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By Dr. Alex Eshaghian, MD, PhD
October 04, 2015
Category: Services
Tags: Juvederm   Restylane  

RestylaneOne of the most common concerns we address is circles under the eyes. As with anything else, in order to address this concern we need to understand what is going on.

What causes under eye circles?

There are a number of things that can happen under the eyes. Hollowing under the eyes is common and is due due volume loss. The fat pads directly under the eyes slowly get smaller as we age. This leads to a shadow that appears under the eye which looks like dark circles.

How do you treat these under eye circles?

While many women try to correct this with makeup, it is often not effective. Instead you need to address the cause of the problem: loss of volume. Restylane is an outstanding filler that will help restore the volume under the eyes. A small amount is injected in the tear trough under the eyes right on the bone. This pushes the skin back up, restoring age-related volume loss.

What is the difference between Restylane and Juvederm?

Many people ask to have Juvederm injected here, as Juvederm is another dermal filler that is very popular. While Restylane and Juvederm are similar in that they are both dermal fillers, they both treat volume loss, and they are made of the same product (hyaluronic acid), they slightly differ in their chemistry. Because of the chemistry, Juvederm attracts more water to the area than Restylane. This is good in the smile lines because it provides a good amount of volume. However, under the eyes the results from Juvederm may lead to excess puffiness, which is not desirable in this area. Restylane, on the other hand, does not have this effect, making it perfect for the area.

What are other causes of under eye circles?

There are a number of other causes of under eye circles. Some people get darkening of the skin under the eyes. This can be due to genetics, allergies, or sun damage. While we cannot change our genes, we can address allergies with medications and trigger avoidance and we can address sun damage by using sunscreens, eye products like the Elta MD Renew Eye Gel, and brightening agents such as the A E Skin Brightening Cream and Triple Antioxidant Serum. Sometimes we see bags or bulges under the eyes, which are called festoons. In this case surgical repair is the best option. Some people get loose skin and wrinkles are seen under the eyes. This is do to sun damage over time which leads to collagen loss. To address this we need to use treatments such as Ultherapy to stimulate collagen. Sometimes the wrinkles become more pronouced with certain facial expressions such as smiling. These wrinkles are best addressed with Botox, which will relax the muscles.

How do I know what I need for my under eye circles?

With so many causes of dark circles under the eyes and so many different treatments, it can be confusing and everyone's skin is different. While one person my require Restylane, another may require Botox or even surgery. The best thing you can do is have a consultation with an expert to see what would be best for you. Dr. Alex has done thousands of cosmetic treatment with many satisfied patients. For a limited lime we are offerring over $100 off one syringe of RestylaneContact us for a free consultation with Dr. Alex.

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