What treatment do my dark circles require? (Photo)
Doctor Answers 4
The various causes of dark circles under the eyes and non-surgical treatments for them
In our practice, we look at our patient to know if we dealing with any other issues that are also contributing to the overall appearance of the eyes such as puffy bags under the eyes, skin quality and the volume effect of the skin quality in that area. If there is loss of volume, you can use a hyaluronic acid filler like Restylane along the tear trough area and along the rim. This adds some thickness to the tissue underneath the skin in hollow areas to improve the dark circles. This requires proper patient selection as well as finesse in the technique. As a cosmetic oculofacial plastic surgeon of 20 years of experience, I see people who actually got this treatment done elsewhere and I needed to dissolve it because they got too much or it became irregular.
Another option that we’ve had a lot of success with even for hereditary dark circles is the use of platelet-rich plasma (PRP). Platelet-rich plasma is derived from your own blood. We do a blood draw like a lab test and place it in a centrifuge to spin it to concentrate the growth factors and the platelets. This improves collagen, skin quality as well as blood supply that will actually help dark circles caused by genetics. However, if someone is too young, the skin quality is very fine and we are not going to make much of a difference even if we treat the patient.
Dark circles can also be a multi-factorial issue where it’s not only genetic but there are also some other lifestyle-related and environmental triggers. For example, we have patients who do a lot of water sports and they’re out in the sun. They’re young but they get a lot of ultraviolet light exposure which results in breakdown of collagen. The skin becomes very dry and very crêpey and so they do benefit with platelet-rich plasma.
There is still a role for proper hydration of the skin. Eyelid skin is only half a millimeter in thickness and a lot of patients who have dark circles wear a lot of makeup and then use a lot of makeup removal solution to remove it - this traumatizes and dries their skin. Many of astringents have alcohol and they can be drying and irritating. We can’t understate that a moisturizer does play an important role. People would also benefit with the use retinoids but we do it very carefully because a lot of people can be sensitive to the retinoids. In our own practice, we actually have a moisturizer called Eye Rescue which is a combination of a moisturizer and some active ingredients that would be helpful. Our patients give a lot of good feedback from this product.
Think of dark circles in different levels and get some opinions from experienced cosmetic surgeons and aesthetic physicians. Look at your options and just learn more about these treatments. I hope that was helpful, I wish you the best of luck, and thank you for question.
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Filling dark circles under the eyes with filler
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Treatment for dark circles under the eyes.
Generally speaking dark circles caused by pigment can be treated with IPL or the 1540 non-ablative fractional erbium laser. Excess visible small purple blood vessels can be treated with the IPL. The Hollow eye deformity which causes dark circles due to a shadow beneath the lower eyelid require either filler injection or fat grafting.