Wednesday, June 6, 2012

medicine of Dark Circles Under the Eyes

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Effective rehabilitation for discharge of dark circles under the eyes must be directed at the basic cause of the dark circles. Millions of citizen complain of dark circles under the eyes but the basic cause of the dark circles varies greatly. Treatments for dark circles that do not definite the basic cause of the dark circle do not work. There is an foreseen, array of treatments for dark circles together with cucumber slices, tea bags, vanishing creams, bleaching creams, lasers, surgery, more sleep, avoid Tv and computer, drink 2 liters of water a day etc, yet few of these regimens seem to be directed at the basic cause of the dark circles under the eyes.

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How is medicine of Dark Circles Under the Eyes

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To best understand the rehabilitation of dark circles under the eyes I will discuss the assorted types of dark circles under the eyes that I encounter in my plastic surgery convention and my insight of the cause of the dark circles, and what I feel is the most productive rehabilitation to remove the dark circles under the eyes.

Understand that the eyelid skin appears darker than the surrounding facial skin in all people-this is the general health and is caused by shadows created by the overhanging brow and the fact that the eyelid skin is much thinner than the surrounding facial skin. Below I am talking about exaggerated dark circles under the eyes that cause citizen to be unhappy with their appearance.

Causes of Dark Circles under the Eyes

Thin Eyelid Skin

The eyelid skin is the thinnest in the body and many citizen with dark circles under the eyes have highly thin skin on their eyelids and nearby the eyes. This thin skin is an inherited trait. The dark circles under the eyes are caused by the fact that the purple color of the basic eyelid muscle shows straight through the thin skin and creates a bluish or purple color. The color is darkest near the nose and on the lower eyelid near the nose.

Treatment of dark circles under the eyes caused by thin skin is very difficult because it is very difficult to make your inherited skin thicker. Cover up make up like Jayne Iredale Eye Cover, Dermablend, and Covermark are very helpful and my first recommendation. Frequent microdermabrasion and Retin A cream over a long period of time will build new collagen in the trueskin will thicken the skin and contribute some improvement.

There are new lasers on the horizon which are very productive at stimulating new growth of collagen in the trueskin and these new technologies may prove very beneficial. Be sure to sign up for my free newsletter to be informed when these new technologies are available.

The Arcus Deformity discussed below creates a very severe dark circle in citizen with thin eyelid skin and revising of the Arcus deformity with Arcus publish and fat grafting can be very helpful rehabilitation for dark circles under the eye in these individuals.

Prominent Eyelid Blood vessels and Veins

Everyone has veins and blood vessels called capillaries in their eyelid skin. In many citizen any way the veins are very foremost and the blood vessels add to the dark color of the eyelid.

To diagnose this cause of dark circles look in a mirror with piquant light on your face and moderately pull the skin of the lower eyelid tight. You will see many tiny branching red and blue lines which describe blood vessels.

You need blood vessels and veins to keep your eyelid salutary and alive. any way when there is an plentifulness of smaller vessels which generate a bluish or purplish hue to the lower eyelid some new Ipl (Intense Pulsed Light) or laser therapies can be used to treat dark circles under the eyes in citizen with an excess of small capillaries and blood vessels. The very large veins cannot be treated.

Laser blood vessel rehabilitation is a serious and potentially perilous rehabilitation for dark circles under the eyes and must be performed by a doctor who is experienced in the use of lasers and Ipl. Most importantly the eye must be protected by placing a shield over the eye while rehabilitation so that the laser or Ipl light cannot hit the eye. The laser and Ipl light can damage the retina and destroy foresight if the beams hit the unprotected eye.

Pigmentation of the Eyelids

Hyper pigmentation, too much pigment in the skin of the eyelid is a very common cause of dark circles under the eyes. rehabilitation of dark circles under the eyes caused by hyper pigmentation is very effective, but the pigment frequently returns after sun exposure.

Hyper pigmentation of the lower eyelids occurs because of sun exposure and prevention with sun block, sun glasses, and a hat are the most foremost first rehabilitation for this type of dark circles under the eyes.

The rehabilitation of hyper pigmentation begins with bleaching creams such as a combination of Retin A and 4% Hydroquinone, Obagi Blender 5, Epiquin or other prescribe bleaching cream combined with microdermabrasion.

After the above treatments have lessened the pigmentation causing the dark circles under the eyes, if essential I hike to Ipl (Intense Pulsed Light) treatments. These treatments do effectively remove pigment causing the dark circle but again palpate and eye protection are very essential to forestall eye injury.

Hollow Eyes

Many citizen have a deep hollow below the lower eyelid which creates a dark shadow below the eyelid which citizen call dark circles under the eyes.

This deep hollow below the lower eyelid is caused by an inherited insufficiency of fat and or bone and rehabilitation of this type of dark circle under the eye requires surgery.

The hollow eye occurs more generally in citizen from Central Asia and the Middle East but it unmistakably occurs in all races and from citizen in all regions of the world.

To treat dark circles under the eyes in citizen who have hollow eyes I do a laser course called an Arcus Marginalis publish and fat grafting. The Arcus Marginalis is a structure which tethers the lower eyelid to the bone and creates a dark circle when the eyelid skin above the dark circle falls over the dark circle creating a shadow. Releasing the Arcus Marginalis releases the eyelid skin and eliminates the crease or dark circle.

I then transplant fat to fill the hollow in the bone and plump the dark circle and definite the hollow eye appearance.

Usually, to treat the dark circle under the eyes caused by the hollow eye I have to take fat from nearby the belly button on the abdomen to have enough fat to adequately fill the hollow eye deformity. The incision to remove the fat is well incommunicable down inside the belly button and is usually not visible.

Treatment of dark circles under the eyes caused by the hollow eye usually takes me 45 minutes to an hour, can be done with you asleep or awake, and rescue is usually 10 days. Patients do not complain of pain afterwards. The main rescue is waiting for bruising to go away and blurred foresight from eye ointment that I have you use for the first week or two. Most importantly after this rehabilitation you need to be calm, rest and not exert yourself. Working out or heavy lifting can raise your blood pressure and cause bleeding. Although you will be up and nearby the first few days with sunglasses to cover your bruising, I do not want you to rehearsal or lift heavy objects for at least 2 weeks.

The Arcus Deformity-the True dark Circle under the Eye

The most common cause of dark circles under the eyes in patients who seek rehabilitation of dark circles under the eyes in my plastic surgery convention is the Arcus Deformity.

The Arcus Deformity is a dark crescent shaped circle or depression which occurs below the lower eyelid beginning beside the nose in the projection of the eye and running out toward the side of the face and curving upward towards the face projection of the eye.

The Arcus Deformity is caused by the fact that a small structure below the lower eyelid called the Arcus Marginalis is attached to the bone of the eye socket and also attached to the lower eyelid from underneath. This attachment tethers or holds the eyelid close to the bone of the eye socket while the rest of the lower eyelid is loose and free to move. The general fat which is below the eyeball pushes out against the lower eyelid which creates a visible bulge on the lower eyelid. You can see this by end one eye and moderately pressing on the accomplished eye. With your other eye you will see the bulging of the fat against the accomplished lower eyelid on the other side.

The eyelid skin that is tethered by the Arcus Marginalis cannot move or bulge, and as the fat bulges the lower eyelid above the Arcus Marginalis it creates a shadow or dark circle below the eyelid where the Arcus Marginalis is attached to the lower eyelid skin. This is the true dark circle under the eyes.

As we age and our eyelid skin becomes loose or lax, the eyelid skin also falls or sags over the depression caused by the Arcus deformity and the dark circle gets worse. With aging and excess protrusion of fat against the lower eyelid the Arcus deformity can become quite pronounced.

The Arcus Deformity is the true dark circle under the eye and I use the term Arcus Deformity to differentiate it from the Tear Trough Deformity which is different. The Tear Trough Deformity starts near the projection of the eye in the same location as the Arcus Deformity but the Tear Trough Deformity runs down into the cheek rather than up toward the face projection of the eye.

The Tear Trough Deformity is a sign of advanced facial aging and is caused by the sagging or descent of the cheek into the middle of the face which occurs with facial aging in your 50's and 60's. Tears run down the cheek and out the side of the face straight through the Tear Trough instead of level down the cheek as they do in a child.

By unlikeness the Arcus Deformity occurs in much younger patients together with children. Most citizen seeking rehabilitation for dark circles under the eyes in my plastic surgery convention are in their 20's and 30's. Doctors often misdiagnose the Arcus Deformity as the Tear Trough Deformity which is a major question if a Tear Trough Implant is used to treat the dark circle. The Tear Trough Implant is designed to plump or definite the depression in the cheek out toward the side of the face, and in my palpate the Tear Trough Implant cannot adequately definite the dark circle under the eye where it is deepest, near the projection of the lower eyelid near the nose.

The rehabilitation for dark circles under the eyes caused by the Arcus Deformity must comprise publish of the Arcus Marginalis and fat repositioning or fat grafting to plump the area of the dark circle.

The primary plastic surgery rehabilitation for eyelid rejuvenation called the blepharoplasty, while which fat is removed, can unmistakably make dark circles under the eyes worse and generate a hollowed eye appearance.

Treatment of dark circles under the eyes that are caused by the Arcus deformity requires a contemporary blepharoplasty coming which includes publish of the Arcus Marginalis and fat repositioning or fat grafting.

I use a very specific rehabilitation for dark circles under the eyes called the transconjunctival blepharoplasty with Arcus publish and fat grafting. This rehabilitation is done straight through a tiny incision on the inside of the eyelid called a transconjunctival incision because it goes straight through the conjunctiva, the pink tissue on the inside of the lower eyelid. I also use the laser to make this incision.

The benefits of the laser transconjunctival incision are:

1. No visible scar or incision on the face of the eyelid

2. No change in the shape of the lower eyelid-the primary scalpel blepharoplasty straight through an external incision usually weakens the lower eyelid and causes a sad eyed look

3. Less bleeding while surgery

4. Less bruising after surgery

5. Quicker recovery

My results following rehabilitation of dark circles under the eyes with the laser transconjunctival blepharoplasty with Arcus Marginalis publish and fat grafting have been very successful. Most patients have recovered within a week and many who do not bruise are comfortable being seen with make up after 5 days.

Summary- rehabilitation of Dark Circles under the Eyes

To summarize, productive rehabilitation of dark circles under the eyes requires that you definite the question that is causing the dark circle under the eye. To achieve this you must understand what type of dark circle under the eye you have and what is causing it. The following is a summary table:

Thin eyelid skin-Retin A, microdermabrasion, laser?

Prominent Eyelid Blood Vessels-Ipl, Laser

Pigmentation of the Eyelid-Bleaching creams, Ipl, laser, Microdermabrasion

Hollow Eyes-Arcus Marginalis publish and fat Grafting

Arcus deformity-Transconjunctival laser Blepharoplasty with Arcus publish and fat grafting or repositioning

Treatment of dark circles under the eyes is possible; the key is insight the basic cause of your dark circles. With proper pathology and rehabilitation of dark circles under the eyes caused by the Arcus deformity gorgeous results can be achieved with the transconjunctival Arcus publish and fat grafting.

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