Most people think that dark under-eye circles are caused by staying up late watching monster movies, or having that last drink the night before, or sitting up with your laptop trying to finish the quarterly report. Most people think that their behavior is somehow linked to dark under-eye circles.
Dark under-eye circles1 are actually a by-product of the very same mechanism that produces bruises. Changing your behavior will, in almost every case, NOT get rid of your dark under-eye circles.
Dark under-eye circles begin in the capillaries, the tiny blood vessels that web the delicate skin around the eyes. Now, your capillaries are so small that red blood cells sometimes have to line up, single file, to get through. Frequently, red blood cells get lost and wander into the surrounding skin. This isn’t a problem–it happens all the time–and your body has a mechanism to mop up these escapees. Enzymes in your body break down the red blood cells, including their hemoglobin (the molecule that gives them their distinctive red color).
If you’re plagued by chronic dark circles, talk with a dermatologist about more aggressive options. For patients with excessive pigmentation, lightening creams, chemical peels or laser resurfacing may be an option2. Lightening agents, such as hydroquinone acid, work gradually by training under-eye cells to produce less pigment. Non-prescription strength lighteners are available but can take two to three months to effect a noticeable improvement. Chemical peels and laser resurfacing remove layers of damaged skin and help to make pigmentation less visible. Each option comes with cautions, and Dr. Rokhsar can determine the best approach for your skin.
*Results may vary.
Dark circles are caused3 by one of three primary reasons:
Dark circles under the eyes are a common cosmetic concern that can make people appear tired or older than they actually are. Dark circles under the eyes can be caused by various factors including being tired, allergies, atopic dermatitis (eczema), vascularity on the upper and lower eyelids, hollowness, true brown pigment, eyebags (fat), anatomy like recessed skull bones like the orbital rim, and the normal aging process. Dehydration can also cause the skin beneath the eyes to appear dull and sunken. Lack of sleep, poor sleeping habits, and hyperpigmentation due to increased melanin production from rubbing, the sun, irritation from cosmetic creams or products, and allergies can also lead to the development of dark circles under the eyes. Visible blood vessels beneath the skin’s surface can create dark shadows that are particularly noticeable in individuals with darker skin tones. In children, nasal congestion can cause veins around the nose to become dilated, leading to the appearance of shadowy dark circles under the eyes. Certain lifestyle choices such as smoking, excessive alcohol consumption, and poor nutrition can contribute to the development of dark circles under the eyes.
To reduce the appearance of dark circles under the eyes, a variety of treatment options are available. These may include using cold compresses, applying creams containing retinol or vitamin C, getting enough sleep, staying hydrated, and reducing salt intake. However, persistent dark circles that do not improve with lifestyle changes may improve with non-surgical procedures such as dermal fillers or laser treatments. Dr. Rokhsar likes to use restylane or collure in the lower eyelids for treatment of hollowness. He can use vascular lasers such as the Vbeam laser or the Cool Touch Varia for the treatment of purpleness or vascularity. Dr. Rokhsar also likes to resurface the skin of the eyelids with either the Fraxel laser or the co2 laser to generate new skin. This is a complex problem and you need to see Dr. Rokhsar in person to find out what the best strategy is for your specific issues and your individualized goals.
Under eye bags can be caused by a variety of factors, such as aging, genetics, fluid retention, and allergies. Here are some tips on how to prevent under eye bags:
Remember, prevention is key, but if you already have under eye bags, it is essential to identify and address the underlying cause. In some cases, medical treatment may be necessary. During a consultation, Dr. Rokhsar can discuss with you options for improving the appearance of dark circles under the eyes.
Eye bags can be a pesky problem that can make one look tired or older than they are. Here are some ways to remove eye bags permanently:
Genetic eye bags are a common cosmetic concern that can be difficult to get rid of completely. While there is no guaranteed method for completely eliminating eye bags caused by genetics, there are non-surgical procedures that can reduce their appearance.
Laser resurfacing can help to tighten skin around the eyes to remove fine lines and wrinkles which can also help reduce the appearance of under eye bags. Dermal fillers correctly placed under the eye can lift up the skin and give a more even appearance. Dr. Rokhsar is an expert in filler injections and teaches other doctors how to correctly inject fillers to achieve the desired results. During a consultation, he will advise you on which fillers are ideal for the under eyes.
If you are looking for longer-lasting solutions, eyelid surgery may be an option for persistent or bothersome under-eye puffiness.
It’s important to keep in mind that genetics play a significant role in the appearance of eye bags, so it may not be possible to completely eliminate them. However, with consistent efforts and lifestyle changes, you may be able to reduce their appearance and improve the overall health of your skin.
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