DermTV – Fillers for Under Eye Dark Circles [DermTV.com #414]


Today I’m going to tell you how to make
dark circles under your eyes vanish instantly, for as long as a year! And
stay tuned until the end of this episode for the question
of the day; if you answer it correctly, you’ll have a
chance to win a free skincare product! Hello I’m Dr. Neal Schultz [pause] And welcome to DermTV. Dark under-eye circles make you look tired. They make you look older. And they’re very
frustrating to treat. Most products that make any meaningful difference
either, like makeup, cover the darkness, or, are products
with reflector particles that make the dark circles
look lighter by reflecting light. One of the reasons under-eye dark circles
are so hard to treat is because they’re caused by any combination
of seven different problems, across three categories: brown discoloration from melanin pigment,
red and blue discoloration from enlarged blood vessels, and, most importantly, darkness from shadows. This last type, dark circles from shadows,
is all too common as we get older, and can even start as early as in your mid to late 30’s. The good news is they’re so easy to fix
with filler treatments; the same fillers we use for lines and wrinkles
all over the face. These filler treatments cause instant improvement and last for many months, and even up to a
year. Pretty cool, huh… Let’s understand how this works. The shadows that cause these dark circles
usually come from the age related loss of fat below the lower
lid which creates a trough called the tear trough. The shadow caused by this depressed trough is often accentuated by a bulge of fat just
above it caused by fat bulging out from under the globe
of the eye. That fat actually belongs, and used to be,
below your eye, inside your eye socket in your skull. So we have bulging fat elevated above the
level of normal skin, and the tear trough depression below the level
of normal skin and this high point and this low point are
right next to each other, which magnifies the contrast in height. Since
natural day light and most indoor light come from above, when we’re sitting or standing, these shadows
are maximized. So what does the filler do? It fills in the
trough which corrects the skin contour, eliminating the cause of
the shadow, and thereby the dark circle. Oh, and I forgot one last thing… Filler treatments are done with tiny injections
of filler into the tear trough, which most patients
agree are not painful. And my patients who get this treatment couldn’t be happier.

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