Tear trough deformities often create the appearance of dark eye circles, which can make an individual look tired, listless and give the face a "sunken" appearance.
The true tear trough deformity is a natural consequence of the anatomic attachments of the periorbital tissues. Often, the cause of dark eye circles can be multi-factorial. Changes in skin thickness, laxity, and skin hyperpigmentation also play a role. Thin skin or prominent veins under the eye may also accentuate the periorbital darkening.
For mild to moderate cases, I generally recommend minimally invasive procedures such as undereye fillers, which has minimal to no downtime and does away with the risks associated with surgery and anaesthesia.
While Rejuran has a slight skin brightening and good repairing effect, its main purpose is not to be used as a filler.
I personally like to use the Teosyal Redensity II filler as it contains a unique combination of cross-linked hyaluronic acid and non-cross-linked hyaluronic acid, 8 amino acids, 3 antioxidants, 2 minerals and 1 vitamin. Vitamin B6 and Glutathione in RDII has been shown to make skin fairer and lighter, resulting in lightening of dark eye circles by not only filling up lost volume, but by also lightening of the skin around the area.
In more severe cases, patients may need a combination of under eye and medial cheek fillers to correct the deformity better. At times, I would advise patients with severe deformities and very prominent eyebags to consider plastic surgery.
You may wish to consult a trusted doctor for a more accurate assessment of your condition with discussion of the best treatment regime for you!
Best wishes,
Dr. Joanna Chan
