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Dark circles

Dark circles under eyes are a common problem. These can result in a tired and dull appearance even though you may be full of energy. So what causes these?

Dark circle may actually be due to excess pigmentation in the skin under the eyes. This is more common among dark Asians. It can sometimes be due to underlying medical problems, nutritional deficiencies or due to congestion caused by allergies or hay fever etc.
Vast majority of suffers however do not have any underlying medical problem. The usual cause in not true dark circles but such appearance due to shadows cast by overhead light. The medical name for this is naso-jugal grove or more commonly referred to as ‘Tear troughs’

Tear troughs is the area where lower eyelid stops and cheek begins. The skin along this area is attached to the underlying bone by a dense ligament. Young plump skin and underlying tissue hides it. This however changes as 30s and 40s roll on. Skin, soft tissue and even underlying bone of this area change and shadows start to appear. Sometimes this can be a result of surgery in this area.

So what can be done for tear trough correction?
This is one condition where surgery will not help. A better solution is injection of hyaluronic acid fillers to plump out this area so that shadows become less conspicuous. And remember- less is more here. Too much filler and a bluish tinge will be visible or the area will swell. Bruising as a result of treatment is now very much a thing of the past. New technology and injection techniques now make it possible to have this as a ‘lunch-time’ procedure without any downtime although it is best to allow a few days to be on the safe side.

Is this procedure painful?
No, this is performed under local anaesthetic and this area is usually less sensitive so pain is not an issue.

What fillers are used?
We use restylane and emervel fillers as it is a natural product and allergy test is not required. Another big advantage is that it can easily and instantly dissolved should there be any problem.

How long does the filler last?
Usually up to a year or more and then it can be repeated.

What other treatment option are available?
Specialist skin creams including depigmenting agents, gentle chemical peels , pigment removal with q swithed lasers and fractional eyelift also known as ‘Madonna lift’ can rejuvenate skin around the eyes and sometimes combination approach works best.

tear trough before dermal filler tear trough after dermal filler
tear trough before treatment

 

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