The issue of dark circles under the eyes is a condition I see very commonly in my practice.
This aesthetic concern often occurs as a result of a combination of thin skin, genetics, family history, loss of elasticity and bulging eye pads, aging skin, and prominent blood vessels showing through the thin skin.
Sometimes the colour of the dark circles helps me understand what the underlying problem is so that appropriate treatment can be prescribed
Purple dark circles are often due to genetic factors and are commonly seen in medium to dark skin types.
- Treatment will often include skin-whitening creams containing retinol, Vitamin C, and azelaic, which can be helpful in minimizing the appearance of these dark circles
Blue under eye circles often will be due to prominent blood vessels and veins surfacing beneath thin skin.
- Treatment typically includes lasers such as the Nd:YAG and PDL (pulse dye laser) designed to treat prominent blood vessels and veins around the eye area.
- These can be utilized with care and only under the supervision of a medical physician.
Brown under eye circles may be due to allergies such as hay fever or asthma, lack of sleep, and poor sleep hygiene.
- Having proper sleep hygiene as well as reducing stress and antihistamine medications can sometimes be useful.
- Gentle massage also may be used to improve the drainage, and antioxidant creams, such as coffee berry extract, can be applied to improve circulation in that area.
Shadowed under eye circles may result from loss of fat pads, weak muscles around the eye, aging skin, and bulging infraorbital fat pads.
- Typically, there will be a definite visible valley or groove between the eye area and the cheek fat.
- Treatment will usually consist of careful and cautious injection of dermal fillers. Light hyaluronic acid dermal fillers such as Restylane®, JUVÉDERM®, and Esthelis® can be used to fill the shadowing under the eyes as well as hydrate the skin.
- Care should be taken not to over inject the area as this will show up as a bluish discoloration called the Tyndall effect and may aggravate the problem.
Dr. Shehla Ebrahim is a family physician with a special interest in dermatology.
She has been practising aesthetic medicine for more than 10 years on the North shore in beautiful BC, Canada, and she has two successful practices on the north shore, Afterglow Physician Direct Medical Aesthetics and Ambleside Dermedics Health Centre.
If you like what you read, please like us on facebook.com/afterglowmedical. For more information about under eye treatments, or to schedule a complimentary consultation with Dr. Ebrahim, please contact us today.