Treatment of Under-eye Circles

Under-eye circles are an aesthetic problem that bothers many people. They give the impression of a tired appearance and sleeplessness, making individuals look older than their chronological age. The cause of under-eye circles is multifactorial, and factors contributing to them include genetic predisposition, degenerative aging processes (primarily bone resorption and drooping of fat pads), stress, lack of sleep, certain diseases, and poor circulation. Often, with the aging process, bags form under the eyes, recognized as excess skin on the lower eyelid. They occur due to weakening connective tissue and prolapse of fat pads.

Treatment

Several different methods are used in treating under-eye circles:

Hyaluronic Acid Fillers: This is the most commonly performed procedure in this region as it replaces lost volume and restores a youthful fullness. The treatment is short and takes about half an hour, with visible results immediately after.

CO2 Fractional Laser: An ablative laser that rejuvenates the skin by remodeling collagen. Initial results are seen after the exfoliation phase as smoother skin, improved tone around the eyes, reduced wrinkles; however, new collagen synthesis and skin appearance improvements continue up to 6 months after the treatment. Ultimately, the skin around the eyes is tighter, improved in texture, virtually wrinkle-free or significantly reduced, the eye bags are less pronounced, and the entire area looks noticeably rejuvenated. Prior to treatment, anesthetic cream is applied, and during the procedure, the skin is cooled with -25°C air, making the treatment more comfortable and reducing skin redness. Sometimes a single session produces excellent results. The treatment can be repeated after 30-45 days.

Plasmage device operates on the principle of fractional plasma and has an effect of sublimation (evaporation) of excess skin and tissue retraction (tightening). This produces an excellent effect in reducing excess skin on the lower eyelids and eye bags. A significant improvement in skin appearance is visible after just one treatment, but if necessary, the treatment can be repeated.

Carboxytherapy: A method in which carbon dioxide gas is injected. Its aim is to increase circulation and oxygen supply in the under-eye region, rejuvenate the skin, and restore its freshness and natural color. It’s an ideal method for treating dark under-eye circles and swollen under-eye circles with capillary seepage. Several sessions are usually required for full results.

Injectable Mesotherapy with Non-crosslinked Hyaluronic Acid: Typically applied to younger individuals who want regeneration, freshness, and smoothing of fine lines without adding volume. 2 to 3 sessions are usually required for the full effect.

Opsis Therapy is a SkinBooster by Juliette Armand that, through advanced drone cosmetic technology and transdermal transfer, stimulates biochemical processes in the skin with the aim of reducing dark circles around the eyes, edema, wrinkles, and sagging skin. The treatment is entirely pleasant, non-invasive, and uses preparative cosmetics. It is ideal for those who want a refreshing look around the eyes, the effect of non-invasive blepharoplasty without the use of injections and device methods. For longer-lasting results, it is recommended to continue home care with Opsis Eye cream and Opsis Eye gel.

Candidates

Individuals who wish to:

  • Replace lost under-eye volume
  • Reduce puffiness under the eyes
  • Smooth wrinkles under the eyes
  • Reduce excess skin on the under-eye circles and bags under the eyes
  • Improve texture and skin quality under the eyes
  • Reduce dark circles around the eyes

For injectable methods and carboxytherapy, treatments are not performed on pregnant women, nursing mothers, those with active infections at the application site, current inflammatory or tumor diseases, herpes virus infection, or severe diseases in personal medical history. Rejuvenation with Plasmage treatment is contraindicated in pregnant women, those prone to hypertrophic scars, those with pacemakers, severe heart disease, uncontrolled blood pressure, and visible infections on the desired treatment area. Description therapy is not performed on individuals with known hypersensitivity to any active ingredients.

Results

For some methods, only one session is required for significant volume defect improvement (hyaluronic fillers) or excess skin reduction (Plasmage treatment, CO2 fractional laser). For other regenerative methods, multiple sessions are required (injectable mesotherapy, carboxytherapy, SkinBoosters).

The effect after applying hyaluronic fillers lasts up to a year, while the result after removing excess skin with the Plasmage device can last up to 3 years, and the fractional laser effect even longer. For other regenerative methods (injectable mesotherapy, carboxytherapy, SkinBoosters), improvement is visible after each session, with the final result lasting several months after the last session.

Recovery

After injectable methods and carboxytherapy, temporary swelling, bruising, and redness can be expected at the application site, which usually subsides within a few hours to a few days. After treatment, it’s necessary to use creams with high sun protection to prevent hyperpigmentation.

After Plasmage treatment, small scabs are visible that fall off after 5 days, leaving light spots that gradually fade. Maxitrol ointment is recommended for the first few days, and other products should not be applied to the treatment area except for sun protection if exposed to sunlight.

After the CO2 fractional laser, there’s swelling and redness. The swelling lasts 2-3 days, and the redness intensifies in this period, forming small scabs on the skin surface, followed by skin peeling, typically ending 6-10 days after the treatment. During this time, the skin needs hydration, and physiological saline solution compresses can be applied. Sun exposure should be avoided until the skin recovers, and applying high sun protection is mandatory if the area is exposed to sunlight.

Opsis Therapy as a cosmetic protocol doesn’t require recovery time.