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 Dark Circles under the Eyes
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 As a person ages the skin covering your eyelids thins out, which may cause the blood vessels to become more apparent. This gives the lower eyelids a darker appearance.  It is also possible that thin eyelids can be inherited. Dark eyelids can also be caused from swelling in your lower eyelids. When you're lying down, gravity causes fluid to collect in your lower eyelids, which may create shadows below your eyes.  Dark Circles Under the Eyes can be treated with bleaching creams, eye creams, chemical peels , injectable fillers, non-surgical cheek lift (fillers) to correct darkening under eyes. 
A non-surgical cheek lift can effectively correct dark circles caused by cheek descent, or drooping, a common result of facial aging. This procedure can reduce under eye puffiness and deep nasolabial folds.
In some cases, a combination of treatments may be appropriate, especially if there are multiple factors causing your dark circles.
The procedures that Dr. Gary would recommend to get rid of dark circles is all determined by the cause or the sources of the problem.
There are so many factors contributing to the appearance of dark circles around the eye. Some of of the causes are true hyperpigmentation (skin discoloration): bleaching creams (triluma cream), peels or lasers could help with the discoloration.
When you are using peels you have to proceed with caution. Another cause could be the presence of deep lines under the eyes (tear trough). Using Juvederm will help to decrease the optical illusion of discoloration and shadows.
If you do not want to go through the time and expense you might want to consider camouflage makeup.
One of the most common cosmetic complaints is a tired wrinkled appearance around the eyes. Whether its hollows under the eye or dark blue pigment, or just loose skin on the upper and lower lids, treating this area is essential to maintain a youthful, rested appearance. We now have non-surgical techniques that are safe, long-lasting, and make dramatic cosmetic improvements in your face and your life.
Dr. Gary is a renowned expert in volume enhancement and laser surgery, particularly around the eyes.
Several hyaluronic acid fillers can be used in this sensitive area because of its non-traumatic result, its lasting effect, and its potential reversibility. Lasting a year or more, Eye Fillers like Juvederm or Restylane can give immediate, painless results and that night you can go out for a great dinner with no downtime!
When used in combination with other treatments like Botox®/Dysport™, years can be taken off the appearance of your eyes and face in an office procedure with no downtime.
For fine lines and loose skin the Fraxel Repair® and CO2 Laser offers a non-surgical eyelift result without the need for cutting, unsightly scars or general anesthesia.
No downtime you can take 10-20 years off your eyes.
There is no best treatment for this area of the face. Often a combination of a few non-invasive treatments gives the best, safest and longest lasting result.
Dark circles affect many people and can be extremely frustrating. They give the impression of being tired, aged and unwell when in fact you may feel positively sprightly. Although difficult to treat there are proven non-surgical methods to help restore a fresher look.
When determining the most effective treatment, or combination of treatments, it is vital to identify the cause, of which there are many possibilities.
Hyperpigmentation Constitutional pigment: Your degree of pigment is genetic, which makes certain ethnicities with increased melanin-pigment production more susceptible, irrespective of outside factors – Black, Asian and Mediterranean skin types are examples of these.
True pigment:
Factors such as UV exposure, hormonal shifts (e.g. melasma through pregnancy or birth control) can cause pigmentation around the eyes. Also trauma (post inflammatory hyperpigmentation) from atopic eczema for example, or perfumed cosmetics can influence this.
Aging Volume loss:
Volume loss or fat descent in the cheeks, and under eye volume loss, gives form to what is commonly known as the “tear trough”. This is a depression under the eye, which creates a shadow, i.e. dark circle. Although most people form tear troughs as a result of aging, there are some who have them as a natural deformity from a young age.
Thinning under eye skin:
Eyelids present the thinnest skin on the body and with age, our skin naturally thins further. This translucent covering affords only a thin veil for the dark, underlying structures, such as the muscle and veins.
Skin Laxity:
An ever-decreasing ability to form fresh collagen and elastin sees the skin’s support network diminish. Bulging under eye fat: With age, bone reabsorption speeds up and with an enlarged eye orbit, the fat in which the eyeball resides herniates downwards and outwards.
Lifestyle While everyone needs their vices, unfortunately there are some (personally controllable) factors that will lend themselves fiendishly well to dark circles:
Smoking:
Smoking causes vascular problems, constricting the blood vessels, resulting in poor circulation and making the blood vessels appear darker and more prominent.
Sleep deprivation: Lack of sleep can create paler, more translucent skin, illuminating the vessels below.
Caffeine and alcohol consumption:
Too much caffeine and alcohol will lead to dehydration, causing blood vessels to become swollen. It will also lessen one’s ability to sleep.
Dietary deficiencies:
Dark circles (in conjunction with other symptoms) may be a sign of iron-deficiency anaemia, for example. In the majority of cases, eating the right foods or supplements may treat dietary deficiencies.
Other causes
• Allergies or nasal congestion, inflaming and enlarging the under eye vessels.
• Some medical conditions (such as thyroid or liver problems)
• Some medications (such as meds for high blood pressure) We can see just how many influencing factors there are with dark circles
Peels & Creams to treat Dark Circles
Once the cause is diagnosed, however, we have a number of tricks up our non-surgical sleeves.
Chemical peels –
There are specific, superficial to medium depth peels to target pigment on the delicate eye area in the full range of skin types. The latest peels use synergistic properties to lighten the skin as well as make it stronger and more resilient. Read more
Lightening creams –
To tackle melasma or sun damage, for example, we may recommend a series of highly effective prescription lightening creams.
Hyaluronic Acid
For volume loss and fat descent we would offer hyaluronic acid filler to soften the shadow from the depression and create more cushioning between the skin and deeper structures that further the appearance of dark circles. Strategically, this beings by targeting any mid facial volume loss to support a vertical lift of lower lid.
C02 Laser –
This is another effective treatment for skin laxity, smoothing and tightening the skin of the upper and lower eyelids. The laser energy is absorbed by water in the deep layers of the skin’s dermis, causing the collagen to remodel and contract, which improves texture and tone. In addition, the outer layers of skin will peel following the procedure, which helps to eliminate brown spots and superficial fine lines. It may be used in some cases of under eye bulge also, others needing surgical referral.
Q-Switched Laser –
Pigmentation may be addresses by delivering an intense beam of light to specifically target the melanin that causes pigmentation. The light is then absorbed and converted into heat, which either disperses the group of melanin cells or destroys the cells carrying the pigment molecule. For pigmentation, laser would always be recommended as treatment secondary to peels or creams, as there is greater risk-benefit ratio and multiple treatment sessions are required.
There can be one to multiple treatments for this condition in order to optimize results. There is a laundry list of options to treat this condition. Please give Dr. Gary a opportunity to map out the best possible treatment that will clear your condition by finding the reason why you have Dark Circles under the Eyes.
Celebrity Park Avenue Cosmetic Dermatologist Dr. Rothfeld has been helping patients look their best for over 25 years.
During the consultation, you will have the opportunity to talk to the Doctor about the changes that you’d like to make in your appearance. He will explain the best options available to you, the procedure itself, and the risks and limitations required. Be sure to ask all the questions you have about the procedure
Dr Gary sees every patient himself and believes in personalized care. The Doctor does not employ any physician assistants, nurse practitioners, or other physician substitutes to do his treatment. He sees every patient himself at every visit.
It is important that you explain the results that you would like. Bring photos to our office for Dr. Gary and show him what you like and what you don’t like. He will be able to tell you if you are a good candidate for treatment for the clearing the dark circles under the eyes.
Please come in and consult with Dr. Gary Board Certified Dermatologist at NYC Dermatology. Dr. Rothfeld, a board certified dermatologist at NYC Dermatology will always try to keep you current on the latest advancements in Dermatology and Cosmetic Dermatology at the NYC Dermatologist and Cosmetic Dermatology Center of New York City
New York Dermatology by Board Certified Dermatologist Dr. Gary Rothfeld is a board certified NYC Dermatologist with a New York City office in Manhattan, New York providing expert skin care, dermatology, and cosmetic dermatology services.
A Park Avenue practice with an international reputation in general, cosmetic, and surgical dermatology, and non-invasive facial rejuvenation.
Come in and we will give you the best and top of the line dermatologist advice on how to clear or correct the problem. Dr. Rothfeld at New York Dermatology board certified dermatologist is best known in giving his best in trying to make the patient happy. Dr. Rothfeld is best known for fixing other problems that other doctors could not.
Any questions or to make an appointment click here 
Dr. Rothfeld, recognized by the by the entertainment industry of America as one of the best dermatologists in Manhattan, has organized a comprehensive skin care center offering personalized state of the art services including medical,pediatric, and cosmetic dermatology.
New York Dermatology serves the following neighborhoods within New York (NY), which are in close proximity to our office:
Upper East Side Dermatology, Fifth Avenue Dermatology, Park Avenue Dermatology, Madison Avenue Dermatology, Upper West Side Dermatology, Midtown Dermatology, Lower East Side Dermatology,Chelsea Dermatology, Gramercy Park Dermatology, Murray Hill Dermatology, Greenwich Village Dermatology, East Village Dermatology, West Village Dermatology, Soho Dermatology, Tribeca Dermatology, Meatpacking District Dermatology, Sutton Place Dermatology, Wall Street Dermatology, Hells Kitchen Dermatology, and the boroughs of Brooklyn Dermatology , Bronx Dermatology, Queens Dermatology and Staten Island Dermatology.Dr. Gary Rothfeld is recognized as one of the best Dermatologist in New York, NY, Manhattan, NYC, New York City and the nation by the entertainment industry in the United States of America. At New York Dermatology headed by board certified Dermatologist Dr. Rothfeld, sees patients 7 days a week including Saturday and Sunday.
We accept all credit cards as well as debit cards for payment of services.
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New York Dermatology
Board Certified Dermatologist
212.644.6454
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