Treatment of Dark Circles Under the Eyes

Effective treatment for removal of dark circles under the eyes must be directed at the underlying cause of the dark circles. Millions of people complain of dark circles under the eyes but the underlying cause of the dark circles varies greatly. Treatments for dark circles that do not correct the underlying cause of the dark circle do not work. There is an incredible array of treatments for dark circles including cucumber slices, tea bags, vanishing creams, bleaching creams, lasers, surgery, more sleep, avoid TV and computer, drink 2 liters of water a day etc, yet few of these regimens seem to be directed at the underlying cause of the dark circles under the eyes.

To better understand the treatment of dark circles under the eyes I will discuss the various types of dark circles under the eyes that I encounter in my plastic surgery practice and my understanding of the cause of the dark circles, and what I feel is the most effective treatment to remove the dark circles under the eyes.

Understand that the eyelid skin appears darker than the surrounding facial skin in all people-this is the normal condition and is caused by shadows created by the overhanging brow and the fact that the eyelid skin is much thinner than the surrounding facial skin. Below I am talking about exaggerated dark circles under the eyes that cause people to be unhappy with their appearance.

Causes of Dark Circles under the Eyes

Thin Eyelid Skin

The eyelid skin is the thinnest in the body and many people with dark circles under the eyes have extremely thin skin on their eyelids and around the eyes. This thin skin is an inherited trait. The dark circles under the eyes are caused by the fact that the purple color of the underlying eyelid muscle shows through the thin skin and creates a bluish or purple color. The color is darkest near the nose and on the lower eyelid near the nose.

Treatment of dark circles under the eyes caused by thin skin is very difficult because it is very difficult to make your inherited skin thicker. Cover up make up like Jayne Iredale Eye Cover, Dermablend, and Covermark are very helpful and my first recommendation. Frequent microdermabrasion and Retin A cream over a long period of time will build new collagen in the dermis will thicken the skin and provide some improvement.

There are new lasers on the horizon which are very effective at stimulating new growth of collagen in the dermis and these new technologies may prove very beneficial. Be sure to sign up for my free newsletter to be informed when these new technologies are available.

The Arcus Deformity discussed below creates a very severe dark circle in people with thin eyelid skin and correction of the Arcus deformity with Arcus release and fat grafting can be very helpful treatment for dark circles under the eye in these individuals.

Prominent Eyelid Blood vessels and Veins

Everyone has veins and blood vessels called capillaries in their eyelid skin. In many people however the veins are very prominent and the blood vessels add to the dark color of the eyelid.

To diagnose this cause of dark circles look in a mirror with bright light on your face and gently pull the skin of the lower eyelid tight. You will see many tiny branching red and blue lines which represent blood vessels.

You need blood vessels and veins to keep your eyelid healthy and alive. However when there is an abundance of smaller vessels which create a bluish or purplish hue to the lower eyelid some new IPL (Intense Pulsed Light) or laser therapies can be used to treat dark circles under the eyes in people with an excess of small capillaries and blood vessels. The very large veins cannot be treated.

Laser blood vessel treatment is a serious and potentially dangerous treatment for dark circles under the eyes and must be performed by a physician who is experienced in the use of lasers and IPL. Most importantly the eye must be protected by placing a shield over the eye during treatment so that the laser or IPL light cannot hit the eye. The laser and IPL light can damage the retina and destroy vision if the beams hit the unprotected eye.

Pigmentation of the Eyelids

Hyper pigmentation, too much pigment in the skin of the eyelid is a very common cause of dark circles under the eyes. Treatment of dark circles under the eyes caused by hyper pigmentation is very effective, but the pigment frequently returns after sun exposure.

Hyper pigmentation of the lower eyelids occurs because of sun exposure and prevention with sun block, sun glasses, and a hat are the most important first treatment for this type of dark circles under the eyes.

The treatment of hyper pigmentation begins with bleaching creams such as a combination of Retin A and 4% Hydroquinone, Obagi Blender 5, Epiquin or other prescription bleaching cream combined with microdermabrasion.

After the above treatments have lessened the pigmentation causing the dark circles under the eyes, if necessary I proceed to IPL (Intense Pulsed Light) treatments. These treatments do effectively remove pigment causing the dark circle but again experience and eye protection are very necessary to prevent eye injury.

Hollow Eyes

Many people have a deep hollow beneath the lower eyelid which creates a dark shadow beneath the eyelid which people call dark circles under the eyes.

This deep hollow beneath the lower eyelid is caused by an inherited deficiency of fat and or bone and treatment of this type of dark circle under the eye requires surgery.

The hollow eye occurs more commonly in people from Central Asia and the Middle East but it certainly occurs in all races and from people in all regions of the world.

To treat dark circles under the eyes in people who have hollow eyes I do a laser procedure called an Arcus Marginalis release and fat grafting. The Arcus Marginalis is a structure which tethers the lower eyelid to the bone and creates a dark circle when the eyelid skin above the dark circle falls over the dark circle creating a shadow. Releasing the Arcus Marginalis releases the eyelid skin and eliminates the crease or dark circle.

I then transplant fat to fill the hollow in the bone and plump the dark circle and correct the hollow eye appearance.

Usually, to treat the dark circle under the eyes caused by the hollow eye I have to take fat from around the belly button on the abdomen to have enough fat to adequately fill the hollow eye deformity. The incision to remove the fat is well hidden down inside the belly button and is usually not visible.

Treatment of dark circles under the eyes caused by the hollow eye usually takes me 45 minutes to an hour, can be done with you asleep or awake, and recovery is usually 10 days. Patients do not complain of pain afterwards. The main recovery is waiting for bruising to go away and blurred vision from eye ointment that I have you use for the first week or two. Most importantly after this treatment you need to be calm, rest and not exert yourself. Working out or heavy lifting can raise your blood pressure and cause bleeding. Although you will be up and around the first few days with sunglasses to cover your bruising, I do not want you to exercise or lift heavy objects for at least 2 weeks.

The Arcus Deformity-the True dark Circle under the Eye

The most common cause of dark circles under the eyes in patients who seek treatment of dark circles under the eyes in my plastic surgery practice is the Arcus Deformity.

The Arcus Deformity is a dark crescent shaped circle or depression which occurs beneath the lower eyelid starting beside the nose in the corner of the eye and running out toward the side of the face and curving upward towards the outside corner of the eye.

The Arcus Deformity is caused by the fact that a small structure beneath the lower eyelid called the Arcus Marginalis is attached to the bone of the eye socket and also attached to the lower eyelid from underneath. This attachment tethers or holds the eyelid close to the bone of the eye socket while the rest of the lower eyelid is loose and free to move. The normal fat which is beneath the eyeball pushes out against the lower eyelid which creates a visible bulge on the lower eyelid. You can see this by closing one eye and gently pressing on the closed eye. With your other eye you will see the bulging of the fat against the closed lower eyelid on the other side.

The eyelid skin that is tethered by the Arcus Marginalis cannot move or bulge, and as the fat bulges the lower eyelid above the Arcus Marginalis it creates a shadow or dark circle beneath the eyelid where the Arcus Marginalis is attached to the lower eyelid skin. This is the true dark circle under the eyes.

As we age and our eyelid skin becomes loose or lax, the eyelid skin also falls or sags over the depression caused by the Arcus deformity and the dark circle gets worse. With aging and excess protrusion of fat against the lower eyelid the Arcus deformity can become quite pronounced.

The Arcus Deformity is the true dark circle under the eye and I use the term Arcus Deformity to differentiate it from the Tear Trough Deformity which is different. The Tear Trough Deformity starts near the corner of the eye in the same location as the Arcus Deformity but the Tear Trough Deformity runs down into the cheek rather than up toward the outside corner of the eye.

The Tear Trough Deformity is a sign of advanced facial aging and is caused by the sagging or descent of the cheek into the middle of the face which occurs with facial aging in your 50’s and 60’s. Tears run down the cheek and out the side of the face through the Tear Trough instead of straight down the cheek as they do in a child.

By contrast the Arcus Deformity occurs in much younger patients including children. Most people seeking treatment for dark circles under the eyes in my plastic surgery practice are in their 20’s and 30’s. Doctors often misdiagnose the Arcus Deformity as the Tear Trough Deformity which is a major problem if a Tear Trough Implant is used to treat the dark circle. The Tear Trough Implant is designed to plump or correct the depression in the cheek out toward the side of the face, and in my experience the Tear Trough Implant cannot adequately correct the dark circle under the eye where it is deepest, near the corner of the lower eyelid near the nose.

The treatment for dark circles under the eyes caused by the Arcus Deformity must include release of the Arcus Marginalis and fat repositioning or fat grafting to plump the area of the dark circle.

The traditional plastic surgery treatment for eyelid rejuvenation called the blepharoplasty, during which fat is removed, can actually make dark circles under the eyes worse and create a hollowed eye appearance.

Treatment of dark circles under the eyes that are caused by the Arcus deformity requires a modern blepharoplasty approach which includes release of the Arcus Marginalis and fat repositioning or fat grafting.

I use a very specific treatment for dark circles under the eyes called the transconjunctival blepharoplasty with Arcus release and fat grafting. This treatment is done through a tiny incision on the inside of the eyelid called a transconjunctival incision because it goes through the conjunctiva, the pink tissue on the inside of the lower eyelid. I also use the laser to make this incision.

The benefits of the laser transconjunctival incision are:

1. No visible scar or incision on the outside of the eyelid

2. No change in the shape of the lower eyelid-the traditional scalpel blepharoplasty through an external incision usually weakens the lower eyelid and causes a sad eyed look

3. Less bleeding during surgery

4. Less bruising after surgery

5. Quicker recovery

My results following treatment of dark circles under the eyes with the laser transconjunctival blepharoplasty with Arcus Marginalis release and fat grafting have been very successful. Most patients have recovered within a week and many who do not bruise are comfortable being seen with make up after 5 days.

Summary- Treatment of Dark Circles under the Eyes

To summarize, effective treatment of dark circles under the eyes requires that you correct the problem that is causing the dark circle under the eye. To accomplish this you must understand what type of dark circle under the eye you have and what is causing it. The following is a summary table:

Thin eyelid skin-Retin A, microdermabrasion, laser?

Prominent Eyelid Blood Vessels-IPL, Laser

Pigmentation of the Eyelid-Bleaching creams, IPL, laser, Microdermabrasion

Hollow Eyes-Arcus Marginalis Release and fat Grafting

Arcus deformity-Transconjunctival laser Blepharoplasty with Arcus release and fat grafting or repositioning

Treatment of dark circles under the eyes is possible; the key is understanding the underlying cause of your dark circles. With proper diagnosis and treatment of dark circles under the eyes caused by the Arcus deformity beautiful results can be achieved with the transconjunctival Arcus release and fat grafting.

Class, Let’s Review The Xd2200 Sanyo LCD Projector

The PLC-XD2200 Sanyo LCD projector is a portable XGA (1024 X 768) multimedia module that produces first-rate color for nearly the lowest price in its class. It’s your basic no-frills projector, lacking digital input and PC-free or network presentation ability with only a single watt speaker built-in. But if you are primarily looking for an attractive price, portability and fantastic color rendition in every image mode, then the XD2200 has got you covered.

Setup is a snap thanks to the XD2200’s “Auto Setup Function”. This feature automatically performs keystone correction of the input signal by detecting the inclination angle of the device. This model is extremely power efficient when placed into standby mode, drawing a mere 0.4 watts in comparison to the 2-3 watts drawn by other projectors. Another sweet feature is the estimated 6000-hour lamp life you will achieve when using Eco mode. Since a brand new lamp can amount to almost one-third of the cost of a new projector, it helps to know that if you can operate mostly in Eco mode (which is in excess of 1000 lumens), you will receive a few eons of projection time out of your bulb.

You would be correct to assume based on the size and weight of the XD2200 that it is a remarkably portable device. Unlike much of its competition, this Sanyo LCD projector does not come with its own travel bag. Perhaps this is because it easily fits into most soft briefcases.

If a simple and clean appearance is appealing to you, the XD2200 will be a delight. Beginning at the front panel, the recessed lens is located on the left side of the front face, keeping it protected even in the absence of the tethered lens cap. Right behind the lens, in the recess above the projector face, you will conveniently find the focus and zoom adjustments. You also have an infra-red receiving eye to the left of the lens. On the other side of the lens you will find two stacked air intake vents. A removable filter on the bottom of the projector, which slides out from the front, is located in the bottom intake vent. There is a single front height adjustment foot in the middle with the standard push-button release. Fine-tuning of the height adjustments are done by screwing the foot out or in. A small downside is fact that you have no adjustment feet in the rear, so make sure you’re using a fairly level surface for table mounting.

Taking a look at the top of this Sanyo LCD projector from the front face, you will see a cover in the right rear for accessing the bulb. This allows for simple lamp replacement if the device is mounted from the ceiling, since there is no need to dislodge it just to replace a lamp. In the left back corner you have a control panel with the most-commonly used functions, including power indicators, lamp status and warnings if the unit has any problems such as overheating. You have you buttons for Power, Auto Setup, Input Search, Auto PC adjustment, and Auto Keystone.

The next set of buttons you have are for bringing up and selecting from the on-screen menu, as well as menu navigation buttons. The Left and Right menu navigation buttons will additionally perform as your Volume Down and Up respectively.

The built-in one-watt speaker is found on the left side (if you’re facing the front of the unit), toward the front. The power cord connector is located on the right side, toward the front, as are the two heat exhaust vents and the screw for opening the lamp cover.

Continuing on to the back panel from the left, you will find two more heat exhaust vents. To the immediate right of that are an RS-232 port and a Kensington lock. Then you have your two computer input terminals. This first input will also act as the input for component video and S-video. You may need to purchase the appropriate adapters. The second input can serve dually as a monitor output when not being used as an input. In this same area you have your stereo audio inputs, one PC audio input, a composite video input and an audio output which is adjustable for output volume level from the remote. Lastly, there is a LAN jack for a network connection. Below that is another air intake vent with a slide-out dust filter.

It’s worth noting that even though the lamp cover is smartly located on the top of the projector, the two dust filters may be a bit tight to remove for a ceiling mounted unit. Since filters should be removed for cleaning way more often than the bulb will need to be replaced, you may want to take this into consideration if you want to mount your XD2200 Sanyo LCD projector on ceiling.

You can check the XD2200’s video display capabilities by the DVD playback on your laptop computer. Beginning in Real mode, you can review scenes from your favorite movies like “Batman Begins” or “The Swan”. In either case, you will find that skin tones are quite natural and the overall color balance is quite solid. Sometimes a low contrast ratio and reduced black levels may occur if you are viewing darker scenes. The gamma adjustments should help with black levels. This is hardly atypical for a projector in this class, much less one in the price range of the XD2200. Since it is often preferable to have more accurate colors, the solid color reproduction of this model makes it an ideal selection for video presentations in the classroom. So if you have a video presentation that contains audio, you may want to consider using some external powered speakers. The built-in 1-watt speaker of the XD2200 Sanyo LCD projector is not intended to achieve a volume level required by some larger conference rooms or classrooms.

Protect Your Data and the Environment Through Drive Recycling

I find myself sitting in the second floor of a huge public library in a good-sized college town. I came here for the quiet and solitude, for a change of scenery that was different from my home office. What I got was an overwhelming sense of how technology has changed our lives. Even though I am sitting amidst long, tall rows of books on every conceivable subject, I look around and see folks at tables, clicking away on laptops and netbooks.

This particular library has over sixty public computers scattered throughout its two-story repository. There is even a computer lab for patrons to use. In addition, I am connected to the virtual world outside through their free Internet WIFI connection. Do you remember the card catalog cabinets and the Dewey Decimal System? It’s all on computer now, thank goodness. You don’t get just a shelf location; you get a map!

As I gaze out the window to the street below, I see college students walking, or rather, dancing down the sidewalk with tiny headsets stuck in their ears, harnessed to a tiny mp3 player. I think back to my vinyl LP record collection that took up two shelves that were six feet long. There is more music stored on those tiny devices than I could ever fit in my house.

When I walked in the door to get my new library card, I was advised to put my cellphone on silent. I can remember back when our telephone was on a party line and we had to wait our turn to use the service. These days, the tether of the handset cord to the phone is gone; we have free rein to roam anywhere in the world and still be able to phone home.

Unfortunately, those technological advances that have enriched our lives have a downside: electronic waste. According to a recent Environmental Protection Agency study, our electronic waste is having a negative impact, not just locally, but globally. In the United States, the EPA estimates that 1% of our municipal waste streams are composed of electronic waste. They also estimate that 30 to 40 million computers will be scrapped each year for the next couple of years as they reach their end of usable service. Technology and software advances are making computers obsolete, almost before they are sold off the shelf.

Recycling old computer parts, such as hard drives, may not eliminate the problem, but it can surely help. Data loss that requires a hard disk file recovery service often means that the hard drive is toast. Physically damaged drives can be repaired enough to perform NTFS file recovery, but they are no longer reliable. The next time you need internal or external hard drive data recovery, look for a company that has a hard drive recycling program. Those folks care, both about your data and about our environment.