Dark circles are an aesthetic problem for both women and men. Far from being the expression of a serious medical problem, they often have a perfectly treatable cause: the blood in the capillaries around the eyes no longer circulates as quickly, and the venous blood is darker, darkening the area.
We're not talking about the dark circles that already appear "folds" of spilled skin. These need surgical treatment. But for the others, which are just "dark", there are very effective non-surgical therapies!
Vorbim aici de injectarea unei pelicule de acid hialuronic, care se va interpune între patul vascular și piele, sau de îmbunătățirea calității tegumentului prin proceduri de mezoterapie.
The latter can correct exaggerated skin laxity, due to its important remodelling effects and induction/acceleration of the natural process of synthesis of supporting fibres.
This restores the skin's elasticity, firmness and tone.
Mesotherapy înseamnă introducerea, prin microinjecții, a unui cocktail de substanțe, stabilit de medic în funcție de nevoile şi situația pacientului, conținând vitamine, minerale, aminoacizi, enzime, acid hialuronic, oligoelemente, etc.
On the other hand, hyaluronic acid injection for dark circles under the eyes should be done by doctors with extensive experience in this field, as it is a delicate procedure and requires a lot of care.
For even better long-term correction, thrombocyte-enriched plasma infiltration (P.R.P., plasmolifting) on the affected area is associated.
This will lead to the regeneration of skin tissue, damaged over time by poor oxygenation.
Mesotherapy has minimal risks and adverse effects are low; small bruises, or haematomas may occur in areas of laxity, redness, local pain, burning, itching or a minor local allergic reaction.
Corrects texture defects, fine wrinkles, diffuse pigmentation, depressed scars restoring skin integrity and appearance.
Dark circles are a multifactorial pathology and a challenge in the world of medical aesthetics. They are the result of a multitude of factors, such as facial anatomy, soft tissue changes and skin changes. There is a wide range of treatments available, and a personalised therapy is required depending on the characteristics of each patient.
The origin of dark circles under the eyes is due to causal factors that include both endogenous (anatomical features, gender, genetic predisposition, physiological ageing, atopic dermatitis, skin xerosis, etc.) and exogenous factors.
The anatomical peculiarities of each patient can cause infraorbital pigmentation to appear through changes that occur with advancing age, through loss of volume in the malar bones, retraction of the lower edge of the orbital fossa and stiffening of the ligaments, resulting in deepening of the dark circles and their shadowing.
The thickness of the skin at the level of the eyelids is minimal, being one of the thinnest regions of the body, thus, by its transparency, it allows the subcutaneous structures to be visible, visibility that is accentuated with physiological ageing by the loss of elasticity associated with a low production of elastin and collagen.
The first step in the management of dark circles under the eyes is to determine the specifics of each patient in order to choose the optimal treatment.
Q-switched lasers are an effective method for the treatment of dark circles that are mainly based on hyperpigmentation of the infraorbital area and are a safe option for selective treatment of melanocytes with minimal damage to surrounding structures.
In Skinmed Clinic we use the Q-switched Nd:Yag laser, with a wavelength of 1064nm, which has the ability to act deep into the dermis, with minimal effect on the melanosomes, being safe to use even in patients with dark phototypes (unlike other types of laser).
The treatment is painless, does not require anaesthesia, and the patient feels a mild, pleasant warm sensation in the treated area. Recovery time is virtually non-existent and the patient can resume daily activities immediately after the procedure.
PDL (Pulsed Dye Lasers)
PDL technology is indicated in the treatment of dark circles with a pronounced vascular component, acting by selective thermolysis at the level of haemoglobin in the tissue. PDL is recommended for patients with phototype I-III, generally in a series of 3 sessions every 4-6 weeks.
They can be used alone or in combination with other procedures to treat dark circles under the eyes. They are indicated for patients with Fitzpatrick skin phototype I-III.
Hyaluronic acid gel
It is one of the most commonly used treatments in the management of dark circles under the eyes. It uses hyaluronic acid in gel form, molecules with a structure very close to those naturally present in the body, thus minimising the risk of allergic reactions, and having a long-lasting effect, without being permanent.
By increasing the concentration of hyaluronic acid in the skin, fillets have the property of revitalising, replenishing the skin's volume while smoothing fine lines and wrinkles.
Treatment of dark circles by hyaluronic acid injection is an easy method. The filler will be injected into the dark circles using a fine needle or cannula, after first anaesthetising the area with a local anaesthetic cream. A treatment session usually lasts between 15 and 30 minutes.
PRP (Platelet Rich Plasma), or Platelet Enriched Plasma Therapy, is an injectable treatment based on the patient's own blood. Platelets play a vital role in tissue repair and the growth of newly formed cells. Thus, PRP stimulates collagen secretion, regenerates skin tissue, helping to rejuvenate cells. Growth hormones are also released into the tissue, which amplify the healing and regeneration process.
The patient's own enriched plasma therapy is based on the patient's blood, which is collected with a syringe before the procedure, under maximum safety conditions. The collected blood is then placed in a centrifuge to separate its components. The resulting plasma, enriched with platelets, is then reinjected, either by mesotherapy or microneedling, into the patient's skin.
PRP used for cosmetic purposes is a safe procedure and there are very few contraindications to the procedure. The most common undesirable reactions are redness and mild to moderate swelling of the treated area, which persist for a very short period of time.
Microneedling is a form of mesotherapy, which is performed with a specialised device instead of the traditional syringe. Microneedling devices are transcutaneous penetrating devices that create 2 effects on the skin: a superficial, rapidly reversible injury that triggers a healing response in the skin with stimulation of collagen and elastin synthesis and the 2nd effect is the creation by needling of multiple permeable channels for the active substances applied to the skin during the procedure.
Typically 4-6 sessions every 4 weeks are needed for optimal results, during the initial consultation with your dermatologist, he will establish the treatment protocol.