Treating Dark Circles Under Eye

Dr Ayham Al-Ayoubi, examines the treatment methods that are beneficial for the common concern of dark circles in the dark circle (peri-orbital )area.

Under-eye circles are a common aesthetic concern and can give the face a fatigued appearance, making them difficult to cover with the concealer.

Dark circles, along with puffy eyelids, remain challenging to treat, both surgically and non-surgically due to their resilient genetic influence and multifactorial nature.

Recent anatomic studies have ascertained that a primary factor contributing to the development of the tear through deformity, such as a dark circle under the eye, is an age-related unmasking of the tear trough ligament.

Hyaluronic acid fillers have become the key foundation for treating most under-eye dark circles. Traditional nonsurgical treatments using hyaluronic acid fillers are focused at filing the depth of the hollow by placing volume supraperiosteally or subcutaneousely, in an attempt to smooth the tear through deformity. Patients often want a quick fix with a single procedure, however, the tear through hollow (its medial aspect in particular), can be extremely unforgiving of any overfilling and can actually exaggerate the deformity.

Dr Ayham Al-Ayoubi, prefers to use a combination of fillers that have a reduced swelling capacity in a layered manner in the tear through to give a more natural result, and avoid overfilling. Once the causative factors are assessed (i.e. thyroid or renal disorders, systemic allergies, atopic skin, conditions, use of eye make up, eye drops, caffeine intake, smoking and alcohol consumption).

Dr Ayham Al-Ayoubi suggests a combination Filler technique.

Deep filler with a lifting capacity (i.e. Dermal Fillers Perlane, Emervel Deep, Juviderm Ultra) is placed at the lid cheek junction in the supra-periosteal plane-deep to the orbicularis muscle. The second layer is place between the orbicularis and periosteum (i.e. Dermal Fillers Lidocaine, Volbella, Emervel Classic).

To patients with loss of volume in the lower lid Dr Ayham Al-Ayoubi injects Dermal Fillers Vital Light into the thin eyelid. Pigmentation (brown or blue). When blood vessels are visible as dark purple or blue under-eye circles, intense pulsed light therapy (IPL or Photofacial) may be suggested to reduce dark circles.

There are also numerous skin boosting treatments to choose from, however Dr Ayham Al-Ayoubi prefers to use Dermal Fillers Light to help reduce the shadows from dark brown pigment and by plumping the skin mask of the blue discoloration from venous pooling. In conclusion Dr Ayham Al-Ayoubi adds “I always encourage patients to address contributory lifestyle factors such as for example smoking or sleeping with make-up as well as advocate UVA & UVB protective sunglasses and creams to improve the appearance of skin pigmentation in combination with the corresponding aesthetic procedures”.

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