How does the Fotona laser compare to Ultherapy in treating dark eye circles?

Frankly, this is something which many doctors debate about. Some insist that there is significant volume loss of fillers after Ultherapy, while some deny such an occurrence. There have been figures thrown around like 10-15% reduction (IF it happens) of filler volume post Ultherapy. In my practice however I prefer to take the safe route and do HIFU first and then about 1-2 weeks later to follow up with the filler placement (if indicated). Why take the risk?

Thank you for your question on dark eye circles. I am starting to see increasing numbers of young patients like yourself at my clinic with problems of dark eye circles or eyebags. Indeed, this is a real problem that is not just confined to older patients and I understand the frustrations the come with it. There are numerous causes for dark eye circles - skin pigmentation, thin eyelid skin, prominent orbicularis oculi muscle (muscle under the eyelid skin) , stress and allergies to just list a few. As you can probably start to see, the problem of dark eye circles is actually quite complex.