Dr. Naderi, I have under eye volume loss and very dark circles under the eye and of the inner canthus area. I am debating between filler and a fractional laser treatment of the periorbital area – which do you think would help more. Thank you.
I would have to see you before I can tell you what kind of facial rejuvenation procedure would fit you best. You already have mentioned that you have “volume loss” under the eyes meaning you have tear troughs. No laser procedure improves volume loss. Fat injections, fillers like Restylane or even tear trough implants are the answer for that problem and that cause of under eye dark circles. But if you have hyperpigmentation and loose skin as well then Fraxel or other CO2 or Erbium lasers can improve that as long as your skin type and color allows you to be a candidate for Fraxel laser treatments.