Treating Under Eye Dark Circles

New York oculoplastic surgeon Amiya Prasad, M.D. reviews what causes under eye dark circles; how overlapping issues such as eye bags, or hollowness can contribute to dark circles under the eyes; why considering all variables can help choose the best treatment options; and how Dr. Prasad’s aesthetic approach of preserving the eye shape during treatment can help minimize risks:

0:00 - music and intro

0:18 - Introduction to dark under eye circles

1:45 - How overlapping issues can contribute to dark circles under the eyes

2:12 - Why considering all variables can help choose the best treatment options for under eye dark circles

2:31 - How genetics for darker skin can be a factor in under eye dark circles due to skin pigmentation

2:50 - Factors like sun damage, and age-related changes can make the skin under the eyes look dull, and darker

2:58 - How people with lighter skin can also have dark circles caused by sun damage, and aging

3:17 - How PRP (platelet-rich plasma) can improve collagen production, and increase skin quality to treat under eye dark circles

3:40 - Laser treatments that can improve under eye dark circles in lighter skin

4:07 - How laser treatment using long-pulse erbium laser has no downtime

4:24 - How hollowing can be a factor for under eye dark circles

4:34 - The three key points Dr. Prasad evaluates when assessing facial bone structure

4:46 - What Structural Volumizing is

5:09 - Effectiveness of filler placement at the bone level, as opposed to placing filler just below the skin

5:54 - How a combination of bone deficiency, and hollowness accompanied by puffy under eye bags can be perceived as under eye dark circles

6:16 - What herniated fat is

6:26 - How puffy under eye bags are often a genetic trait

6:51 - How age-related bone loss can cause puffy under eye bags

7:00 - How under eye fillers can be used to camouflage mild cases of under eye bags

7:59 - Dr. Prasad's credentials in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience in treating under eye bags

8:35 - What transcutaneous blepharoplasty is, and its possible risks

9:20 - How Dr. Prasad’s aesthetic approach is to preserve eye shape to minimize risks

9:38 - What transconjunctival blepharoplasty is

10:15 - How wrinkles under the eyes are caused by loss of skin quality, not excess skin quantity

10:41 - How transconjunctival blepharoplasty avoids the risk of scarring

10:55 - Dr. Prasad’s experience performing eye surgery under local anesthesia with LITE™ IV sedation