#DarkCircles 🐼 can be caused by many factors. Most cases of dark under-eye circles have multiple causative factors including:
1. Lack of sleep, dehydration and/or high salt intake.
2. Genetic factors. More common in #ethnic skin types.
3. Allergies such as hay-fever, #conjunctivitis and #sinusitis.
5. Age- as we age we lose #collagen, HAs, fat and bone.
DIY tips in treating Dark Circles 👱🏼♀️
1. Treat the cause. Many causes, in some patients two or more factors give rise to dark under eye circles.
2. Elevate your head with pillows before you sleep.
3. Tea bags. Green tea especially can work well as an anti-inflammatory.
4. HA sheet masks - refer to one of my recent posts
5. Retinol 0.5 or 1.0 Obagi. Don’t apply #retinoids if you have sensitive skin
6. Look for topicals that contain Arbutin, Caffeine, Green Tea, Kojic acid, AHAs, Soy, Niacinamide, Ascorbic Acid, Hydroquinone 2%, and other pigment creams.
7. If you have allergies, antihistamines may work. This can decrease the itch.
How does a procedural dermatologist approach dark circles? 🥼
1. #Dermalfillers. Over the past 6 years I have used Juvederm Volbella. In my personal opinion, this filler can migrate, additionally cross linking (Vycross) can rarely give rise to filler reactions. 2. Fat transfer. This is an acceptable method to treat tear troughs and dark circles. The cons of fat include absorption and lumpiness.
3. #Microdermabrasion can help, as can #Hydrafacial.
4. Pico or nano lasers can be effective. 1064 or 755 nm lasers can decrease pigment but also increase collagen production.
5. #Fractionallasers can help. I prefer the 1927 #Fraxel or 1927 Diode laser called Clear and Brilliant.
6. RF devices such as Pelleve can improve skin tone and decrease skin laxity.
7. #Chemicalpeels – AHA, lactic acid or 1-2% tretinoin peels can help. Caution if you have sensitive skin.