Results with HA fillers last six months to a year or longer. Slight bruising and swelling are common side effects that usually resolve after 48 hours. They can be dissolved with the enzyme hyaluronidase, if you don’t like the result or have a complication. The most commonly used plumping fillers- Restylane Silk, Belotero, and Volbella-contain hyaluronic acid (HA). In cases of true hollowing, “using fillers under the eye plumps out the area and makes you look less ‘scooped out,’” says London physician Dr. (If puffiness is pronounced, however, filler can sometimes exacerbate the look of bags.) For the right candidate, they can also camouflage the appearance of under-eye bags. Injectable fillers can temporarily smooth out under-eye depressions and lighten shadows created by hollowness.“A combination of a quality skin-care regimen and addressing the underlying anatomic factors will give you an optimal result.” “No one answer will improve the condition completely,” says Langhorne, Pennsylvania, physician Dr. Because of this, your doctor may recommend more than one treatment (beyond getting enough sleep). There’s often a combination of reasons for dark under-eye circles. Excess fat can also cause puffiness that casts shadows.Allergies can trigger inflammation that expands the blood vessels under the eyes, making the area look purplish.Aging and the fat loss or sagging that comes with it can cause more hollowing.Excessive pigment is especially common in people with olive or brown skin.Genetics may mean you’ve inherited deep tear troughs or hollows under your eyes.The light that penetrates the skin is absorbed by this muscle and makes the area look darker.”Īt only half a millimeter thick, eyelid skin can also reveal the underlying blood vessels. “Just under the skin is a thin red muscle called the orbicularis oculi. Usually, “dark circles are caused by the unique optical properties of very thin skin,” says Beverly Hills, California, oculoplastic surgeon Dr. Dark eye circles have many causes far beyond a lack of sleep.
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