undereye circles

Under eye circles are something we often have inquiries about in medical aesthetics.  There are a number of “pearls” that can help alleviate the problem.

Determining the cause helps plan the appropriate strategy to minimizing the appearance of these pesky circles.  The following are all possibly to blame:

  • Heredity/Genetics
  • Sun Damage
  • Allergies
  • Vascular/Venous congestion
  • Thinning skin
  • Volume loss under the eyes
  • Cheek descent
  • Smoking
  • ETOH
  • Sleep deprivation
  • Dehydration
  • Swelling or bulging of the fat pads

There is some level of improvement that can be obtained for most of these issues.  Heredity/Genetics obviously  “is what it is”, but one can minimize the circles still.

Sun protection would be the number one piece of advice.  If there is excitement of the melanocytes (which create pigment) the circles will only look worse.  Additionally, the UVA/UVB rays from the sun break down collagen and elastin thinning the skin.  Sunscreen to the area and a good pair of sunglasses can only help.

Allergies can be addressed with antihistamines.  Both oral and the use of antihistamine eye drops can alleviate swelling and redness that may be contributing to your under eye circles.

Vascular/venous congestion is common and shows easily under the thinner skin which surrounds our eyes.  An eye cream with caffeine can help.  We love Lumiere by Neocutis here at Toccare.  A good eye cream and sunscreen can also address thinning skin.  There are also lasers that can target vascular issues. (VBeam, IPL, Yag)

Volume loss and cheek descent are effectively addressed by restoring the midface/cheek and tear trough volume with dermal filler.  We commonly safely place filler in both of these areas.  Generally the filler lasts up to a year in these areas and makes a significant difference.

The ETOH and smoking are no brainers.  Eliminating or cutting back on either of these will only help.

Sleep deprivation is  something most of us wish we could improve on!  Adequate sleep does help and sleeping with your head slightly elevated is that much better.

Drink plenty of water as dehydration is also a culprit!

Finally, swelling or bulging of the fats pads are best addressed with the assistance of an eye surgeon.  There comes a time when the best remedy involves the expertise of a surgeon.  This involves a period of down time but is the most effective way to resolve herniated fat pads in the lower (and upper) lids.  I will be doing a blog on the whole blepharoplasty experience soon.  In the mean time, TOCaustin.com is a great resource of information about procedures and our surgeons here at TOC.

Other ingredients to look for in eye creams include vitamin C and small % of retinols.  Both of these ingredients help to build up collagen.  Kojic acid and licorice can also help brighten the skin.

There are also great ways to conceal circles when you can not just eliminate them.  Look for color correcting eye makeup products meant to minimize the appearance of dark circles.  When removing eye make-up always be gentle as the skin around our eyes is thinner and more fragile.

Hope this helps those of you who are aggravated by under eye issues!

Have a great weekend!  Off to Fredericksburg, Texas for some wine tasting and girl time!

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