medicine of Dark Circles Under the Eyes

Cheek Iii Emerson Cheek Law Offices - medicine of Dark Circles Under the Eyes

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Effective treatment for extraction of dark circles under the eyes must be directed at the basal cause of the dark circles. Millions of habitancy complain of dark circles under the eyes but the basal cause of the dark circles varies greatly. Treatments for dark circles that do not definite the basal cause of the dark circle do not work. There is an startling array of treatments for dark circles including cucumber slices, tea bags, vanishing creams, bleaching creams, lasers, surgery, more sleep, avoid Tv and computer, drink 2 liters of water a day etc, yet few of these regimens seem to be directed at the basal cause of the dark circles under the eyes.

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Cheek Iii Emerson Cheek Law Offices

To better understand the treatment of dark circles under the eyes I will discuss the varied types of dark circles under the eyes that I encounter in my plastic surgery convention and my comprehension of the cause of the dark circles, and what I feel is the most productive treatment to take off the dark circles under the eyes.

Understand that the eyelid skin appears darker than the surrounding facial skin in all people-this is the normal condition and is caused by shadows created by the overhanging brow and the fact that the eyelid skin is much thinner than the surrounding facial skin. Below I am talking about exaggerated dark circles under the eyes that cause habitancy to be unhappy with their appearance.

Causes of Dark Circles under the Eyes

Thin Eyelid Skin

The eyelid skin is the thinnest in the body and many habitancy with dark circles under the eyes have very thin skin on their eyelids and colse to the eyes. This thin skin is an inherited trait. The dark circles under the eyes are caused by the fact that the purple color of the basal eyelid muscle shows through the thin skin and creates a bluish or purple color. The color is darkest near the nose and on the lower eyelid near the nose.

Treatment of dark circles under the eyes caused by thin skin is very difficult because it is very difficult to make your inherited skin thicker. Cover up make up like Jayne Iredale Eye Cover, Dermablend, and Covermark are very helpful and my first recommendation. Frequent microdermabrasion and Retin A cream over a long period of time will build new collagen in the skin will thicken the skin and provide some improvement.

There are new lasers on the horizon which are very productive at stimulating new growth of collagen in the skin and these new technologies may prove very beneficial. Be sure to sign up for my free newsletter to be informed when these new technologies are available.

The Arcus Deformity discussed below creates a very severe dark circle in habitancy with thin eyelid skin and improvement of the Arcus deformity with Arcus release and fat grafting can be very helpful treatment for dark circles under the eye in these individuals.

Prominent Eyelid Blood vessels and Veins

Everyone has veins and blood vessels called capillaries in their eyelid skin. In many habitancy any way the veins are very foremost and the blood vessels add to the dark color of the eyelid.

To diagnose this cause of dark circles look in a mirror with fascinating light on your face and gently pull the skin of the lower eyelid tight. You will see many tiny branching red and blue lines which narrate blood vessels.

You need blood vessels and veins to keep your eyelid salutary and alive. any way when there is an plentifulness of smaller vessels which generate a bluish or purplish hue to the lower eyelid some new Ipl (Intense Pulsed Light) or laser therapies can be used to treat dark circles under the eyes in habitancy with an excess of small capillaries and blood vessels. The very large veins cannot be treated.

Laser blood vessel treatment is a serious and potentially hazardous treatment for dark circles under the eyes and must be performed by a doctor who is experienced in the use of lasers and Ipl. Most importantly the eye must be protected by placing a shield over the eye during treatment so that the laser or Ipl light cannot hit the eye. The laser and Ipl light can damage the retina and destroy vision if the beams hit the unprotected eye.

Pigmentation of the Eyelids

Hyper pigmentation, too much pigment in the skin of the eyelid is a very common cause of dark circles under the eyes. treatment of dark circles under the eyes caused by hyper pigmentation is very effective, but the pigment frequently returns after sun exposure.

Hyper pigmentation of the lower eyelids occurs because of sun exposure and prevention with sun block, sun glasses, and a hat are the most foremost first treatment for this type of dark circles under the eyes.

The treatment of hyper pigmentation begins with bleaching creams such as a mixture of Retin A and 4% Hydroquinone, Obagi Blender 5, Epiquin or other prescription bleaching cream combined with microdermabrasion.

After the above treatments have lessened the pigmentation causing the dark circles under the eyes, if considerable I go forward to Ipl (Intense Pulsed Light) treatments. These treatments do effectively take off pigment causing the dark circle but again sense and eye safety are very considerable to forestall eye injury.

Hollow Eyes

Many habitancy have a deep hollow below the lower eyelid which creates a dark shadow below the eyelid which habitancy call dark circles under the eyes.

This deep hollow below the lower eyelid is caused by an inherited insufficiency of fat and or bone and treatment of this type of dark circle under the eye requires surgery.

The hollow eye occurs more commonly in habitancy from Central Asia and the Middle East but it of course occurs in all races and from habitancy in all regions of the world.

To treat dark circles under the eyes in habitancy who have hollow eyes I do a laser procedure called an Arcus Marginalis release and fat grafting. The Arcus Marginalis is a buildings which tethers the lower eyelid to the bone and creates a dark circle when the eyelid skin above the dark circle falls over the dark circle creating a shadow. Releasing the Arcus Marginalis releases the eyelid skin and eliminates the crease or dark circle.

I then transplant fat to fill the hollow in the bone and plump the dark circle and definite the hollow eye appearance.

Usually, to treat the dark circle under the eyes caused by the hollow eye I have to take fat from colse to the belly button on the abdomen to have enough fat to adequately fill the hollow eye deformity. The incision to take off the fat is well hidden down inside the belly button and is commonly not visible.

Treatment of dark circles under the eyes caused by the hollow eye commonly takes me 45 minutes to an hour, can be done with you asleep or awake, and recovery is commonly 10 days. Patients do not complain of pain afterwards. The main recovery is waiting for bruising to go away and blurred vision from eye ointment that I have you use for the first week or two. Most importantly after this treatment you need to be calm, rest and not exert yourself. Working out or heavy lifting can raise your blood pressure and cause bleeding. Although you will be up and colse to the first few days with sunglasses to cover your bruising, I do not want you to practice or lift heavy objects for at least 2 weeks.

The Arcus Deformity-the True dark Circle under the Eye

The most common cause of dark circles under the eyes in patients who seek treatment of dark circles under the eyes in my plastic surgery convention is the Arcus Deformity.

The Arcus Deformity is a dark crescent shaped circle or depression which occurs below the lower eyelid starting beside the nose in the projection of the eye and running out toward the side of the face and curving upward towards the exterior projection of the eye.

The Arcus Deformity is caused by the fact that a small buildings below the lower eyelid called the Arcus Marginalis is attached to the bone of the eye socket and also attached to the lower eyelid from underneath. This attachment tethers or holds the eyelid close to the bone of the eye socket while the rest of the lower eyelid is loose and free to move. The normal fat which is below the eyeball pushes out against the lower eyelid which creates a descriptive bulge on the lower eyelid. You can see this by end one eye and gently pressing on the terminated eye. With your other eye you will see the bulging of the fat against the terminated lower eyelid on the other side.

The eyelid skin that is tethered by the Arcus Marginalis cannot move or bulge, and as the fat bulges the lower eyelid above the Arcus Marginalis it creates a shadow or dark circle below the eyelid where the Arcus Marginalis is attached to the lower eyelid skin. This is the true dark circle under the eyes.

As we age and our eyelid skin becomes loose or lax, the eyelid skin also falls or sags over the depression caused by the Arcus deformity and the dark circle gets worse. With aging and excess protrusion of fat against the lower eyelid the Arcus deformity can become quite pronounced.

The Arcus Deformity is the true dark circle under the eye and I use the term Arcus Deformity to differentiate it from the Tear Trough Deformity which is different. The Tear Trough Deformity starts near the projection of the eye in the same location as the Arcus Deformity but the Tear Trough Deformity runs down into the cheek rather than up toward the exterior projection of the eye.

The Tear Trough Deformity is a sign of advanced facial aging and is caused by the sagging or descent of the cheek into the middle of the face which occurs with facial aging in your 50's and 60's. Tears run down the cheek and out the side of the face through the Tear Trough instead of level down the cheek as they do in a child.

By variation the Arcus Deformity occurs in much younger patients including children. Most habitancy seeking treatment for dark circles under the eyes in my plastic surgery convention are in their 20's and 30's. Doctors often misdiagnose the Arcus Deformity as the Tear Trough Deformity which is a major problem if a Tear Trough Implant is used to treat the dark circle. The Tear Trough Implant is designed to plump or definite the depression in the cheek out toward the side of the face, and in my sense the Tear Trough Implant cannot adequately definite the dark circle under the eye where it is deepest, near the projection of the lower eyelid near the nose.

The treatment for dark circles under the eyes caused by the Arcus Deformity must contain release of the Arcus Marginalis and fat repositioning or fat grafting to plump the area of the dark circle.

The original plastic surgery treatment for eyelid rejuvenation called the blepharoplasty, during which fat is removed, can of course make dark circles under the eyes worse and generate a hollowed eye appearance.

Treatment of dark circles under the eyes that are caused by the Arcus deformity requires a contemporary blepharoplasty approach which includes release of the Arcus Marginalis and fat repositioning or fat grafting.

I use a very exact treatment for dark circles under the eyes called the transconjunctival blepharoplasty with Arcus release and fat grafting. This treatment is done through a tiny incision on the inside of the eyelid called a transconjunctival incision because it goes through the conjunctiva, the pink tissue on the inside of the lower eyelid. I also use the laser to make this incision.

The benefits of the laser transconjunctival incision are:

1. No descriptive scar or incision on the exterior of the eyelid

2. No turn in the shape of the lower eyelid-the original scalpel blepharoplasty through an external incision commonly weakens the lower eyelid and causes a sad eyed look

3. Less bleeding during surgery

4. Less bruising after surgery

5. Quicker recovery

My results following treatment of dark circles under the eyes with the laser transconjunctival blepharoplasty with Arcus Marginalis release and fat grafting have been very successful. Most patients have recovered within a week and many who do not bruise are comfortable being seen with make up after 5 days.

Summary- treatment of Dark Circles under the Eyes

To summarize, productive treatment of dark circles under the eyes requires that you definite the problem that is causing the dark circle under the eye. To accomplish this you must understand what type of dark circle under the eye you have and what is causing it. The following is a overview table:

Thin eyelid skin-Retin A, microdermabrasion, laser?

Prominent Eyelid Blood Vessels-Ipl, Laser

Pigmentation of the Eyelid-Bleaching creams, Ipl, laser, Microdermabrasion

Hollow Eyes-Arcus Marginalis release and fat Grafting

Arcus deformity-Transconjunctival laser Blepharoplasty with Arcus release and fat grafting or repositioning

Treatment of dark circles under the eyes is possible; the key is comprehension the basal cause of your dark circles. With allowable pathology and treatment of dark circles under the eyes caused by the Arcus deformity beautiful results can be achieved with the transconjunctival Arcus release and fat grafting.

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