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Eye Rejuvenation

What happens our eyes as we age?

As we age various changes may start to occur to the delicate, thin skin around the eye and to the underlying anatomy such as skin laxity, crepey skin, skin folds on the eyelids, sunken hollows, dark vascular appearance to the skin, eye bags, drooping of the eyebrows. Thankfully, there are also several treatments to combat these changes and keep the peri-orbital area healthy, tight, and bright.

Treatments for crow’s feet and lines

Crow’s feet or smile lines is the name given to those fine lines that appear usually in a fan shaped pattern to the side of each eye when we laugh or squint. They are caused by muscle contraction, but over time and especially with increasing skin laxity as we age, they can be seen even when the face is motionless (static lines). Crow’s feet lines can be prevented and treated with anti-wrinkle injections. If they are deep and caused by skin sagging then dermal filler or radiofrequency microneeding or plasmafibroblast may also have to be used.

Treatments for sunken eyes

Sunken eyes are commonly known as hollow eyes. The skin around the eyes appears sunken or pulled inwards, making the eyes seem heavy, exhausted, and hollow. If a groove below the inner corner of the eyes or the eyes looks sunken, it causes the sunken eyes to have a tear trough deformity. A major contributor to this hollowness is a decrease in the supporting collagen and suborbital fat pads as we age.
Treatments for sunken eyes or eyes with crepey skin:

  1. An eye cream which suits your skin, we can recommend one at your visit
  2. Skin booster injectables specifically formulated for the thin, delicate peri-orbital skin such as NCTF-HA135, LUMI Eye, AMI Eye and Ameela Eyes.
  3. Tear Trough Filler using specialised dermal filler, FDA approved Teosyal Redensity II, to replace lost underlying peri-orbital fat and elevate the undereye skin.
  4. Platelet Rich Fibrin uses your own body’s platelet growth factors to stimulate collagen and elastin and regeneration of new healthy skin tissue for gradual, natural and real results. PRP treatments lead to improvement in all but one aging signs in this area (fine lines, texture, loose skin, loss of volume, deep wrinkles, pigmentation)

Treatments for eye bags

Eye bags usually form in later age and are due to a combination of skin laxity and herniation of the subocular fat pads.

Treatments for eyebags include the following:

1. Radiofrequency Microneedling treatment – using the Focus Dual by Lynton Laser, the skin surrounding the eye is treated with fractional radiofrequency microneedling with a small, focused head containing 10 tiny needles. radiofrequency (RF) energy/heat is gently distributed into the epidermis and dermis to a maximum depth of 1 mm as the skin surrounding the eye is very thin.
Targeted thermal trauma to the dermis stimulates collagen production creating stronger, firmer, and more lifted skin to help with wrinkles and laxity

2. Tightening treatment with HIFU – lift, firm and tighten skin around the eye bags and reduce lines and wrinkles, crepeyness, laxity and excess fat.
3. Eye Bag Draining Mesotherapy using a special formulation containing peptides to stimulate lipolysis of fatty eyebags, artichoke, rosemary and caffeine to stimulate the microcirculation which has a beneficial effect on water retention, preventing swelling, accumulation of toxins and lymphatic stasis. The active effect of low-molecular-weight hyaluronic acid has a positive effect on the skin’s tension, reducing its excess and flaccidity.
4. Disguising Eyebags using Dermal Filler – Strategic placement of dermal filler, either cheek filler or tear trough filler can help to build up volume loss and support the area under the eyes and disguise the bulges created by eyebags
5. Plasmafibroblast – this treatment can tighten and thicken the skin and reduce the amount of excess skin in both upper eyelid and lower eye areas, so that there is less loose skin for fluid to pool into and cause eyebags.

Treatments for under eye dark circles

The area under the eyes can look purplish or bluish because the skin there is so thin and translucent that you can easily see the underlying blood vessels (vascular pigmentation). The main causes for dark circles are genetics and skin tone. Dark circles tend to be more apparent in people with fair skin and those with very little subcutaneous fat supporting the area under the lower lid.

On the other hand, people with darker skin tone may produce extra pigment around the eye area, which can cause a general darkening of the skin under the eyes and on the lids.

For some people, exposure to the sun may stimulate excess melanin production.

Treatments for dark circles

Depending on what the main cause/s of the dark circles, following consultation you may be recommended one of or a combination of the following treatments:
1. Specialised medical grade eye creams containing ingredients such as antioxidants, hyaluronic acid, tyrosinase inhibitors, peptides, caffein, vitamin K, hydroquinone – helps decrease pigmentation and thicken the skin
2. The condition of the skin with skin boosters and mesotherapy solutions specifically formulated for the thin, delicate peri-orbital skin such as Bright Eyes, Beautif-EYE, Lumi Eye, AMI Eyes and Ameela Eyes.
3. Platelet Rich Fibrin & Platelet Rich Plasma uses your own body’s platelet growth factors to stimulate collagen and elastin and regeneration of new healthy skin tissue for gradual, natural and real results. PRP treatments lead to improvement in fine lines, texture, loose skin,wrinkles and skin tone.
4. Hyaluronic acid filler injections – to fill the “tear trough” and reduce shadows if a pronounced tear trough groove is the cause of the dark circles.

Treatments for the under eye 'jelly roll'

Some people dislike the appearance of their under eye ‘jelly roll’ others find them cute. The ‘jelly roll’ is a manifestation of skin bunching up underneath the eye when the orbital part of the muscle surrounding the eye: the orbicularis oculi muscle is contracting during a smile. Under eye botulinum toxin can be injected just below the lashline to weaken the muscle, lessening the scrunching and ensuring that the eyes stay wide when you smile.

Treatments for puffy eyes

Puffy eyes are usually temporary. The most common causes of puffy eyes are swelling due to crying for an extended period of time, seasonal allergies, eczema or fluid retention as part of ageing. Eye puffiness may also occur due to excessive sodium or alcohol intake, which may lead to dehydration and subsequently water retention. Water retention is most apparent around the eye area as the skin there is the thinnest.

A lack of sleep may also worsen puffy eyes due to the pooling of fluids around the eye area. As a result, eye puffiness is often worst in the morning; it gradually resolves itself throughout the day as the accumulated fluid naturally drains away with help of gravity and time.
Management of puffy eyes includes the following:
1. Avoidance of allergen for those with seasonal allergies
2. Get enough sleep and sleep with your head slightly raised
3. Limit salt and alcohol
4. Eye creams with caffeine – causes vasoconstriction –> less puffiness, for instance Obagi Elastiderm Eye Serum
5. Avoid eye creams containing retinoids or other irritants, ensure makeup is not irritating your eyes
6. Cool compress – can reduce inflammation and promote blood flow
7. Lymphatic massage

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