Dark Circles: Q&A
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Tired Eyes - How Do I Get Rid of Them?
I have puffy eyes with dark circles under them, and everyone always says I look tired. What can I do?
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20 Doctor Answers |
Asked by
Janet
in Seattle, WA
+6
Under-eye puffiness and dark circles are quite a common...
Under-eye puffiness and dark circles are quite a common problem especially associated with lack of sleep and dehydration. There are steps which can help this problem starting with a cooling eye mask which soothes puffiness.
Applying chilled cucumber slices can be quite calming to swollen, puffy eyes. The cool temperature and astringent effect can help to constrict the skin blood vessels and capillaries lessening puffiness and dark circles caused by dilated blood vessels.
Teas:
Black tea...
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Long Island City Dermatologist
+4
Reducing Puffy and Tired Eyes with Skincare
The quality of your skin will determine the appearance of your lower eyelids. Most commonly, the lower eyelids appear tired because of the following two criteria:
Hyperpigmentation
Loss of collagen
The first important step in reducing the appearance of tiredness in the lower eyelids is to address these two factors with effective medical based skin treatments. In doing so, the pigmentation of the lower eyelids improves, thereby reducing the dark skin and hallow eye areas. Second,...
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+3
Tired, puffy eyes are easy to treat
Blepharoplasty surgery creates such a remarkable rejuvination of the face by eliminating the bulging fat & the excess skin. There are basically 2 approaches to removal of fat: transcutaneous & transconjunctival. The advantage to the transcutaneous incision is that the scar is placed at the lash line so it is barely perceptible, and the excess skin can be removed to flatten the lid and restore youthful eyes. I have found that the wrinkles are best addressed with skin removal,...
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+3
Dark circles and puffiness
There are many causes and many treatments for dark circles, depending exactly what produces them.
If puffiness is caused by excess fat, this can be reduced by a transconjunctival blepharoplasty.
If dark circles are the result of hollowness, volume can be replaced temporarily with hyaluronic acid filler or more permanently with fat or LiveFill (nontraumatized fascial fat grafts).
If hollowness is the result of cheek descent and volume loss, various cheeklift procedures are available, with or...
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+3
The most common questions my patients are concerned...
The most common questions my patients are concerned about are their tired look, and sometimes that tired look to the patients is their upper eyelids and sometimes it can be in the lower eyelids. They often seek eyelid surgery (blepharoplasty) to reduce the under-eye puffiness and skin hooding of their eyes.
During the blepharoplasty consultation we talk about removal of primarily excess skin on the upper lids and primarily fat or bags under the lower lids. That's the blepharoplasty goal: to...
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+2
Tired Eyes-Get Rid of Eye Bags and Dark Circles
Thank you for your question. The most common causes of tired eyes are:
Dark Circles Under Eyes
Puffy Lower Eyelids
Eye Bags
Hooding of the Upper Eyelids
Modern Eyelid Plastic Surgery is safe and effective. The general name for correction of tired looking eyes is the term Blepharoplasty. Today lower eyelid aging is most commonly treated with a procedure called Transconjunctival Blepharoplasty. This procedure is done on the inside of the eyelid so that there is...
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+2
How to fix puffy, tired lower eyelids
What you describe is one of the most common complaints in facial plastic surgeons' offices. The cause of this can be any of a number of things, alone or in combination. For example, it may be caused by 'edema' of the lower lids, fat herniation of the lower lid fat pads, loss of midface support or volume, exposing the inferior orbital rim, thin skin of the lower lids, and even the bony structure of your midface, etc. So, determining how to treat these is best done by...
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+2
Getting rid of dark circles
The dark color generally does not respond to laser, chemical peels, topical creams, such as Vit K, C, or other; the color is made up of several components which respond to very little. The biggest change will be to correct any existing hollow under the eye -with either a filler or micro-fat grafting.
Grafted fat or filler will correct the hollow and get rid of the dark shadow under the eye- thus the remaining dark color can be camouflaged with make up. The claims of removing the color...
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+2
Dark circles
Treating dark circles is almost impossible. This is usually due to the thin upper lid skin. What you see as dark is the underlying muscle and blood vessels. Sometimes the darkness is a shadow. This can sometimes be treated with a facial filler. If it is specifically skin color issues, hydroquinone can help.
+1
Puffy Lower Eyelids and Dark Circles
You are likely dealing with multiple issues ongoing in this area. The puffiness under the eyes is often times a reflection of fat that is pushing out under the eye. As we age, this fat can push against a weakened wall that normally keeps it under the eye. This bulging can give the appearance of puffiness under eye. It can also contribute to abnormal dark shadows under the eye.
If this is the case, you can elect to have a lower eyelid blepharoplasty procedure to remove the excess fat. You...
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+1
Get Rid of Puffy Eyes that Causes Tired Appearance
Puffiness under the eyes and dark circles are issues I deal with every day. There are many causes for both these conditions. Typically, puffy eyes which don't change regardless of amount of sleep or management of allergies and sinus problems are usually due to "lower eyelid fat prolapse".
This means that the fat pockets normally around the eyes have bulged forward and don't improve. This usually requires a procedure called lower eyelid blepharoplasty. The details of the procedure...
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+1
Treatment for lower eyelid dark circles and bags
The treatment for the puffiness / bags of your lower eyelid involves either an external or internal (transconjunctival) approach to your lower eyelid blepharoplasty. As far as the bags, the first thing to try is combination skin care that includes hydroquininone. If this fails, laser resurfacing can provide for some improvements.
+1
Eyelid surgery cures bags under the eyes (blepharoplasty)
Without seeing you or at least a picture, the tired look under your eyes is usually from shadows cast by fat from the orbit that has herniated forward creating a small projection. This can be aggravated by loose skin as well. A lower lid blepharoplasty should fix this problem. Some decent examples are on the weblink below.
+1
Blepharoplasty can improve puffiness
Puffiness in the eyelids is improved by cosmetic eyelid surgery. The dark circles tend to be improved as well but not as much. There is not much to do for them specifically.
Best Regards.
+1
Eyelid surgery to reduce "tired" appearance
In my experience, brightening the appearance of the eyes with eyelid surgery brightens the entire facial appearance. For most people, surgery on both the upper and lower eyelid area is required to give most improvement. However, a consultation with a reputable surgeon is necessary in order to determine what procedure(s) will work best for you and what sort of improvement you can expect.
As far the dark circles, they are typically hard to treat, but there are a variety of methods that could...
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+1
Puffy eyes with dark circles
The most likely cause of the darkness under your eyes is the shadow being cast by the fullness "puffiness". The fullness is usually due to fat that has bulged out; this acts like a shelve that casts a shadow under it. The best treatment is a lower lid blepharoplasty that will reduce the fat. Depending on your anatomy, you may be a candidate for fat repositioning; instead of removing the fat, it is repositioned over your cheek bone. This allows for a smooth transition between your...
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+1
Correcting tired eyes and dark circles
Puffiness and a tired appearance can be a problem of both the upper and lower eyelids, but because of very different anatomy, the treatments are different.
Lower Eyelid - There are three things that can be contributing to the dark circle. The shadow caused by the depression of the dark circle itself with bulging fat above it, skin pigmentation, and thin translucent skin. Surgery is best for the three-dimensional issues - the first cause. The fat can be removed, or even better, used to...
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+1
Surgical cure for puffiness but no reliable help for dark circles
Your eyelid problems are two fold and are the reason you are considered "tired looking." The good news is that the puffy look, usually confined to the lower lids, can be markedly improved by removing a protrusion of fat and possibly skin.
This fat and skin redundancy is the source many times of this look and is treated with an operation called a lower lid blephroplasty. The bad news is that I have yet to find a reliable cure for the dark circles problem that is a product of...
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+1
Lower Eyelid Blepharoplasty or Volumization are options
I refined a volumizing technique that entails replacing the volume in the lower eyelid and upper cheek area to reduce the appearance of lower eyelid dark circles and bags. This creates a more natural and younger look without looking like you had something done.
People age like a how a grape turns into a raisin. Surgeons are used to making the raisin smaller but it doesn't look anything like how the person looked like when they were a grape at a younger age. This principle of making a smaller...
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+1
Select a seasoned surgeon for eyelid surgery
Dark circles are VERY hard to treat. Occasionally, some topical steroids with or without bleaching agents, such as hydroquinone, can help.The cause is weak/fragile lakes of blood vessels that essentially stain the extremely thin skin of the lower eyelids. HOWEVER.... The dark circle and the shadow lines that can exaggerate the tired look can be effectively treated with release of a ligament that holds the eyelid skin and muscle tight against the bony rim around the eye.This ligament known...
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i have this eye problem , looking so tired , if this continue the girl that i love, i will loos her :D
please help doctor help ....