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Dark circles under the eyes can make you look tired, unhealthy and older than you really are.  They occur in men and women often as young as the mid 30’s.

What are the causes?

·         Aging : the under eye ligaments get weak resulting in the normal fat pad pushing forward

·         Allergies: sinus and nasal congestion and watery eyes can cause under eye redness and puffiness

·         Heredity

·         Lifestyle factors: Lack of sleep, stress and  smoking all can cause puffiness in the under eye area

·         Pigmentation : more common in Asian, Hispanic and African-American skin

 

How can it be treated?

Mild or moderate dark circles respond to simple remedies. Getting enough sleep and   stopping smoking can result in improved eyelid appearance. Application of cold used teabags or frozen peas can temporarily reduce eyelid puffiness.  Allergy sufferers should reduce triggers such as pet dander and try a non-drowsy over-the-counter antihistamine such as Allegra or Zyrtec.  Women can conceal pigmentation or the deep trough under the eyes by applying an under eye concealer. It is best to select a color two shades lighter than the foundation color and apply lightly. For more makeup tips click here

Eye creams with anti-oxidants such as vitamin C and E reduce inflammation and can help hydrate the skin. My favorite is TNS Eye Repair from Skin Medica.

 

When to see a doctor:

·         If allergy symptoms are not relieved by an over the counter antihistamine after a few weeks, a trip to the allergist is in order.

·         If simple measures do not result in improvement, consult with a dermatologist to see if injection of Restylane into the under eye crease or “tear trough” would be helpful

·         If the under eye bags are very prominent , eyelid surgery done by a board certified plastic surgeon or opthalmoplastic surgeon may be the best option

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