Dark circles, wrinkles, and eye bags under the eyes are typically caused by more than one factor. So, it is very important to be seen by a dermatologist for evaluation of underlying causes, which may include:
- Allergies
- Sleep deprivation
- Thyroid problems or other disease states
- Environmental exposures
- Stress
- Dietary deficiencies
- Dehydration
- Genetic factors
My approach is, to begin with, a holistic evaluation of the patient for various vitamin and mineral deficiencies, lifestyle and dietary factors, or other co-existing illnesses. If a patient has a history of allergies, we can also evaluate these with a single blood test to determine if there are environmental allergens that can be eliminated and/or treated.
Since there is often more than one cause for a “tired look,” a combination of treatments is often needed, both medical and cosmetic.
For cosmetic improvement, Botox provides wonderful results around the eyes, in order to make one look less tired and more refreshed. In addition, laser skin-tightening treatments can be used adventitiously. There are also various laser therapies for pigmentation problems and darkened areas. Lastly, prescription-based topical retinoids and/or skin brightening creams are very effective.
The main thing is not to get caught up in purchasing unnecessary, over-the-counter products or creams – these cannot compare to the prescriptive medications that your dermatologist can provide.
