Dark Circles Under the Eyes- Why We Have Them and How To Treat Them

By March 13, 2019 Eye Treatments

Do you suffer from dark circles under the eyes? This little problem can cause a tired, aged, and worn-down look. You may have heard that dark circles under the eyes appear when we are tired. Although this may be true in some cases, there isn’t one specific global reason for this problem.  In this article, we will dive into the causes of dark circles and the treatment options for each one.

1.Volume Loss

The process of aging can cause fat loss in the face, often resulting in a hollow space left under the eye between the lower eyelid and the top of the cheekbone. Patients who suffer from this fat loss will often complain that they look tired or aged.

Luckily, with new advancements in esthetic medicine, there are now dermal filler products specifically designed for this delicate area, as well as treatment protocols to ensure safety. It is important to find a physician who is experienced in this particular injection technique. Dr. Bernie Lalonde of Chrysalis Rejuvenation Clinic has been performing filler treatment for the tear trough area for over 10 years. With great caution, precision and a keen eye for the art of facial injections, Dr. Lalonde is able to create a natural, rested appearance that brings youthful volume back to this small but very important focal point.

Can any fillers be used in the tear trough area?

Short answer, no. Not all HA filler products are made equal. Fillers vary in density, cohesively and molecular weight. A product that may be used for augmentation of the cheekbone or jawline, is not always fitting for a delicate area like the eyes. At Chrysalis, Dr. Lalonde uses Teoxane’s REDENSITY 2 – specially indicated and FDA cleared for treatment of the tear trough area.

What is the downtime? Will I need to take time off work?

The periorbital (eye) area is a very vascular region of the face. Taking this into consideration,  Dr. Lalonde uses a tiny needle to create an opening somewhere around the cheek and inserts a blunt-end cannula (a small tube the width of that tiny needle) to move up into the tear trough and deposit the filler exactly where it needs to go. This technique ensures that blood vessels are not broken around the eyes and the best part is, the treatment is virtually painless. Aside from a more youthful, rested appearance (which you can enjoy immediately), any sign of treatment is virtually undetectable!

How long do the results last?

Because the tear trough area does not have much range of motion, the product is not likely to dwindle away too fast. It can last as long as 18 months, but most patients will return once a year for a top-up.

2.Hyper-pigmentation of the eyelids

What is the Cause?

UV exposure and genetic factors are the main causes of hyperpigmentation in the eye area. This issue is most common in ethnic men and women whose skin naturally contains more melanin. Although people suffering with this problem may not have volume loss (as mentioned above) darker skin on the eyelids can cause the illusion of deep or sunken eyes.

How can I treat this?

Treatment for this hyperpigmentation is possible and quite simple, but it can take time. Laser treatments are an option for severe cases, but melanin- suppressant products are the easiest and most effective way to reduce dark circles and prevent the problem from recurring. Active ingredients such as hydroquinone, arbutin and kojic acid are formulated into a topical substances and applied to the skin daily. These ingredients interfere with the biochemical process that produces melanin in the skin cells – therefore, stopping the problem at the source!

At Chrysalis Rejuvenation Clinic, all new patients receive a complimentary consultation and skin assessment to discuss their specific needs and receive guidance on what brightening agents will work best for their situation.

3.Vascular darkness 

Tiny veins under the eyes are probably the single most common reason we see darkness. We all have tiny vascular lesions in this area, but some skin types (particularly those with fair skin) will notice it more.

How can I treat this?

The treatment is very fast, with little to no downtime required. An ND Yag (1064nm depth) laser is applied directly to the vein from beginning to end, closing it off, often removing it immediately!

Is there any danger to my eyes/my vision?

The procedure is only performed after an inner-ocular shield is placed inside the eyelid much like a contact lens. A few drops of anesthetic are placed on the shield and it slips in very easily with no discomfort to you. This shield makes it completely safe for the doctor to treat veins on the upper and lower eyelid, right up to the lash line.

How many treatments are required?

It is not uncommon to see full results after just one treatment, but in some cases, subsequent treatment is required.

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