'Zombie eyes' might be popular in Halloween and tv programs but in reality
they are absolutely not.
Dark circles under the eyes give you worn-out looks or sometimes aging-badly
images at worst. Many complain about these and ask available remedies.
can be bundled into 3 factors
that create this concern, and along with them the cosmetic procedures
that treat them are explained：
１．Lower Eyelid Sulcus (Crease)
The lower eyelid sulcus or crease is located at the level of the edge
of cheek bone, and this makes a semicircle dent that goes along the lower
boundary of lower eyelid. It is like an annual growth ring that does not
spread to sides but instead grows deeper and more apparent as the lid skin
becomes loose in aging process.
Gleam of light plays a role in how lower creases appear boldly. Lights
that flash above head make them more obvious, and also reflections at window
glasses show them worse.
Simple and effective treatment for this problem is HA(hyaluronic acid) Injection
. Restylane or Juvederm are the common brand names. As fast as minutes,
soon the effect is declared immediately after the procedure.
If skin loosening or excess fats are present, further procedures might
Orbital fats are the fats that embrace the eyeballs inside the bony
’eye socket’ called the orbit. When eyelid skin becomes loose and saggy,
these fats tend to push them out or maybe multiply by themselves to create
the so-called 'baggy eyelid' situation.
through a hole at the back of the eyelid is the main remedy with this
issue. Bore a hole at the conjunctiva (membrane) and just pull a small
portion of the whole orbital fat which is like a slimy orange mucus coming
out of the eye. This is not liposuction and no incision done at the skin
If the deepening of the lower eyelid sulcus is present. the conjuction
treatment with transferring of the fats to the sulcus is performed.
Some cases show opposite situation which is the decrease of the orbital
fats through aging. This results to a sunken lower eyelid that shows unwanted
shadow (not so common in Asians, maybe more in Caucasians).
is advisable. Hyaluronic acid makes the thinned skin expand to its younger
density that may allow the thickened skin to cover shadowing discoloration
which mostly originates from the deep tissue.
might be also effective. Laser Peeling
or Fractional Laser
trigger skin collagen regeneration in which you can retain thicker firmer
３．Excess Skin Loosening
Saggy excess skin makes orbital fats more baggy, lets the lower eyelid
sulcus go deeper. It is kind of 3 factors come in a set altogether.
In this situation, the first priority will be the advise of undergoing
Lower Blepharoplasty (Lower Eyelid Lift)
The procedure goes: After a line incision along lower eyelashes, a portion
of orbital fat is removed and some of the remaining fats will be transferred
under the lower eyelid sulcus to fill up the dent. Loosened aging orbital
muscle that sorrounds the eye is tucked to the outer edge of the orbit(bony
eye socket). Extra skin is removed, then closure. This is the so-called
which is so popular among cosmetic surgeons that it still remains as the
mainstream of treatments in this issue. Simple removal of the skin is sometimes
done but it is not effective.
If undergoing surgery is not the patient's choice, treatments stated above
such as HA injection
are alternatives that can be considered of, but less effect. Moderately
saggy skin may be a good candidate for laser treament if orbital fats and
lid sulcus are not that noticeable.
Hopefully this was a helpful information concerning this subject.