Seeing dark circles under our eyes is a problem many of us notice when we look in the mirror.
These dark circles can occur at almost any age, but as one of the earliest signs of aging, they typically start to show up in our 30’s or 40’s. Even though the rest of our body, and even the face might look great, dark circles under the eyes can make us look years older.
I Eat Right, and Get plenty of Sleep. Why do I have Dark Circles Under My Eyes?
I’m often asked what causes these dark circles. The truth is there are many possible causes. These range from nasal congestion, and too many late nights without enough sleep, to naturally occurring physiological changes that occur as we age, such as:
Shifts in fat under the eyelid skin
Weakening of the eyelid muscle
A tear trough deformity
Loss of elasticity of the skin which causes sagging eyelid skin
I look like my grandmother! What can I do?
In order to treat and correct dark circles under your eyes, you need to determine the exact cause. Treatment may take a non-surgical approach such as laser therapy, or an injectable filler; while other times, surgery may be required.
In some cases, a total eyelid rejuvenation (a comprehensive 3 step approach that blends laser eyelid surgery, Arcus Marginalis Release or Tear Trough Implants, and a LaserLyte® Peel ) may be the best approach to totally revitalize the areas around your eyes.
Totally Rejuvenate Your Eyelids
1. Eyelid Surgery (Blepharoplsty): A blepharoplasty is designed to correct puffiness and loose, hanging skin often associated with dark circles under the eyes. I’m one of the only surgeons in greater Boston
Typically less bruising
Additionally, I prefer the unique surgical approach of making the incision on the inside of the eyelid (known as "transconjunctival" as opposed to the standard outside of the eyelid). This helps preserve the natural shape of the lower eyelid and avoid the sad-eyed look after surgery.
2. Arcus Marginalis Release: While eyelid surgery is a great procedure for correcting baggy, puffy eyelids and loose skin, it does little to improve the dark circles under our eyes. A procedure called Arcus Marginalis Release, releases the arcus marginalis ligament that tethers the area of the dark circle to the bone of the eye socket. Because the dark circle is tethered and cannot sag along with the lower eyelid skin, the sagging lower eyelid skin falls over the dark circle making it more noticeable.
Depending on your specific circumstances, a tear trough implant may also be needed. A tear trough implant is made of a soft rubber-like material that fills in any hollowness beneath the eyelid. The tear trough implant is used to augment the bone mass under the eyelid.
3. LaserLyte Peel: Eyelid surgery does little to improve the actual look of the skin itself, which may still look old following surgery. We’ve added a superficial Laserlyte peel of the eyelid skin to remove wrinkles, eliminate brown spots, and tighten the skin.
Contact me by e-mail, or by calling me at The Adams Center in my Peabody office at 978-531-0550, or 617-262-2208 in my Boston office for more information on this post, or any other information in my Blog.
Dr. Bill Adams is a greater Boston area board certified plastic surgeon with over 25 years of experience in the field.