The most common cause of dark circles under the lower eyelids is the displacement of fat over the orbital rim. This hollowness causes shadowing leading to dark circles in both men and women. Skin pigmentation can also lead to dark circles. Additionally, prolonged hours under the sun may give rise to dark circles. However, proper nourishment, balanced sleep, and good skin care are the best ways to avoid dark circles from occurring in the first place, especially if one is genetically predisposed to have them.
Under-eye dark circles are typically caused by a deep tear trough deformity. The tear trough is a depression extending from the inner edge of the eye which moves diagonally towards the cheek. This depression occurs where the facial fat has thinned away and dropped down into the cheeks. The bone tissue of the eye socket is placed right below the epidermis, and the two are well-connected to each other. As the epidermis above and below age and modify, this area becomes even darker.
Modern cosmetic treatments can effectively eliminate and in some cases, reduce dark circles using various treatment procedures depending on the cause.
Phototherapy: Phototherapy involves the use of intense pulsed light and some laser therapies including Medlite and Nd YAG laser that are highly effective in lightening the epidermis pigmentation and tightening the epidermis in the region underneath the eye. This might be preceded by usage of topical epidermis lightening cream and a brief course of oral retinoic acid tablets to optimize the overall impact. One must keep in mind that the procedure must be conducted by a highly-experienced cosmetologist.
Dermal Fillers: Facial fillers or Hyaluronic acid dermal fillers such as Juvederm, Restylane, and Esthelis are well-matched to deal with the tear trough region when the major concern is the loss of facial fat volume. The underneath eye area is filled with hyaluronic acid injections. It is a substance that can be compared to the building blocks of normal collagen and helps an individual to come up with a brand new youthful look. The effect of such dermal fillers is not permanent it only lasts for 18 to 24 months.