Dark under-eye rings

The colour of the skin around the eyes is determined by the amount of pigment in that area, the thickness of the skin, the visibility of blood vessels as well as the accumulation of fluid, therefore, it is difficult to identify one factor that would be to blame for the colour of the under-eye area. Dark under-eye rings can make a person look older than they really are, and the treatment of this area and this condition is quite difficult and complex.
Dark under-eye rings - Before and after the combined treatment consisting of carboxytherapy and 1 ml of hyaluronic acid filler.
Dark under-eye rings – Before and after the combined treatment consisting of carboxytherapy and 1 ml of hyaluronic acid filler.
Genetics is certainly the most important factor. The colour of the skin of the body is hereditary, as is the amount of pigment around the eyes. Certain peoples such as Indians or African Americans have a darker area around their eyes. Another important factor is age. With age, this area becomes darker because the amount of collagen and elastin in the skin of the under-eye area decreases. As the skin thins, it becomes drier, more transparent and deposits more pigment. As a result of the adipose tissue loss, blood vessels cannot sink into the adipose tissue but become more visible through the skin, which additionally gives the skin a blue colour. Insomnia and exhaustion certainly contribute to the darkening of this delicate skin. They give a grayish appearance to the skin of the whole face. Lack of sleep also leads to fluid retention in this area. Smoking causes tissue hypoxia and drying out. Staring into a screen for extended periods of time, especially at night, causes eye strain and makes the blood vessels of this area dilated, and thus more visible. Dehydration causes sunken eyes and makes the surrounding skin darker. If a person is prone to eczema, any redness around the eyes can deposit pigment and cause pigmentation. Diseases of the internal organs such as hyperthyroidism or anemia cause changes in the skin around the eyes.

Is there anything we can do?

Good condition of under-eye areareflects good habits such as getting enough sleep, not consuming alcohol and tobacco, staying in ventilated rooms, adequate vitamin intake. Cold compresses can temporarily reduce the dark appearance of under-eye area. Green or black tea compresses may provide some help due to the caffeine content that constricts blood vessels. Keep tea bags in warm water for 5 minutes, cool and apply to the under-eye area for 20 minutes. Use eye creams with retinol, vitamin C, hydroquinone, kojic acid or azelaic acid. However, the effect of these procedures is sometimes unsatisfactory. In that case, help should be sought from a dermatologist. Under-eye correction– Procedures that can be performed by a dermatologist: 1. Chemical peel – especially TCA acid, which reduces pigmentation around the eyes when applied in a small percentage. Recovery following the TCA peel lasts up to 7 days and includes flaking of the skin. At least 3 treatments are required. Following the procedures involving the use of other acids, the recovery may be shorter and more discreet, but the outcome is somewhat poorer. 2. Lasers – a combination of Q-switch laser and CO2 fractional laser. Q-switch laser removes pigment, and CO2 laser increases collagen and elastin levels. It makes the skin firmer and more elastic. The result is visible already after the first treatment. It takes one month after the treatment for a visible result, and as much as 3 months for the final result. Recovery time is 4 to 6 days. 3. Adding hyaluronic acid filler – which in this case replaces adipose tissue and allows blood vessels to sink back into the tissue under the skin, which at the same time reduces the level of under-eye shadows. If no bruising occurs during the treatment, no recovery is needed. This procedure must be performed by a well-trained injector. 4. PRP – the so called vampire treatmentstrongly stimulates elastin of the skin under the eyes and reduces the level of melanin activity. The skin is visibly refreshed after the treatment. Recovery lasts one 5. Surgery – removes excess skin or adipose tissue protrusion. The skin around the eyes is very thin and delicate. Everyday care should be performed gently avoiding prolonged and vigorous rubbing when removing makeup. Medical procedures may leave scars on the eyelids which should be considered.
Svetlana Đurišić specijalista dermatovenerologije

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