Dark eye circles are generally due to a few reasons. Its often a combination of these reasons that result in the dark eye circle.
It is often due to a combination of
1. melanin production under the eyes,
2. the skin in the lower eyelid is thin and therefore blood vessels are easily seen through the skin
3. the sunkeness under the eyes cast a shadow over the lower eyelid
4. the extra loose skin also have a hand in creating lines and more shadows under the eyes.
For more than 10 years, this have been a challanging area to treat. I have used lasers, threads and injectables to treat this layer with varing results. I will the best and most effective treatment from 1 onwards.
1. Fillers: The right fillers is by far the most effective treatment if the doctor has the experience in doing lower eyelids. I have extremely good success using the right fillers for the right lower eyelid and patients are usually very happy compared to other treatments.
2. fine threads seems to have some effect in helping the skin improve in its thickness. However be prepared for possible bruising and swelling compared to the above.
3. Lasers often have variable results because melanin is often not the main problem under the eyes. The sunkeness and shadow seems to play more part in most patients but if patients are prepare to do laser regularlyand their expectations can be managed, then its a possible treatment if injections is not what you want.
At the end of the day, its better to come down for a detailed consultation and for me to examin your tear trough/dark eye circle to decide what is the best course of action.
4. As for HIFU and RF, I am not very convinced. I think its can be a treatment for maintanance but for significant improve, you have to manage your expectations.
