2440 M Street NW, Suite 801 Washington DC 20037

Call Us Today: 202‑742‑3999


Conveniently located to serve Washington DC, Arlington, Bethesda

Tear Troughs

A dermal filler like Restylane can be used to add volume and smooth the contour of the under eye. Tear trough filler is not a magic eraser to remove dark circles. However, in most cases, once lifted and supported the skin then drapes more smoothly allowing light to reflect better. This results in the eyes appearing lighter and brighter. 

Dark circles can be the result of genetics, aging, allergies, and diet. There is no one size fits all solution. Your goals and anatomy are taken into consideration and together a plan of care is determined. Sometimes treatment involves neurotoxin, laser, and prescription topicals for lightening. In some cases, a surgical procedure is the ideal choice.

What should I expect after under eye treatment with an HA?

Under eye swelling may take up to 2 weeks to resolve therefore, touch ups are not usually made until after the 2 week mark.

Neurotoxin: (branded under the names Botox, Dysport, Xeomin, and Jeveau) can be used by injection to relax muscles to diminish the appearance of fine lines and wrinkles. It may also be used preventatively to stop lines from forming.  Botulinum toxin type A typically lasts between 3 and 5 months in the upper face depending on the dose and brand.

Learn more: Botox vs. Dysport.

Your Eye Treatment will be performed in Dr. Praful Ramineni‘s surgery center located in Washington, DC.

This has been an amazing experience from the consultation to post-surgery!!! I honestly can’t even express how happy & grateful I am with the results. Everyone….Dr. Ramineni and his whole team are impeccable, to say the least. A very thoughtful, professional, kind, and knowledgable team. I will 100% always refer anyone I know to this amazing team…Dr. Ramineni had a challenge when I came to see him with my issue but he 1000% went above & beyond to achieve perfection with my results. I can’t thank this team enough!! I genuinely want to thank you so much!

- Sally T.

Dr. Ramineni was recommended to me by my plastic surgeon as a masterful surgeon who could figure out why I was having complications. He diagnosed the problem correctly and fixed it. I am grateful for his openness, his honesty, and skill.

- Saiyyaed A.

Life-altering surgeon. He helped make my dreams come true with the most flawless surgery I’d been waiting my whole life to get. Healing and recovery has been almost disturbingly easy and pain-free. I could not recommend enough. Everyone there is so sweet as well!

- Katie C.

Dr. Praful Ramineni



Dr. Ramineni is the founder of District Plastic Surgery. He is board certified and has over 15 years of experience in plastic and reconstructive surgery. He started his career as one of the busiest surgeons at Medstar Washington Hospital Center with a focus on complex reconstructive surgery including cancer and trauma reconstruction, microsurgery and aesthetic surgery.

Dr. Praful Ramineni

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