Last week I covered three of six common reasons for why we get dark/puffy circles under our eyes. Here’s your quick guide to the latter three reasons, the differences between these types of conditions, and common treatments. Be sure to check out Part One: Six Types Of Under-The-Eye Circles—And How To Treat Them
4. Eyelid Hollows
“Eyelid Hollows” or infraorbital tear trough depression are another common reason for a darkened appearance to the lower eyelid. The loss of volume in the skin exposes the orbital bone and creates a hollow trough that visually appears as a dark circle. The best treatment for this is with small amounts of fillers. This technique requires a lot of experience and is an injector-dependent procedure.
5. Sallow eyes
“Sallow eyes” or periorbital vascular prominence is another common reason for a darkened or bluish appearance to the eyelids. While this condition can be inherited, due to thinning of the skin with time, small capillaries and veins in the skin become more noticeable in most of us. Eye cream with caffeine can constrict the underlying blood vessels and temporarily diminish small vessel prominence. For larger veins, a long pulse ND:Yag laser can help. However, in darker skin types these lasers can cause hyperpigmentation (dark spots) without adequate cooling.
6. Crows feet
“Crows feet” or periorbital static and dynamic wrinkles. True gifts of time. Moisturizers and creams with retinols help soften these. Botulinum toxin (botox or dysport) treat these lines for 3-4 months. Laser resurfacing is another option.