How to remove dark circles under the eyes with and without surgery

What types of blepharoplasty are there? Is it possible to practice it without surgery?

Blepharoplasty is a surgical procedure mainly aimed at beautifying and rejuvenating the eyes.

It is usually performed on the upper and lower eyelid, after an exhaustive analysis of its characteristics and morphology in a given person. It is necessary to analyze the sagging of the tissues, the presence of bags, the atrophy of the skin and fat and the position of the eyelid and surrounding structures such as the forehead and cheek.

There are several procedures that can be performed during a blepharoplasty and they are usually combined or performed independently. Through a skin incision and sometimes through the inner aspect of the eyelid, through the conjunctiva, the skin and fat pads can be manipulated. When indicated, adjacent structures such as the eyebrow and cheek can be accessed through these same incisions to modify their position. This sometimes needs to be combined with fat micro-grafts to treat tissue atrophy and thus achieve a real rejuvenating effect on the eyes.

Is it possible to practice it without surgery?

The term blepharoplasty implies a surgical intervention. In initial stages of aging, non-surgical procedures such as fillers, mainly hyaluronic acid, can be used. In mild cases, these fillers have the effect of erasing dark circles under the eyes and bags under the eyes. It can also produce a better support and sustentation of the tissues.

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Another non-surgical procedure that treats periocular tissues Botulinum toxin infiltration alters the balance of forces of the muscles surrounding the eye. In this way it is possible to produce a small lifting effect of the lateral part of the eyebrow with the consequent tightening of the upper eyelid skin and reduction of wrinkles and crow’s feet.

For which patients is one procedure or the other recommended?

Between the ages of 30 and 40, when the signs of aging are not accentuated, the use of hyaluronic acid fillers and botulinum toxin can be used. For the success of this type of treatment it is essential that there is no major sagging of the soft tissues or very marked bags.

From 40 – 50 years of age it is usually necessary to resort to surgery. The approach has changed in recent years. Previously the purpose was to remove tissue (skin, muscle, fat) in order to remove wrinkles from the eyelids. This can produce a sunken eye effect. Nowadays, the goal is to get as close as possible to the shape of the eye in youth. Much less skin, muscle and fat are removed than in the past. It is also common to have to resort to fat micro-grafts to restore the tissues to the projection they had in youth.

What are the risks involved in the procedure?

The most important risk is that derived from the possibility that there could be a hemorrhage and that this could lead to a visual problem. This requires a previous clinical and analytical study to rule out blood clotting problems, as well as taking the necessary precautions in people who are on medication with any drug that affects blood clotting.

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It is also necessary to evaluate previous eye problems in order to take the necessary preventive measures so that they are not aggravated by the procedure to be performed.

What is the postoperative period after surgery?

During the first 24 hours, efforts such as bending down or getting up abruptly, lifting weights, making sudden movements, etc. should be avoided. Generally, the procedure is performed in the Outpatient Surgery Unit and after a period of control you can go home. In cases in which more procedures are associated, such as fat micrografting, there is usually a longer period of edema. In addition, an anti-inflammatory treatment is required for 5 – 7 days and antibiotic treatment for a week. Initially, visual efforts such as reading or watching television should be avoided. It is also advisable to wear sunglasses during the first days when going outside. The eyelid incisions usually heal very well and it is advisable to use creams during the first weeks.