Face Injection Tips & Voluma XC

Dark circles, droopy lids and deepening wrinkles, oh MY!
Dr. Monika Kiripolsky Beverly Hills Cosmetic Surgeon Face Injection Tips & Voluma XC

Dark circles, droopy lids and deepening wrinkles, oh MY!

You may feel perky, but if your eyes look droopy, tired and sad, your whole demeanor can appear fatigued, depressed and old—all characteristics that appear on the daily “don’t” list. Unlike other facial imperfections, which can be camouflaged with artful makeup, problem areas around eyes are tougher to hide, says cosmetic and laser surgeon Monika Kiripolsky, MD, a board-certified dermatologist.

Lighten Up!

Dark circles definitely aren’t a “do” in the quest to maintain youthful-looking eyes. To lighten up those dark areas, you’ve first got to determine the cause. As the skin thins with age, underlying blood vessels may show through, appearing as dark circles. Sometimes the pigment of the skin actually changes color as red blood cells break down, according to Dr. Kiripolsky.

In other cases, those circles are actually dark shadows. As facial skin sags and loses volume, the area above the cheeks (the tear trough) hollows out, causing a shadowed effect. And sometimes dark circles have nothing to do with age—you just have them and probably always did, just like your parents and siblings.

“Hyper-pigmented skin is usually a genetically inherited propensity. I see it with Indian and Middle Eastern patients,” says Beverly Hills cosmetic surgeon Alexander Rivkin, MD.

EASY FIX:

“The simplest approach is a heavy-duty concealer,” Dr. Kiripolsky says. “I like the Dermablend product, as it is waterproof and camouflages even severe pigment irregularities.”

But she cautions against buying online, as you may find the color won’t exactly match, making the problem look even worse.

MEDICAL FIX:

If the dark circles are caused by shadows, injectable fillers in the under-eye hollows can make them disappear. “I’ve had great results with Restylane and Juvéderm, as well as autologous fat from one’s own body,” says Dr. Kiripolsky.

Dr. Rivkin cautions that of all the fillers on the market, only hyaluronic acid fillers, like Restylane or Juvéderm, are suitable for the tear trough area. “They are reversible, which is important because that area is not as predictable as other facial areas, and swelling may occur to various degrees,” he says.

“This is why I always under-correct when filling the area, and then bring the patient back for a touchup a few weeks later.”

ALSO CONSIDER:

Products that contain Vitamin K and/or caffeine can improve the appearance of dark circles, says Dr. Kiripolsky, who recommends Auriderm, made by Biopelle, and Teamine Eye Complex, made by Revision.

Dark circles, droopy lids and deepening wrinkles, oh MY!



Tighten Up!

Your facial skin and muscles weaken with age—and that includes the skin above and below your eyes. The eyelids stretch, causing the upper lids to droop, while fluid and/or fat begins to fill in the loose space below the eyes, creating bags and puffiness.

EASY FIX:

Home remedies can be surprisingly effective for under-eye bags.

“Sleeping with your head elevated via pillows, icing the areas with cold compresses in the morning, and using a topical cream that contains an ingredient to constrict the underlying blood vessels, such as caffeine or an over-the-counter hemorrhoid cream, all decrease the amount of excess fluid in the under-eye tissue,” says Dr. Kiripolsky.

MEDICAL FIX:

For those who have a few millimeters of sagging, a laser treatment might offer just the right amount of tightening for the upper and lower eye areas.

“A fractionated carbon dioxide laser is the gold-standard treatment for tightening facial skin, including excess skin of the upper and lower eyelids,” Dr. Kiripolsky says. (But realize that this treatment doesn’t offer the same dramatic results as the more invasive blepharoplasty.)

ALSO CONSIDER:

Botox or Dysport for minimal upper eyelid drooping, which can create a little lift. Injectable fillers come to the rescue for under-eye puffiness.

“Filling in the rim dent below the bulges works really well,” says Jim English, MD, a board-certified facial plastic surgeon in Little Rock, Ark.

Dark circles, droopy lids and deepening wrinkles, oh MY!



Smooth It Out!

Thinning skin, sun damage and facial expressions all conspire to create lines and wrinkles on our aging faces. These tend to show up first, and most prominently, around the eyes, where the skin is thinnest and most fragile. “Because eyelid skin is the thinnest skin on the face, its constant movement—blinking, expressions or facial animation—produces wrinkling long before [it appears on] other areas of the face,” Dr. English says.

EASY FIX:

As a brief stroll through any department or drugstore will prove, there’s no shortage of creams that claim to combat wrinkles and lines. Alas, the majority won’t give you the results you’re looking for. “Most are not formulated to adequately penetrate the outermost layer of skin and are thus pretty ineffective,” says Dr. Kiripolsky.

So what does work? Vitamin A (retinol) cream. “Any female dermatologist will tell you that she uses a topical retinoid/retinol every single day, due to its ability to penetrate to the dermis and the efficacy of vitamin A,” says Dr. Kiripolsky. “It’s not an overnight fix, but it will gradually promote regeneration of collagen within the skin.”

Dr. Kiripolsky recommends over-the-counter brands like Retriderm Serum (Biopelle) and TriRetinol (SkinMedica). “They contain a medical-grade vitamin A derivative,” she says. She also likes several prescription-only products, including Differin (Galderma), Retin A Micro (Ortho Dermatologics), and Atralin (Coria).

MEDICAL FIX:

“A mid-level chemical peel does an excellent job in tightening lower eyelid crinkles,” Dr. English says. And Botox or Dysport is the go-to remedy for crows-feet and other superficial lines caused by facial expressions (squinting, raising eyebrows, frowning). “Most cosmetic surgeons can smooth out these irritating lines while allowing you to maintain a normal, expressive appearance—without that paralyzed look.”

ALSO CONSIDER:

Need an immediate line eraser for an important date
or event? Try a cosmetic “filler,” such as SkinMedica Line Refine.

Dark circles, droopy lids and deepening wrinkles, oh MY!