Millions of people have dark circles under their eyes. The causes of this condition vary, and there is great confusion about what actually causes dark eyelid skin and depressions, called circles, beneath the lower eyelid. Exciting, effective, new laser and light treatments are available. However, before I talk about how to correct the problem I want to make sure you understand what causes dark circles under your eyes. The cause will determine which laser or light treatment is best for you.

Causes of Dark Circles

· Thin Eyelid Skin- Eyelid skin is so thin that you actually see through the skin and see the color of the eyelid muscle, which is purple. Look at every face you see and you will see that the lower eyelid is the darkest colored skin on the face. People with very thin skin have darker lower eyelids.

· Visible Small Blood Vessels- Many people hav
Juvederm filling of lower eyelid hollow and corner of mouth- Min S. Ahn, MD FACS

e hundreds of small blue veins visible on the lower eyelid. These blood vessels cast a blue dark appearance to the lower eyelid.

· Pigment-People who have excess sun exposure and do not wear sun block often develop brown pigment on the lower eyelid. People of dark skin types such as African American, Hispanic, Asian, Arab, and Central Asian people are very susceptible to pigmentation of the lower eyelid.

· Hollow Eye-Many people have a hollow eye appearance. This is caused by a lack of fat surrounding the eyeball. The hollow eye is most often inherited, and is very common in people of Central Asian origin, in my experience.

· Arcus Marginalis Deformity- Many people have a deep depression beneath the lower eyelid which they have noticed since childhood. It is an anatomic or structural condition which is usually inherited. It is caused by a small structure caused the arcus marginalis which tethers the lower eyelid skin to the bone of the eye socket. The skin of the eyelid above the arcus falls over and downward creating a deep shadow which is referred to as a dark circle under the eye.

· The Aging or Puffy Eye or Eyelid Bag- As we age our skin loses elasticity and becomes lax. As the lower eyelid becomes lax it fails to support normal fat which lies below the eyeball. This fat pushes the lower eyelid forward and forms a puffy eye or eye bag. The eye bag or puffy eye creates a dark shadow beneath the bulge where the arcus marginalis is tethering the skin to the underlying bone. This is the most common form of dark circle under the eye I see in my plastic surgery practice.

Laser and Light Based Treatments to Correct Dark Circles under the Eyes

· Intense Pulsed Light-IPL-Photo Facial- These therapies are not lasers. They use a flash of light which specifically targets the color of a pigment or blood vessel in the skin. The light is adjusted to be absorbed by the color red or brown. When the light energy is absorbed by the colored target, the target is heated and destroyed. IPL is set for red to close blood vessels, and brown to remove pigment. IPL can correct dark eyelid skin that is caused by visible small blood vessels and pigment. IPL on the eyelids should be done by a doctor. Eye shields must be placed over the eyeball to protect the eye. No anesthesia is required, you just feel a small snap as the light hits your skin. Usually three treatments scheduled 5 weeks apart are required for the best results.

· Fractional Ablative and Non-ablative Laser Resurfacing- Laser resurfacing can remove wrinkles and stimulate new collagen production in the skin. In some cases fractional laser resurfacing can be used to plump or thicken thin eyelid skin. Non-ablative laser resurfacing causes temporary pink skin but no skin removal or recovery is required. Non-ablative fractional laser resurfacing requires four treatments scheduled six weeks apart. Ablative fractional resurfacing requires topical local anesthesia, the skin is broken and 5-7 days of redness during recovery. Ablative fractional laser resurfacing is usually only done one time.

· Laser Transconjunctival Blepharoplasty with Arcus marginalis Release and Fat Grafting- This is a plastic surgery operation that is done to remove puffy eyes or eye bags. A laser beam is used to make a small incision on the inside pink part of the lower eyelid called the conjunctiva. The arcus marginalis which is tethering the lower eyelid skin and causing the dark circle is released, and the removed fat is then placed back inside beneath the arcus marginalis to plump the depression which was causing the dark circle. Some surgeons perform this procedure through an external lower eyelid incision, but I do not because the external incision weakens the support of the lower eyelid. This can cause a change in the shape of the eyelid to a sad eyed look. The internal incision, the transconjunctival incision does not change the beautiful shape of the eyelid. This technique is used to correct The Aging or Puffy Eye or Eyelid Bag and also used to correct the Arcus Marginalis Deformity in younger people.

· Fat Grafting for the Hollow Eye- For people who have a hollow eye appearance because they lack enough fat around the eyeball, I harvest fat from around the umbilicus or belly button. I then make a laser transconjunctival incision inside the lower eyelid and place the fat in a position to plump the hollow appearance.

Words of Warning and Advice

· Do Not Have Injections around Your Eyes- Many doctors are injecting soft tissue fillers to plump depressions beneath the eyelid. This is an off label use which means the companies that make the fillers do not recommend it. There has been a reported case of blindness in England caused by injecting a soft tissue filler around the eye.

· Do Not Have Fat Injections to Correct Dark Circles under the Eyes-Fat injection is a blind procedure in which your own fat is injected beneath the eyelid skin. The eye can be injured and frequently the fat is placed in the wrong position and the depression beneath the eyelid looks worse. I have had to surgically remove fat placed by other physicians. Some, very few, surgeons can do it well, but I will not risk the potential complications.

· Choose an Experienced Board Certified Doctor- Eyelid surgery and laser surgery are very sophisticated fields which require training, board certification, and most important-experience, in my opinion. Always seek two opinions and do your homework on the doctor you choose.

Search the net and learn more about eyelid rejuvenation. Safe, effective, modern laser treatments and light therapies are available to brighten your tired eyes.

 

Dr Brooke R. Seckel

Cosmetic surgery in India is getting a good response with the arrival of more persons from abroad to get assistance and clinical care for desired results concerning improvement of physical looks. Indian hospitals are assisting international patients for getting blepharoplasty in India at discounted price with the advanced medical healthcare facilities. Blepharoplasty is another name of eyelid surgery which improves the appearance of the upper eyelids, lower eyelids, or both, and gives a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert Blepharoplasty in India at low cost is done at some of the best hospitals of the metro cities like Delhi, Mumbai and Hyderabad.

 

What does blepharoplasty involve?

The bags in the lower eyelid can be dealt from inside or outside. The inside approach involves making an incision (cut) in the inner lining (conjunctiva) of the eyelid. So there is no external scar. However if in addition to bags, loose skin is also present then only the outside approach can be used. This involves making a cut in the skin few mms below the eyelashes. The resultant scar also fades with time. The eyelid comprises of four layers from outside in- skin, muscle, membrane and fat. After the incision the skin and muscle is dissected and excess is trimmed away. A cut is made in membrane allowing the excess fat to bulge, which is then removed. The skin is approximated with very fine stitches. However when the inside approach is used then no stitches need to be taken. The upper eyelid is dealt with in a similar fashion except for the incision, which is taken in the eyelid crease leaving an invisible scar.

 

 India has always lured its fair share of tourists, drawn to the country's awe-inspiring temples, breathtaking scenery and rich culture. Cosmetic surgery in India is a simple straight forward way to improve the looks of deformed body parts. Cosmetic surgery can improve the appearance of your body parts. Indian surgeons adopt advanced medical procedures to provide good quality and cost effective blepharoplasty in India and contribute to international healthcare. Blepharoplasty in India at Delhi, Mumbai Chennai will definitely benefit abroad aspirants arriving to get world class healthcare. To get more details of cosmetic surgery in India visit http://www.tour2india4health.com or mail at enquiry@tour2india4health.com

oculoplastic.info 17 years ago Marla Halsey was involved in a horrific car accident that destroyed the left side of her face and caused a traumatic brain injury. Following 8 separate reconstructive surgeries to rebuild her face, she was not able to close her left eyelid completely as...

Blepharoplasty is usually considered as cosmetic treatment that nearly all insurance companies will not pay for the surgery, though, if your eyelids are intruding upon your eyesight vision, the blepharoplasty surgery may be considered as "medically necessary". The surgery generally takes 1 week of healing time before regular daily activities can be continued, and as this is a surgical procedure, it is significant that patients be in well health and free of any infections before undergoing this surgery. Mostly People prefer to have <a href=http://blepharoplasty-magic.blogspot.com/2007/11/transconjunctival-lower-blepharoplasty.html>Lower Blepharoplasty</a> and upper blepharoplasty. The variation between before-and-after photos can be fairly dramatic, and people commonly appear much younger and more revitalized after blepharoplasty.
Blepharoplasty surgery is performed by some specialized surgeons having expertise in plastic and reconstructive surgery. These surgeons performed procedure in outpatient facilities or in private professional health centers. The surgery assists reinstate a more energetic and youthful looks, and is an outstanding procedure under local anesthesia with or without oral sedation, or in some cases normal anesthesia can be used. Blepharoplasty is safer than other facial and plastic surgeries, and complications are unusual. However a little risk of infection or bleeding is there with the surgery.
Although blepharoplasty will not prevent your eyes from aging, the procedure is generally very long lasting. This surgery is intended to accurate this condition and to restore the refresh and youthful appearance of your eyes. The procedure can be performed alone, or in conjunction with other facial surgery such as facelift, browlift.
After blepharoplasty, patients may feel a tight or aching feel in the eyelids. Medication can aid to manage any discomfort. The stitches can be removed in three to five days and patients who have ordinary tendency to bruise simply will experience slightly more bruising in the early recovery period. Patients may also experience some other momentary symptoms including aching, dryness, burning, tearing, blurred vision, or sensitivity to light.

Victoria Lawson

www.totaleyecarecenter.com - At Total Eye Care Center, we can address your aesthetic goals in the form of eyelid surgery (blepharoplasty). Available to Leesburg, Eustis, and Clermont patients, this cosmetic procedure serves to correct drooping eyelids, remove under-eye bags, and eliminate wrinkles around the eye area. To learn more about the eyelid surgery procedures, including the risks, benefits, and cost of the surgery, please visit httpYou may contact our ophthalmologists at Total Eye Care Center Michael P. Pennachio, MD Craig D. Fishman, MD Jeffrey A. Sheridan, MD Sonya M. Braudway, OD Leesburg Location 640 Lake Street Leesburg, FL 34748 Eustis Location 1100 S. Grove Street Eustis, FL 32726 Clermont Location 14244 Florida 50 Clermont, Lake, FL 34711 Phone: (352) 728-1717 Website: www.totaleyecarecenter.com