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As we age, we discover that one of the most noticeable changes to our appearance involves the eye area. The origin of such unwanted comments is typically the nonverbal messages the lower eyelid region sends as we age.  This area can be affected by many different factors which each contribute to the appearance of dark circles under the eyes—the first is the convexity or concavity of the lower eyelid fat. Take a look at the shadows demonstrated by the blue arrows in the photo of this patient whom I helped with my lower eyelid rejuvenation surgery.
Because most light is above us in our world (consider sunlight outside and room lights inside), this light is likely to cast a shadow over the protruding fat that becomes visible on the skin under the lower eyelid fat.
A converse problem relating to lower eyelid fat is rare but can occur occasionally and involves the lack of fat in the lower eyelid region, causing a sunkenin appearance that similarly catches and displays shadows in the lower eyelid skin. The third factor contributing to the appearance of dark circles under the eyes is dark pigment, which can deposit in the skin in the lower eyelid region. Notice the before surgery photo of this patient who had multiple dark age spots and pigment in the skin of the lower eyelid, demonstrated by the blue arrows.
A fourth factor patients experience leading to dark circles under the eyes is the underlying vessels transmitting through the thin skin in the lower eyelid region. Finally, the fifth factor, which can play a role in the appearance of dark circles under the eyes, is the presence of lower eyelid and cheek swelling, known as lower eyelid, cheek festoons and malar mounds. While these five common causes of dark eye circles can result in less than optimal nonverbal messages, there are options available to treat them, rejuvenating the appearance and restore effective non verbal communication. For more information on cosmetic eyelid rejuvenation, festoons, dark circles under the eyes, or services available for cosmetic surgery Tampa, including blepharoplasty and Botox, Contact Our Office. When we greet someone, we generally look first at their eyes, and first impressions are clearly important. Most people view puffy eyes and dark under eye circles as indicative of lost vitality, too little sleep, aging, or poor health.
What appear to be under-eye circles or dark crescents are sometimes just shadows cast beneath puffy eyelids into hollows under the eyes… imagine them as a valley between two hills or mounds. The one factor that, in our experience, has the biggest impact and seems to be a universal theme is lack of sleep. As Oculoplastic surgeons, we are uniquely trained to not only recognize the different causes of dark circles and bulges but also the subtle nuances of eyelid skin, texture and eye characteristics that are unique to each individual. Flavor your foods with lemon instead of salt, avoid preserved or canned foods, and practice greater awareness of salted foods in restaurants. Avoid excessive consumption of foods that can dilate (enlarge) your eyelid blood vessels such as watermelon and chili peppers. Take dietary supplements to keep your iron and B12 levels normal and watch try to limit your consumption of phytates with foods they will bind. Review your medications for possible known eyelid swelling complications, vessel dilation (used to lower blood pressure), or flushing.
Place a couple of bricks under the feet at the head of the bed to keep your head slightly elevated at night. Avoid exposing your eyelids to UV light by using powdered sunblock around your eyes and wearing sunglasses and UV-blocking hat brims with dark undersides. Blepharoplasty, also referred to as eyelid surgery or eyelid lifts, improves the appearance of the upper eyelids, lower eyelids or both. Many patients complain of the puffiness under the eyes or heavy appearance to their eyelids. As a person ages there is an excess of skin of the upper eyelid and loss of a defined upper eyelid crease. The cost of eyelid surgery (blepharoplasty) varies with each plastic surgeon along with the complexity of the patient’s eyelids.
Lower blepharoplasty is a more involved surgery and requires a skilled and experienced plastic surgeon. Lax lower eyelids that may require canthopexy or canthoplasty in addition to eyelid surgery. The goal in lower blepharoplasty or a lower eyelid lift is to improve that tired or puffy appearance to area beneath the eye. The shape of your eyelid should not change after surgery aside from removing the excess skin surrounding the eyelid. The goal with eyelid rejuvenation is to have a refreshed, vibrant, and enlivened appearance. This Houston patient had lower eyelid surgery or lower blepharoplasty for the bags under her eyes.

Upper and lower blepharoplasty for this Sugarland patient created more youthful, refreshed appearing eyelids and she looks more rested. Upper eyelid surgery or blepharoplasty on this Houston male patient improved the symmetry of his eyelids and gave a more rested appearance.
This Houston patient underwent lower blepharoplasty or eyelid surgery to remove the bags under her eyes. Lower eyelid blepharoplasty or eyelid lift for excess fat truly provided a more restful and youthful result for this Houston patient. This Houston patient presented with festoons of the lower eyelids and desire for upper eyelid lift. Eyelid surgery or Blepharoplasty should create subtle results and lead to a refreshed appearance creating more attention on the eyes themselves and not the eyelids. This patient had a small skin cancer which was removed on the left lower eyelid and reconstructed. Eyelid Lift or Eyelid Surgery (Blepharoplasty) in this Houston patient with excess eyelid skin and 'bags' under the eyes. Eyelid Lift or Eyelid Surgery (Blepharoplasty) in this patient with excess eyelid skin and 'bags' under the eyes. Upper and Lower Blepharoplasty (Eyelid Surgery) on this Sugarland patient created a more rested and refreshed appearance. Eyelid surgery or Blepharoplasty was performed on this Houston patient with significant fat in the upper eyelid. Eyelid surgery or Blepharoplasty was performed on this patient with significant fat in the upper eyelid. Blepharoplasty for both upper and lower eyelids was performed in Houston on this patient from East Texas. Eyelid Surgery Houston Upper Blepharoplasty for patient with heavy eyelids and tired appearance.
Perhaps the most common complaint I receive as a specialist in cosmetic eyelid rejuvenation is that my patients have heard from others that they look sick or tired, even when they are feeling well and rested. If the lower eyelid fat protrudes into the lower lid region, it often catches overhead shadows.
The result of the shadowing is unattractive, dark circles, sending a message of fatigue or illness. This is the second cause of dark circles under the eyes and make the eyes appear to have dark circles. These spots, along with the upper and lower eyelid appearance, were helped with my upper and lower eyelid rejuvenation techniques.
This can be seen in the photo of this patient who had two causes of dark circles under their eyes. This can be seen by the blue arrows in the photo of this patient pointing to the festoons before I helped her with my lower eyelid rejuvenation procedures. I experience great satisfaction when patients report to me after I help them that others in the world better relate to them because these various causes of dark circles have been improved.
The appearance of the eyes and eyelids reflect the well-being, character and youthfulness of a person. While all of these may cause “tired, old eyes,” there are many other causes – and many treatments.
As the skin becomes more thinned out, dehydrated and transparent, and as the fat and collagen thins or descends, the underlying deep red muscle and dilated, dark veins become more visible.
Through our experience over the years, we are able to suggest equally unique and tailored options to our patients to address this problem. Eyelids are one of the first areas where aging can show and cosmetic eyelid surgery can provide a more youthful appearance. Etai Funk specializes in plastic surgery of the face and neck exclusively at his Houston office and has an intimate understanding of eyelid anatomy and aesthetics.
However, these wrinkles are best addressed with resurfacing techniques such as laser or chemical peel and Botox®.
Blepharoplasty patients recover around 1 to 2 weeks after their surgery and can return to work and social activities.
Typically upper eyelid surgery is a straightforward procedure and less in price unless there is ptosis, commonly referred to as a lazy eye. The crease in the upper eyelid is created by a muscle and by changing where that crease is located and the amount of skin that is excised, eyelids can be made more symmetric with eyelid surgery.

Once again, the objective is to provide an unoperated appearance and not to change the shape of the eye itself, but only reorient and shape the surrounding tissues. They had the fullness catching shadows but, as this photo demonstrates, they also had thin skin showing the pink vessels in this region of the lower eyelid skin closer to the nose. Eyes are the first feature that we notice and what we glean from the eyes, we quickly generalize as an overall impression. Most of the time, however, our faces are illuminated from above by overhead lights or incident sunlight.
Also, with time, the muscles and deeper tissues that hold back the fat tend to become more stretched, allowing the fat to bulge forward. In certain cases, we recommend dermal fillers in the under-eye region that can be used to fill in the hollow and recreate a smooth transition between the lower eyelid and the mid-face, thus, eradicating the dark circles. The purpose of eyelid surgery is to give patients a rejuvenated appearance to the surrounding area of your eyes, making you look more rested and alert. One of the first areas where a person begins to notice the signs of aging is surrounding the eyes. However, revision upper blepharoplasty can be more costly as there is increased scar tissue and complexity of the eyelid.
We recently contacted twenty of the leading advertisers for under-eye dark circle remedies and asked them to send whatever evidence they had of the efficacy of their product for independent review and product comparison by a panel of oculoplastic surgeons, biochemists, dermatologists, and plastic surgeons.
The first is that the lower eyelid muscles lose tone and becomes less effective in their natural role of acting as slings to hold fat back and this then starts to bulge forward. In others, surgery in the form of blepharoplasty to address excess eyelid skin and bulging fat is a preferred option. Funk as their blepharoplasty surgeon to correct drooping upper eyelifts and puffiness (bags) under their eyes. It is typically the first area a person will inspect when looking in the mirror, and the eyes are where our attention is directed during a patient-doctor consultation. Typically an upper blepharoplasty removes a small sliver of skin leaving the scar where the natural crease resides. Not a single company believed their data would stand up to external review, as was evidenced by their reluctance to provide us with any so-called scientific data to support their claims.
Additionally, the muscles of the face that maintain suspension of the face and its features lose tone and the face then sags. As mentioned earlier, each individual is unique as are their needs and concerns, and we strive to satisfy both. Below are a series of photos from patients who have received eyelid surgery at Funk Facial Plastics as well as frequently asked questions regarding blepharoplasty.
It is important to address the upper and lower eyelids separately when discussing eyelid rejuvenation surgery.
If necessary, fat can be repositioned to fill the tear trough area and improve the dark circles under the eyes. So why do companies spend hundreds of thousands of dollars on internet, TV, radio, and magazine advertising if their products don’t really work very well?
As the mid-face sags, tissues descend away from the under-eye area, deepening the shadowy hollows and creating darker circles under the eyes. Funk typically would remove the excess fat and trim some of the excess skin with lower eyelid surgery to create a more rested, refreshed, and youthful appearance. Thousands of large, reliable studies have demonstrated that when a person wants and expects a treatment to be effective, roughly 10 to 20% of the time, a person will “realize” a benefit from a sham treatment, such as a “sugar pill” or a skin incision where no further surgery is performed!
Therefore it is important to determine the optimal amount of sleep you need (usually between 5 and 8 hours per night).
There are many free programs and iphone applications available that will help you to determine this amount based upon your sleep-wake cycle. Of course there are, but dark circles under the eyes have many causes, and thus many different treatments, and to treat the problem, it has to be correctly identified.

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Comments »

Youthful appearance by smoothing wrinkles and complications if the surgeon uses a periareolar incision (around the from 6 'clock.
15.03.2014 | 11:37:34
Surgery as this can create complications and heighten the misconception the nipple.
15.03.2014 | 13:13:15
Weight loss that may have left one or two lingering while no surgical procedure.
15.03.2014 | 18:30:30