Aside from staying up too late and genetics, dark circles are caused by various factors, including aging, smoking, losing excessive amounts of weight, exhaustion, low iron levels and extensive exposure to sunlight (thus causing hyperpigmentation). Some patients may have a condition called arcus marginallis deformity, which is a hollow depression under the eyes and is genetic. However, the overall major contributor to dark circles is the breakdown of capillaries and blood vessels.
There are several methods to minimize and treat dark circles, and the type of treatment needed depends on how extensive the discoloration is. Some involve no surgical treatment, such as the use of topical bleach creams (hydroquinone), chemical peels, microdermabrasion or intense pulsed light (IPL). For intense discoloration, laser surgery may be an option. Laser surgery, or resurfacing, involves the use of light beams in wavelengths of visible, infrared or ultraviolet that smooth over the skin. The energy released from the beams hit the skin and is absorbed through the layers of skin, thus correcting the discoloration. Different types of lasers are used based on skin color, which will determine which laser will provide better absorption. For African-American, Hispanic and Mediterranean patients, a CO2 (carbon dioxide) or Er:YAG laser treatment may be recommended instead of Fractional laser treatment, since the use of these two may be less potentially damaging than the Fractional laser. The beams remove layers of damaged tissue, thus promoting the skin to “heal” and promote new skin cell turnover.
A board certified cosmetic surgeon is the most appropriate source to perform this treatment. Each appointment procedure lasts approximately 30-60 minutes and is spaced 10-14 days apart. Before starting treatment, the surgeon recommends avoiding alcoholic beverages and NSAIDS (aspirins and ibuprofen) one week prior to surgery. After surgery, recovery time can take up to eight weeks. Patients can help minimize swelling and redness by applying ice packs, gel masks or vinegar. Swelling should subside approximately 2-3 days after, and patients are advised to keep their heads elevated for at least two weeks. Patients should take medication and change bandages accordingly, and also avoid sun exposure, rubbing and scratching the area and using makeup. Another important rule is to avoid extensive sun exposure and tanning beds, and patients should use an eye cream with an SPF, since the skin under the eyes may remain pink for up to 5 months. Post-surgery side effects may include hyper and hypopigmentation, bruising, blistering or in extreme cases, permanent scarring. Some patients may need to continue using topical lighteners after surgery.
Another factor to consider is to avoid treatment involving the use of injecting a soft tissue filler or fat under the eyes. If the surgeon recommends one of these treatments, it is highly recommended to get a second opinion or choose another surgeon.
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There are many reasons that you may be sporting those dark circles under your eyes; some are avoidable and some are not. However, there are plenty of steps that you can take to prevent, treat and conceal dark, puffy and tired looking eyes so you can walk out the door in the morning looking your
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Dark circles aren’t fun and often make us appear older than we really are. They are a common complaint among most women today. They can be caused by hormones, allergies, lack of sleep or hereditariness.
If you want to prevent future dark circles, you ca try one of the many under eye creams available
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