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Dark circles: Dermatologists teach how to treat the different types

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To treat dark circles, it is first essential to identify what their causes may be. experts explain

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Surely you have had to deal with the discomfort generated by dark circles. They are mainly responsible for giving a tired look to the face. But in many cases, even a great night’s sleep may not be enough to get rid of dark circles around the eyes. This is because dark circles have several causes that go far beyond lack of sleep.

“People whose parents have dark circles, for example, are more likely to have the problem during their lifetime. Also, since the eye area is the thinnest and most sensitive region of the face, bad habits also contribute to appearance. of these changes, such as inadequate sleep, unbalanced diet and lack of skin hydration “, explains dermatologist Dr. Paola Pomerantzeff, member of the Brazilian Society of Dermatology.

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So, before trying to sleep more or betting on random procedures to end dark circles, it is important to identify the cause of these changes and only then invest in the most effective treatment for each one.

pigmentary dark circles

Pigmented dark circles are those that have a brownish color, being caused by the accumulation of melanin in the eye area, which is the pigment responsible for the color of the skin. “We can treat dark circles with peels that allow the lightening of the area under the eyes, carried out in weekly or biweekly sessions”, says Dr. Paola.

Whitening cosmetics are also a great option for treating pigmented dark circles. “It is also important to avoid the habit of excessive rubbing of the eyes, both due to allergies and during makeup removal. This is because this act, if performed constantly, can lead to local inflammation. The consequence is post-inflammatory hyperpigmentation. darkening of the ocular region “, warns Dr. Cláudia Merlo, specialist in Cosmetology at the BWS Institute.

deep dark circlesS.

Deep dark circles are caused by reasons such as genetics, disruption of the face or reduction of the orbicular fat compartment, due to excessive weight loss or aging. The result is the appearance of a depth under the eye that gives the face a tired look.

“When the cause is genetics or reduction of the fatty compartment, filling with hyaluronic acid is a solution, as it is able to restore volume to the region, as well as provide hydration,” points out Dr. Claudia Merlo.

But, in the case of deep dark circles formed by the deconstruction of the face, it is important to first of all perform all the treatments to reposition the facial compartments before treating the dark circles, highlights the specialist.

“It is not uncommon for dark circles to be refilled after treatment of facial structures. If this assessment is neglected and dark circles refilled first, results may be unsatisfactory, including the appearance of local edema and obvious fillers, “warns the doctor.

vascular dark circles

Vascular dark circles are those that have a purplish or bluish color, as well as being accompanied by swelling in the eye region. “The main cause of this type of dark circles is fatigue and stress. So, to treat vascular dark circles, the best strategy is to opt for manual drainage or the use of cosmetics that activate circulation,” leads Dr. Claudia .

blood circulation

Even with a purplish blue color, dark circles, according to Cláudia, are caused by the presence and accumulation of varicose veins in the eye region. To eliminate these varicose veins and, consequently, dark circles, the use of the Nd Yag 1064 laser is a great option.

“The Nd Yag 1064 laser is the most specific to solve varicose veins on the face, presenting greater effectiveness in the treatment. Laser shots are performed that act on the blood inside the vessel, burning it from the inside, which leads to its closure The treatment has good results and has a high level of safety, as the pain is relieved with the use of skin coolers, “explains vascular surgeon Dr. Aline Lamaita, member of the Brazilian Society of Angiology and Vascular Surgery.


The bags of fat that appear under the eyes are related to the relaxation of the muscles and orbicular ligaments. “For adipose bags there is a non-surgical treatment with microfocused ultrasound, which generates heat to promote the restructuring of these flaccid tissues through the retraction of old collagen and the stimulation of the production of new fibers in the deeper areas of the face, such as the muscle” , underlines Dr. Claudia.

Depending on the severity of the bags, plastic surgery known as blepharoplasty may be indicated, as it aims to remove excess skin and fatty bags present in the lower and upper eyelids. This allows these structures to be repositioned or furrows filled in the region if the doctor deems it necessary.

“In some patients, fat grafting can also be performed to fill in local tissue loss, as the result of the surgery becomes more natural when there is a certain volume of tissue around the eyes,” says plastic surgeon Dr. Paolo Rubez, member of the International Society of Aesthetic Plastic Surgery (ISAPS) and of the American Society of Plastic Surgery (ASPS).

mixed dark circles

Mixed dark circles are the most common type of dark circles and occurs when there is a sum of different types of dark circles. So, to combat mixed dark circles, the best strategy is to combine different treatments based on the patient’s needs.

“But it is essential to consult a specialized doctor so that an evaluation of mixed dark circles is carried out and a treatment plan is drawn up to avoid overlapping treatments and unwanted effects”, concludes Dr. Claudia.

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Source: Terra

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