Dark circles or hollows under the eyes (known as the tear trough area) are a common concern. It can make you look more tired and aged.

One of the factors that can contribute to “dark circles” is volume loss under the eye giving a hollow appearance. Other factors are excessive laxity or looseness of upper and / or lower eye lid skin, or poor quality and thickness of skin, and skin pigmentation with darker skin types ie Asian and African patients.

There are many ways in which we can approach this notoriously hard to treat area.

• Dark circles, dehydration and puffiness owing to poor circulation in the undereye area can be helped with mesotherapy and targeted topical eye creams which can help improve local issues.

• Antiwrinkle injections can help significantly with skin creases and surface fine lines, but if puffiness and skin laxity are a concern they must be used with caution so as not to exacerbate the issue.

• If the issue is skin laxity and poor skin quality, especially thin crepey skin, it may be best to consider treatments such as PRP, biostimulators like polynyucleotide treatments, and / or skin boosters like Sunekos 200 to improve collagen stimulation, or other medical skin care solutions like laser resurfacing. This will be discussed at consultation.

• Dermal filler can help with hollowness in the undereye area. It is important to note that while dermal fillers can improve the appearance of volume loss in this area, they will not treat pigmentation issues. Not everyone is suitable for under eye filler so consultation is essential. Choice of filler product is also very important in this most sensitive of zones.

This is an area where puffiness and water retention is often a primary concern. Where the water bonding capacity of Hyaluronic acid fillers can be of benefit in other areas of the face, they can cause issues in the under eye zone and can when, used inappropriately, exacerbate these issues.

Teosyal Puresense Redensity 2 is the only dermal filler specifically designed and licensed for this area of treatment. It combines a patented formula of crosslinked and uncrosslinked hyaluronic acid, and essential nutrients including 8 amino acids, 3 antioxidants, Zinc, Copper and Vitamin B6.

This unique mix of ingredients helps with improved tissue support, hydration, and local skin improvements helping give an overall fresher less tired look.

Consultation is key with this procedure, as sometimes the tissue is just not of a sufficient quality to support the product, or treatment in other areas like the lateral and mid cheek to replace lost adjacent support will give an overall more balanced aesthetic outcome.

Using Botulinum Toxin type A injections to relax certain muscles in the perioccular area can have a line smoothing wrinkle improving effect.

It is important to accurately and sympathetically dose this area as overtreatment can affect the smile muscles, resulting in the smile not reaching the eye - not a desirable goal!

Equally, overtreating the muscle around the eye can reduce the ability of the muscle to ‘pump’ or clear excess fluid from the tissue, resulting in more puffiness.

Often this treatment is best carried out in combination with skin stimulating treatments, both topical and injectiable, for best most natural outcomes.

An innovative mesotherapy cocktail, Light Eyes Ultra contains a unique blend of hyaluronic acid, ruscosides, vitamin C and antioxidants, to rejuvenate and refresh sagging eye bags, superficial lines and dark circles around the eyes.

Light Eyes can help with:

• Dark circles under the eyes

• Puffiness, swelling and bags around the eyes

• Superficial wrinkles and dry skin associated with premature ageing

• Loss of skin elasticity

Ingredients :

Hyaluronic Acid - A key ingredient for keeping your skin hydrated

Rosemary Extract - An antioxidant rich in phytolipids, great for skin maintenance

Superoksid Dismutase (SOD) - A strong antioxidant found naturally in the body as well as in many plants

Argireline - Reduces the depth of wrinkles caused by repetitive facial expressions

Fermented Papaya - High in carotenoids, which slow down the ageing process caused by free radicals

Chamomile Extract - Provides an anti-inflammatory and soothing action

Ruscus and Blueberry Extract - Improves blood circulation to aid skin health

Vitamin C - Encourages the body’s natural production of collagen, hyaluronic acid and intercellular substances, whilst giving protection from free radicals and strengthening cutaneous tissues

Philart Eyes is a product with a highly purified Polynucleotide matrix, able to activate processes of bio-regeneration in the skin both at a deep level (adipose and bone tissue) and in the dermis (fibroblast stimulation).

The high-density but low molecular weight structure allows a fast penetration in tissues and effective stimulation.

Philart Eyes is specifically designed to improve:

• Puffiness / Bags under eyes

• Periocular wrinkles

• Regenerate the skin in the Periocular area

• Bio-restructuration of deep tissues

• Improvement of superficial wrinkles without the use of fillers

• Pre and post-surgical treatment (such as Blepharoplasty, surgical eye lift, laser).

This treatment can be used as a stand alone course of treatment, or in combination with other modalities like light eyes, dermal filler, anti wrinkle injections to give a natural revitalised look.

Treatment course recommended is 2-4 treatments 2-4 weeks apart. Results are cumulative and improve over a period of a few months.

The Bright Eyes protocol combines both Light eyes and Polynucleotide treatment (2 of each across 8 weeks).

PRP uses a purified and concentrated portion of your own blood to bring about skin rejuvenation.

A small volume of blood is extracted from the arm. It then spins in a centrifuge to separate the plasma from the red and white blood cells. This plasma is then re-injected into your skin, infusing the skin with platelets which are packed with all-important growth factors. This promotes the growth of new collagen under the skin. It also increases skin elasticity and thickness stimulating a youthful healthy glow.

This treatment boasts a whole list of benefits for the skin, including:

• Banishes dark under-eye circles

Because the platelet rich plasma that is re-injected into the skin is so rich in growth factors, the surrounding cells are triggered to proliferate, stimulating repair whilst increasing volume. This helps diminish the appearance of dark circles under eyes.

• Brightens and rejuvenates ageing and sagging skin

The platelet rich plasma, packed full of growth factors (proteins) boost your own collagen production. This means new cells are produced, naturally increasing your skin’s elasticity. A course of PRP treatments also brings about an increase in skin thickness, giving skin that youthful appearance once again.

• Helps smooth fine lines and wrinkles, even under eye wrinkles

When the platelet rich plasma is injected to crepey and wrinkled eyes, it intensifies the skin’s tissue-healing process. The treatment significantly boosts collagen production. While there are indeed instant results maximum collagen regeneration happens about 3 months post-treatment.