Cause: As the skin in the lower lid loses elasticity and thins, it elongates and the smooth transition between skin of the lower lid and the skin of the cheek is lost. The lid/cheek junction becomes very distinct and the tear trough forms. The veins are more visible through the thin skin leading to the appearance of dark circles. Loss of fat above the bony orbit also occurs creating a hollowed look. Injectable Solution: Fillers such as Belotero, Radiesse, Restylane, Voluma, and Sculptra or fat grafting to correct the depressions under the eyes and the tear trough. These will also minimize dark shadowing by creating a buffer between the thin eyelid skin and the underlying darker facial vessels. Laser Solution: Forever Young BBL and HALO Laser treatments to keep skin young and healthy and help get rid of pigment. Surgical Solution: Lower blepharoplasty with re-draping of the fat and release of the tear trough to create a smooth contour between the lid and the cheek. Excess skin is also removed. Product Solution: Products can help to lighten the area if the darkness if related to melanin and increased pigment in the skin. Sunblock is key. Prevention:

• Unfortunately, most of the changes in the lower lid are hereditary, so you should be very proactive with sunscreen & our recommended skin care regimen.
• Topical skin care products with a retinoid and Vitamin C to build collagen and an eye cream to restore elasticity to the skin.
• Fillers and laser treatments to maintain volume and stimulate collagen