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Case Analysis

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  • Case Analysis

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What is Dark circle?

 

What is dark circle?

Dark circle are the dark shaded areas under the lower eyelashes. These phenomenons are caused by a membrane or a sac that has wrapped fat around the lower eyelid because it is weakened and a dark shadow is created as a skeletal line of the nose, or it looks dark by the pigmentation of the skin covering it. It gives a sad or ill-looking impression to others.

Though there are many cosmetics to mask the dark circle, it does not provide a permanent solution. It is important to know the different causes of dark circle because there are different treatments for dark circle of different causes. There are four main causes of dark circle.

1. The skin loses elasticity and the fat under the eyes protrude out of the skin.

2. There is too little fat and it looks depressed.

3. It is looked dark because of pigmentation.

4. The blood vessels under the eyes get thinner and show color.



Treatment of Dark Circle

1. When the fat protrudes from the skin due to lack of elasticity, this can be treated by the removal of fat under the eyes using a laser through the conjunctiva (i.e. waterline) in the eyes. Recover time is as short as 2-3 days and there is no scarring.

2.When it is looked depressed due to lack of fat, it can be treated by fat injection.

3.When it is caused by pigmentation or exposure to ultraviolet rays, it would be better treat with whitening treatment along with skin care.

4.When it is looks dark due to a visible blood vessel, it can be improved by the fat injection or vascular laser therapy.


Example) Cases showing the orbital fat protruding corrected by transconjuctival fat remval only.

 

 

Example) Cases showing depressed type of dark circle treated by dual plane fat graft.

 

 

Example) Cases showing a orbital fat protrusion combined with visible vessel coloration treated by transconjuctival fat removal and dual plane fat graft simutaneously

 

 

Example) Cases of orbital fat protrusion combined with tear trough depression treated by transconjuctival fat removal and fat injection at tear trough.

 

Example) A case showing both depressed and visible vessel type of dark circle treated only by dual plane fat graft

 

 

Example) cases showing both pigmented and tear through depression type of dark circle treated by dual plane fat graft without removal of orbital fat

 

 

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