- Eyelids have the thinnest skin on the human body, and can show the first signs of aging.
- Some people have a genetic tendency for darkness or shadowing under the eyes that isn’t age-related.
- The key distinction is whether the “dark circle” is due to brown discoloration of the skin, veins showing through the surface of the skin and causing a blue hue, or a true shadow from hollowing under the eyes.
- For brown discoloration under the eyes, Dr. Sherber will customize a regimen of topical brightening treatments, and may recommend Perméa laser treatments for more intensive brightening.
- For visible veins, a very gentle treatment with the Nd:YAG laser can fade the bluish hue under the eyes.
Skincare products can make a significant difference in the appearance of “dark circles.” Supersaturating the under eye area with hydrating eye creams can product notable plumping, whereas application of caffeine-containing products can depuff.
Hollowing under the eyes can be improved with injectable dermal fillers to soften the shadows. Softer fillers such as Belotero Balance are optimal for this purpose because they are the best suited to the thin-skinned under eye area. Since the filler is placed deep above the orbital bone and therefore doesn’t get worn down by strong muscle contractions as it does in other sites, it generally lasts for months to years.
- For those with significantly sunken or protruding under eye contour, a lower blepharoplasty may be the best choice to produce the most natural-looking result as opposed to the addition of volume with fillers.
- Crepey skin in the under eye area can be made more dense with fractionated non-ablative laser treatments such as Clear+Brilliant and a combination of Perméa and targeted topical treatments.