Dark circles around the eyes

Dark circles around the eyes or periorbital darkening is extremely common in people of all ages. It is seen more commonly in skin of colour. They make you appear older than your age, tired and unwell.  Treating dark circles is one of the toughest challenges faced by a dermatologist as dark circles can have multiple causative factors apart from genetic predisposition. These include lack of sleep, eye strain, allergies, chronic medical conditions, for e.g., anaemia. Treating the cause is as crucial as treating the darkening of the skin itself.

Treatments

Under eye hollows

Hollows under the eyes or tear trough deformity can be due to dehydration or certain medical conditions. However, more commonly it is seen as an early sign of aging. Loss of collagen and hence the supporting tissue, makes the eyes settle a little deeper into the socket, giving the appearance of sunken eyes. Many people have a deeper positioning of the eye as a genetic feature and hence would show the tear trough deformity at a much younger age. Under eye hollows make one look tired and unwell

Treatments

Under eye puffiness and bags

Bags or puffiness under the eyes is a very common occurrence with aging. They are usually only a cosmetic concern and hardly ever a sign of an underlying medical condition. With age, the supporting tissue around the eyes becomes weaker and the fat that supports the eyeball also moves into the lower eyelid. These changes lead to appearance of under eye bags. Fluid retention, especially on waking up, adds to the puffy appearance of the lower eyelid

Treatments

Lines and Wrinkles around the eyes

Dynamic lines are lines that are seen when there is movement of the facial muscles. These wrinkles may start to appear as early as 20s, especially in people with thin skin or in those who are very expressive and overuse their facial muscles. Crow’s feet or the wrinkles that appear lateral to the eye are due to the contraction of the periorbital muscle called orbicularis oculi and show when you smile.

Static lines or wrinkles are those that show even when the muscle is not contracting. These occur due to a number of factors like smoking, sun exposure, rubbing of eyes, allergies, etc

Treatments

Eye lid laxity

Loss of collagen and elastin with age tends to affect the skin around the eyes very early as the skin is very thin. Hence the effects are also more severe on the skin around the eyes. Loss of supporting tissue leads to severe laxity and drooping of the skin of the eyelids. When this occurs on the upper eyelids, you can see folds of thin skin falling over the lid margin. This can lead to impairment of vision in very severe cases.

Treatments

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