There is much confusion concerning what individuals indicate when they state they have dark circles under the eyes, typically described as the exhausted appearance. There are 4 various conditions which can trigger dark skin under the eyelid which individuals call dark circles under the eyes:
1. Dark purple skin color on the lower eyelid skin
2. Brown pigment on the lower eyelid skin
3. A hollow eyed look in which the lower eyelid is sunken in.
4. An anxiety or deep line along the lower edge of the eyelid simply above the cheek called the naso-jugal fold, the real dark circle under the eyelid and most typical type of dark circle under the eyes
1. Dark Purple Color of the Lower Eyelid Skin
When the skin of the lower eyelid is a dark purple or bluish color individuals frequently state they have dark circles under the eyes. In individuals with thicker skin the color looks more bluish, however everybody’s lower eyelid skin is darker since of the color of the muscle below the thin skin. I do not call this typical phenomena dark circles under the eyelid, rather I call this regular phenomena dark purple lower eyelid.
2. Brown Pigment on the Lower Eyelid Skin
Sun damage to the skin, birth control tablets and other medications, and the “mask of Pregnancy” and other metabolic conditions can trigger the deposition of brown pigment in the lower eyelid skin. This is not called dark circles under the eyes however is called hyperpigmentation. Skin lightening representatives such as hydroquinone and Kojic Acid can assist as can microdermabrasion.
3. A Hollowed Eye Appeance
Some individuals have a really sunken in or hollowed eye look. This is triggered by a shortage of the typical fat which surrounds the eyeball and generally plumps the lower eyelid skin. This shortage of fat can be triggered by genetics, racial elements, poor nutrition, basic illness, dehydration or injury to the orbital bone which supports the eyeball.
When there is a medical cause, the correction includes the correction of the underlying illness or medical issue.
For individuals who have this look due to the fact that of genetics or racial elements, the fat should be implanted into the lower eyelid to change the shortage. I then take or collect fat from a location of the body where the fat will not be missed out on (hip or abdominal area) and transplant the fat to the lower eyelid to plump the lower eyelid.
4. The Naso-jugal Fold or Tear Trough Deformity-the True Dark Circle Under the Eye.
The real dark circle under the eye is a crease or anxiety beginning at the nose and running towards the beyond the lower eyelid performing at the bottom of the eyelid simply above the cheek. This dark circle or anxiety looks dark since it is connected to the underlying bone of the rim of the orbit or eye socket, and the unattached skin of the lower eyelid above the anxiety is totally free to bulge and move and develops a shadow which offers the crease a dark color. The cheek skin listed below the dark circle is likewise totally free to bulge and move and bulges above the dark circle, which adds to the shadow.
The dark circle or naso-jugal fold or tear trough defect worsens or deepens as we age since the eyelid above and cheek listed below start to droop with aging however the dark circle is connected to bone and can not droop with the remainder of the skin, so the lower eyelid skin hangs over more from bulging and drooping of fat, the anxiety deepens, the shadow becomes worse and the dark circle ends up being more obvious.
The dark circle or naso-jugal fold or tear trough is connected or held tight to the bony rim of the eye socket bone by a ligament called the arcus marginalis.
When the dark circle is launched the dark circle skin is totally free to move with the lower eyelid skin and the cheek skin and the dark circle or shadow is minimized. To avoid re-attachment of the arcus marginalis and to plump up the dark circle I put a fat graft below the dark circle.
Correction of dark circles under the eyes, likewise called the naso-jugal fold or tear trough defect needs correct medical diagnosis. This condition requires to be distinguished from dark purple eyelid color, hyperpigmentation and hollow eyes. The correction of real dark circles needs a blepharoplasty operation with arcus marginalis release and fat grafting or tear trough implants.
When the skin of the lower eyelid is a dark purple or bluish color individuals typically state they have dark circles under the eyes. I do not call this typical phenomena dark circles under the eyelid, rather I call this typical phenomena dark purple lower eyelid. The cheek skin listed below the dark circle is likewise totally free to bulge and move and bulges above the dark circle, which contributes to the shadow.
As soon as the dark circle is launched the dark circle skin is totally free to move with the lower eyelid skin and the cheek skin and the dark circle or shadow is reduced. To avoid re-attachment of the arcus marginalis and to plump up the dark circle I put a fat graft beneath the dark circle.