with others who may also be interested in treating their under - eye dark circles and help them discover these excellent treatment providers in New York City.
