Undereye Woes

Darkness or puffiness around your eyes giving you that tired look on the face is not just because of sleep deprivation. There are several other factors that come into play and include loss of volume, fat and sagging of cheeks with age, under eye volume loss, laxity of the lower eyelid, thinning of skin due to aging, and under eye bags.

What are the causes of dark circles?

  1. Heredity – most of the times, dark circles are nothing but blood vessels that are visible through the periorbital skin (0.5mm) as it is the thinnest in comparison to other areas (2mm). Thus, when blood passes through the large veins close to the skin surface of the skin, it can produce a bluish tint making the periorbital area look darker. Also, people with a deep-set bone structure, cause a shadow that also contributes to the dark color under the eyes.
  2. Allergies, asthma, and eczema – any condition that causes the eyes to itch can contribute to darker circles due to rubbing or scratching the skin around them.
  3. Medications – drugs that dilate blood vessels can make the periorbital area look darker
  4. Anemia
  5. Fatigue – lack of sleep can is a very significant contributing factor
  6. Diseases associated with liver
  7. Age – Dark circles are likely to become more prominent with age. This happens because as we age, the skin loses collagen, becomes thinner and more translucent.
  8. Hyperpigmentation caused by melasma

What are the treatment options for dark circles?

First and foremost it is of utmost importance to figure out the reason behind dark circles as there are several causes that can be easily treated. Knowing the exact causes enables the clinician to direct the treatment more effectively and efficiently. A few options that one can consider:

  1. Microdermabrasion
  2. Chemical Peels – decrease pigmentation and improving overall skin quality. Deeper peels can improve fine lines.
  3. Laser Rejuvenation
  4. Laser Resurfacing
  5. Radiofrequency – improves lymphatic drainage and causes skin tightening ultimately improving under eye puffiness, improvement of fine lines and wrinkles in the periorbital area, including the treatment of crow’s feet and upper eyelids.
  6. Micro-needling
  7. HIFU – High Intensity Focused Ultrasound
  8. Filler for Tear Troughs – Injectable fillers containing hyaluronic acid are often used to correct dark circles created by thinning under eye skin or fat and tissue loss in the under eyes or upper cheeks. Hyaluronic acid filler readily restores volume to the tear trough or upper cheek area.
  9. Under Eye PRP

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