How to correct an old hyaluronic acid injection in dark circles?
Written and reviewed by Dr Bernard Hayot, ophthalmologist, RPPS 10003926226.

What is hyaluronic acid?
Hyaluronic acid is a substance synthesised naturally by our body. Present in the skin, it fills the intercellular spaces and acts as a moisturiser, giving the smooth, elastic skin associated with youth.
With age, the production of hyaluronic acid declines, which leads to a loss of elasticity, gradual dehydration and a loss of volume. To counter these effects, hyaluronic acid is used in aesthetic medicine as a filler. Fine injections smooth out wrinkles and restore lost volume: a real youthful boost, from a product that the body tolerates very well.
Why use hyaluronic acid injections to treat dark circles?
Many people turn tohyaluronic acid injections to fill dark circles, a procedure that Dr Hayot advises against.
Hollow dark circles are empty spaces that form under the eyes as a result of skin ageing or of the natural anatomy of the area. They give the face a tired, dull look, which patients wish to correct with a filler such as hyaluronic acid. Unfortunately, this procedure is not without risk.
What are the signs of a poor hyaluronic acid injection?
Although fairly common in aesthetic medicine, hyaluronic acid injections into dark circles carry certain risks. This biodegradable product is not resorbed well in the dark circles, which can lead to the formation of unsightly bags.
Dr Hayot also warns against the Tyndall effect, a bluish discoloration of the dark circles associated with swelling. This unsightly appearance is caused by the diffraction of light on the injected product: the skin over the dark circles is very thin, almost translucent. The Tyndall effect is the most common risk associated with hyaluronic acid injections into dark circles.
How to correct an old hyaluronic acid injection in dark circles?
Fortunately, there are solutions for patients who have suffered the consequences of a poor hyaluronic acid injection in the dark circles. Treatment takes place in two stages:
- Hyaluronidase injection to remove the hyaluronic acid lodged in the dark circles
- Correction of the dark circles using lipofilling or nano-lipofilling
Hyaluronidase is an enzyme that breaks down hyaluronic acid. Like hyaluronic acid, it is naturally present in our bodies; in aesthetic medicine it is used to correct old, unsuitable hyaluronic acid injections, particularly in the dark circles.
A few injections of this molecule are enough to fade the puffiness and the bluish discoloration caused by an earlier treatment of the dark circles. To date, hyaluronidase is the only way of treating the puffiness and bluish appearance of dark circles treated with hyaluronic acid.
Why choose Dr Hayot for hyaluronidase injections?
A specialist in eye aesthetics, Dr Hayot has been practising aesthetic surgery and medicine for over 30 years. Opposed to hyaluronic acid injections in the eye contour for the reasons described above, he has developed real expertise in correcting the unwanted effects of this procedure with hyaluronidase.
If the patient wishes, dissolving the hyaluronic acid with hyaluronidase injections is only the first step, before lipofilling or nano-lipofilling, techniques that are genuinely effective and safe for filling dark circles.
This page is for information. It does not replace a consultation: every situation is judged on examination.