Dark circles can cause many individuals to look tired or sad, and they can be caused by a range of factors. These include hyperpigmentation or inflammation that affects blood vessels under the eyes.
Hyperpigmentation under the eyes can be caused by:
- Blood- deposited hemosiderin
- Melanin- true dark pigment from melanocytes
- Allergic “shiners”
- Lack of Sleep
- Nasal Congestion
Allergic “shiners” are caused by Inflammation that expands the tiny blood vessels under the eyes. Factors that can cause inflammation include:
- Hay fever
- Allergens from home or workplace
The first step towards treating your dark circles is to schedule a physical exam with both Dr. Berman and Giselle, our aesthetician. Every individual is different, especially with this issue, so Dr. Berman and Giselle like to see the patient to determine the best course of action. The patients need proper facial photographs as well as VISIA computer facial analysis.
The cause of your dark circles dictates treatment. There are many treatment options available, including IPL, hydroquinone, ThermiSmooth, Fractionated CO2, blepharoplasty, fillers like Belotero, Juvederm, Volbella, fat grafting, or coverup cosmetics.
Hydroquinone is prescribed short-term (2-3 weeks). While hydroquinone can lighten pigmented areas of the skin, it may not help under the eyes because the cause of the dark circles may not be caused by skin pigmentation. Side effects of using hydroquinone include drying out of the skin, redness, itching, and irritation. It is strongly advised that anyone using hydroquinone avoid overexposure to UV light, whether artificial or not. A follow-up appointment in 2-3 weeks is needed for re-evaluation. Eyelid skin is very thin and needs proper care.
Skin Tightening Procedures
There are also skin tightening procedures that can help to minimize the appearance of dark circles. These include:
ThermiSmooth: A noninvasive treatment that uses temperature-controlled radiofrequency energy to shrink collagen, smoothing the skin.
Fractionated CO2: A minimally invasive treatment that targets limited areas of the outermost layer of skin, stimulating collagen production for a more youthful appearance.
Blepharoplasty: A surgical option that is done to improve the appearance of the eyelids, but can also address fatty deposits under the eyes, bags under the eyes, or dark circles.
Fat transfers: A surgical option that uses the patient’s own fat to fill in voids or depressions.
Fillers are another option to address dark circles. At our office, we use blunt cannulas rather than needles to assure a more even distribution of the product. Minimally invasive fillers such as Belotero, Juvederm Ultra, Volbella, Restylane, and Refyne are used to “plump up” the depressions in the tear troughs and decrease depressions in the lower lids.
Eye Creams or Coverup Cosmetics
For patients who do not wish to undergo a procedure to address their undereye circles, eye creams or coverup cosmetics can do the trick. We offer professional, dermatologist-approved products such as Obagi, Truffoire, and Skinceuticals.
If you are tired of living with dark circles and are looking for a solution, we can help. Contact Berman Plastic Surgery and Spa in Boca Raton today to schedule your initial consultation.
Dr. Berman is plastic surgeon and ENT, double-board certified by the American Board of Plastic Surgery and the American Board of Otolaryngology / Head and Neck Surgery. He provides state-of-the-art digital computer imaging at his practice in Boca Raton, Florida to demonstrate to patients what they can realistically expect from treatment. His surgical center is accredited by the American Association for Accreditation of Ambulatory Surgical Facilities since 1995.
Dr. Berman has patients in South Florida, Boca Raton, Boynton Beach, Palm Beach, Fort Lauderdale, and Miami. Call today to schedule a consultation or with any questions. We’d be happy to hear from you.