What causes dark circles and how to treat them?

Dark circles: causes and tretaments:

Dark circles under the eyes is the most common misconception is that everyone thinks this is really like a skin first problem it's a problem with skin but there's a lot of different things that cause it. So there are three things that are going to commonly cause these dark circles under the eyes. One is going to be shadowing so that's not going to be true hyperpigmentation but the effect of shadowing creates hyperpigmentation appearance. The next thing is thin eyeline skin giving the prominence to your underlying skin structures that can appear dark and then the third thing is true hyperpigmentation which is what everybody thinks they have and that's going to be either increased melanin production and rarely hemocidran which is a different color pigment but ultimately hyperpigmentation would be the one that everyone thinks they have and that's the one that your creams mostly target.

It's complicated and very difficult to treat. Not all dark circles are created equallyand  not everyone is the same they're caused by different things. A lot of people think their dark circles are created by hyperpigmentation but there are multiple reasons for dark circles.

What causes shadowing?

 Shadowing the easiest thing to think about is even just the shadow coming from the orbital bony structure above the eye casts a shadow underneath the eye. So that could just be your lighting if you have like  top lighting or overhang lightingthat creates the appearance of dark circles and that's not going to be true and some people just have a prominent area no matter what you do the lighting is going to cause that to be more prominent if you take photos you want your camera your light to be facing you so that you don't have that dark appearance.

 So the other thing uh that causes shadowing is tear through depression and some people are just born with deeper tear throughs these areas underneath here being deep creating a shadowing effect in this area and this with time also with age you can lose that periorbital fat pad and they can cause those depressions to get deeper and you can also just get laxity of the tissue with time. They can also create this appearance of dark circles so that's the shadowing that creates this darkened appearance the only thing that you can do to kind of fill in those deep tear troughs is what really procedurally based treatment is the only and really effective thing you can do to offset the shadowing component.

So basically you could do filler at the office of the dermatologist where they inject dermal fillers underneath the eyes and it will kind of pop this out and you almost have an immediate benefit with your dark circles that's created by shadowing or you could do fat transfer things like thats where you're going to actually change the structure because the problem is structural not due to pigment and so you need to first identify that and then you can know what is going to be the most effective and cost effective treatment for you. 

Eye bags also can create a shadowing appearance as well even though it's not truly pigment it's that  swelling underneath the eyes that creates the idea of shadowing and so things that target swelling. That bags can also contribute to the appearance of dark circles so not only do the shadowing and the bags accentuate that but then the thinness of the skin so the thickness of the skin of the eyelid is very thin and it's the thinnest skin in the body so you don't need eye creams.

 The thin skin causes what to appear underneath it okay so underneath the eyelids we have very prominent vasculature whether it's just individually large dilated vessels or whereas just the fact we have blood vessels underneath the sin that causes a tint overlying it or it's the underlying musculature so we have an orbicularis oculi here a muscle that's underlying and around our eyeball or our eye socket and that reddish brown tinge of the muscle can also create a tinge which creates shadowing or the appearance of shadowing or dark circles. So basically if you have prominent vessels what can you do to decrease the appearance of these vessels you can use caffeine-based creams that cause vasoconstriction of the blood vessels. 

The vasoconstriction of the blood vessels is going to decrease their appearance at least temporarily while those caffeine creams are on if you want to eliminate it permanently then laser that targets blood vessels that's going to be something procedural but ultimately can ablate the vessel and and cause that prominence to decrease. So what can you do to help thicken up that collagen maybe give yourself a little more cushion in between the skin and the underlying structures.

Vitamin A derivatives will thicken the skin in the area and over a long period of time but everybody's skin is different. The sensitivities of your skin are actually different in different areas. So using a vitamin A derivative in there be aware and be conscious that it could be more irritating than other areas you're applying it to. So last true hyperpigmentation this is where you get increased pigment deposition in the skin and that can lead to a darkened appearance. A lot of people have this just genetically and also just somebody with eczema that can lead to chronic inflammation that also leads to hyperpigmentation around the eyes other things that can cause it is just sun exposure with time and you know can lead to basically tanning of this area and a lot of people neglect to put sunscreen on the areas around their eyes.

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