It can be discouraging to look at yourself in the mirror and see a raccoon staring back at you. Dark circles under the eyes make a person look haggard. Sometimes, aging results in thin skin, loss of skin elasticity, and volume loss under the eye. This allows the underlying blood vessels to become more noticeable, hence ‘darkening’ the skin. Everyone knows you get dark circles under your eyes when you’re tired. This can especially occur when you’ve been burning the candle at both ends (work hard, party harder). Other times the cause may be something as benign as genetics.
Dark circles under the eyes may look purple or blue to dark brown or black, depending on skin pigmentation. These circles are rarely a cause for concern, but, generally, people don’t enjoy looking worn out or tired.
There are many, many causes for “luggage” under your eyes. Dark circles may appear for a variety of reasons, including:
Though there is a myriad of causes for bags under the eyes, there is one sure way to rid yourself of them forever. Platelet Rich Plasma — also known as PRP therapy — is an innovative non-surgical procedure using injections to stimulate the tissues under your eyes and rejuvenate them. Within a month of plasma injections under eyes, those unsightly bags vanish for a natural-looking result. We have been performing PRP treatments for a variety of medical conditions including prp for dark circles for over a decade. We have improved our protocols and methods over this time and use a special activator in our preparation for more optimal results.
Microneedling with prp undereyes is popular with those seeking anti-aging treatments that do not require extensive skin treatments or expensive plastic surgery procedures. Platelet rich plasma (PRP) therapy has become more popular and has gained a lot of attention over the two last decades. Researchers are drawn to its potential ability in regenerative medicine, including facial rejuvenation and other therapeutic options. Platelets are the main components of the PRP and contain more than 1100 different proteins, and over 1500 protein-based bio-active factors. 
Micro-needling (the PRP application technique) uses fine needles to create “micro-injuries” in the skin. These stimulate the natural wound-healing process, thereby prompting a boost in collagen and elastin production. Microneedling with prp works to naturally heal scars, correct hyperpigmentation and stretch marks, and reduce signs of aging.
For micro-needling, the doctor draws some of your own blood, which is then spun in a centrifuge to create a plasma containing a high concentration of platelets. These platelets are rich in skin-boosting growth factors that amplify the effects of the micro-needling treatment. The topical application of PRP improves your desired outcome and decreases how long swelling and redness will last following the treatment session.
In a micro-needling treatment, the fine needles create tiny micro-channels in your skin. These channels allow topical serums to penetrate deep within the dermis (skin) for optimal effect. By using your blood cells as a topical treatment, you increase your body’s regenerative power via the unique, nourishing growth factors contained within the platelets. These growth factors stimulate the repair of injured tissues and the growth of collagen, new skin cells, and connective tissues. 
During the procedure, the PRP is injected into the skin under the eyes. PRP under-eye treatment generally takes between 30 to 60 minutes to complete. For best results, it is recommended that patients undergo as many as three treatments, with at least a month of healing time between each session.
For dark circles under the eyes, micro-needling with PRP is the best treatment. Platelets, stem cells, growth factors, and cytokines can all be found in PRP. Injecting PRP induces gradual healing that removes dark circles.
PRP dark circles treatment repairs the skin in the eye area where dark circles are seen. Many patients report seeing results from their treatment in as few as two days after a session. However, it is important to note that it sometimes takes 30 days to see the complete results of a PRP injection.
Patients continue to see results long after their original PRP injection. Most patients enjoy the results of their treatment and continued improvement for six to 12 months after the original injection.
A study looking at PRP therapy for facial rejuvenation and dark under eyes showed best results for improving periorbital dark circles and wrinkles. The study included 30 female participants that were injected with PRP in two sessions with 3 month intervals. The study found that in 3 and 6 months follow-ups respectively, moderate to excellent improvement in periorbital dark circles (47.8,60.9%), periorbital wrinkles (73.9%,78.3%), nasolabial fold (52.2%,56.6%) and skin rigidity (52.3%,60.9%) was reported by patients. Dermatologist who then evaluated the patients also found moderate to excellent improvement in dark under eye circles upon examination and comparison. 
A study published in dermatologic therapy in 2020 included a total of 68 females with dark circles and/or tear trough deformity. They were then treated with PRP and PPP gel injections. They participants received three PRP under eye treatment sessions at 2-week intervals and followed up monthly for 3 months. The results showed a significant clinical improvements and significant reduction of hyper-pigmentation or dark areas under the eyes..
A study published in Cureus in 2018 revealed a significant improvement in the appearance of dark circles under the eye after PRP therapy with a high level of patient satisfaction. Examiners found a higher level of skin firmness due to increased collagen production and a significant increase in skin elasticity due to increased elastin production. They noted only slight visible swelling directly after the PRP injection with no other side effects or complications. They concluded that a series of PRP injections in the lower eyelid region was a safe and effective treatment option with minimal pain and side effects. 
Another study published in Journal of Cosmetic Dermatology in 2014 included ten participants who were treated with a single session of intradermal injections of PRP into tear trough area and crow’s feet wrinkles. The examiners then studied the effects on melanin content, color homogeneity of the treated area, epidermal stratum corneum hydration, and wrinkle volume. They then compared the baseline findings with post 3 month follow up. They discovered a significant improvement in infra-orbital color homogeneity with high participant’s satisfaction score and physician’s global assessment score. 
Although PRP injection or prp for under eyes results last longer than most treatments, it is important to know that the results may not be permanent.
Our staff will help you choose the correct number of PRP treatment sessions to treat the condition of your skin and achieve the results you want. Patients can typically expect to undergo three or more PRP sessions after the initial treatment.
Patients should expect to need a follow-up treatment within six to 12 months of the final PRP injection. The timing varies depending on the patient’s age, how the body responds to the PRP treatment, and the initial severity of the under-eye circles.
Other treatment options for dark circles include dermal fillers, botox, laser treatments, Restylane, facelift, resurfacing, peels, and skin rejuvenation.
Platelet rich plasma is a regenerative therapy that utilizes cytokines and growth factors and other bio-active molecules to help in the healing process. It has been shown to be effective in many dermatological conditions and is being studied further for its other therapeutic options. 
Unlike cosmetic surgery, PRP has a low risk of serious side effects in the treatment area. Potential complications can include itching, bruising, discomfort, redness, infection, and swelling. These symptoms are temporary and usually disappear within in a short period of time.Patients seldom require any downtime after a PRP treatment.
This treatment is usually tolerated well without much downtime and risk. We recommend that you leave the PRP on the face and under eyes for a period of 24 hours whenever possible. It is important to stay out of the sun. You may apply moisturizing solution to your face after 24 hours have passed.
Our office also provides PRP Gel injections into under eyes for a more effective treatment. PRP gel is enriched from platelet rich plasma by heating it in a special thermostat. The growth factors harvested in the gel are more concentrated and increase the rejuvenation and effects.
Our prp clinic is also providing platelet rich fibrin injections for under eye rejuvenation. PRF for dark circles can be a more effective treatment for dark circles. PRF injections for undereye is performed the same as with prp. The method for extraction of PRF differs slightly.
Sun can be one of the main culprits in creating dark circles under the eyes. In addition to luggage, too much exposure to the sun may cause:
Wearing sunscreen may help with your under-eye bags and dark circles and will also protect your face from sun damage.
You can also avoid the sun’s harmful rays by:
After your successful PRP treatment, you obviously want to keep your alert, healthy-looking eyes. Small diet and lifestyle changes can help your results last longer.
Increasing foods with vitamin C aids with collagen production by boosting levels of hyaluronic acid, promoting healthier skin.
Good sources of vitamin C include:
Iron deficiency anemia is a condition where the blood is lacking red blood cells. These cells are responsible for carrying oxygen to tissues in the body. Iron deficiency can cause dark circles under the eyes and even pale skin. Other symptoms include things like:
Iron-rich foods include:
Eating too many salty foods may be at the root of your under-eye bags. Salt contributes to your body’s fluid retention and can make you puffy overall. It may also lead to other health issues, like heart disease and stroke.
Drinking alcohol can lead to dehydration, and that may create bags and dark circles under your eyes. If you’re craving a special drink, try grabbing flavored sparkling water or infusing regular water with fruit.
Smoking creates wrinkles, discoloration, and dark circles under the eyes, and it’s bad for your overall health. If you’re a smoker, quit. And if you’ve never smoked, don’t start.
PRP Specialist and Director of PRP Treatment Beverly Hills Dr. David Nazarian Board Certified in Internal Medicine and Specialist in PRP therapy and PRP injections for rejuvenation of the face, hair growth, joint injury, tendonitis, acne scars, scars, as well as erectile dysfunction in males and females.
Dr. Nazarian has been harvesting growth factors and cytokines in Platelet Rich Plasma therapy and utilizing its powers to successfully treat patients for the last 10 years. He specializes in the facial rejuvenation of the face utilizing PRP with micro-needling to promote collagen growth, skin tightening, sun spot removal, removal of skin blemishes, and the treatment of sunken eyes. He also utilizes PRP injections in the scalp to promote hair growth and treat conditions associated with hair loss. Dr. Nazarian also treats a variety of joint and tendon conditions with Platelet Rich Plasma. He has successfully also utilized PRP to treat sexual dysfunction in males and to improve sexual sensation in females.
Dr. David Nazarian received his Bachelor of Science from the University of Los Angeles, California, in Psychology and Biology. He obtained his Medical Doctorate degree from Sackler School of Medicine and completed his medical residency at Huntington Memorial Hospital, a University of Southern California affiliate hospital. Once completed, he established a practice in the heart of Beverly Hills specializing in the treatment of a variety of conditions utilizing Platelet Rich Plasma. Dr. Nazarian is a Diplomat of the American Board of Internal Medicine. He has received numerous awards and recognitions as a top doctor in his field.
We are conveniently located in Beverly Hills and serve patients throughout the Los Angeles area and near Bel Air, West Hollywood, Santa Monica, West Los Angeles, Culver City, Hollywood, Venice, Marina del Rey, Malibu, Manhattan Beach, Redondo Beach, Downtown Los Angeles, Encino, Woodland Hills, Sherman Oaks, Calabasas, Burbank, Glendale, Hidden Hills, Agoura Hills, Northridge, North Hollywood, Topanga, Canoga Park, Reseda, Valley Glen, Chatsworth, West Hills, Winnetka, Universal City, Silverlake, Echo Park, and many more.
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