May 19, 2014
David Morrow MD Guest Sun Protection Expert on KMIR
At any age, men and women can experience lower eyelid bags, wrinkles and dark circles making them look tired and older then they are. Several factors contribute to theses conditions. First and foremost: heredity. If you have lower eyelid bags and/or dark circles, chances are that someone in your family has them, too! Second: lifestyle choices. Poor diet, smoking, sun exposure and obesity all contribute to unwanted changes to the lower eyelid. Third: age. The older we get, the more likely we will experience eyelid bags and loose eyelid skin, a condition known as Dermatochalasis.
Fortunately, the conditions can be treated. And naturally looking results can be achieved using state of the art surgical and non surgical methods at The Morrow Institute
Treatment of Lower Eyelid Bags
Eyelid bags occur when the septum that normally holds eyelid fat pads that normally surround the eye in place become weaker. This allows the fat to prolapse forward and the eyelids to bulge. The solution is obvious: removal of the prolapsed fat pad.
At The Morrow Institute, our fellowship trained ophthalmic plastic surgeons perform a relatively minor and scarless procedure called Transconjunctival Lower Blepharoplasty to remove bulging fat that causes lower eyelid bags. This procedure requires no cutting of the eyelid skin and may be performed under local anesthesia, with or without mild sedation. A small slit is made inside the lower eyelid and the fat is removed from inside the lid. In addition, if necessary, the lower lid may be tightened by placing sutures in the outer corner of the lid.
While the Transconjunctival Blepharoplasty technique is relatively simple, a surgeon inexperienced in the procedure may remove too much fat and create an unattractive sunken appearance of the lower eyelid. On a frequent basis, surgeons at The Morrow Institute repair this condition, caused by surgeons elsewhere, by “re-filling” the space, using either autologous fat or facial fillers such as Juvederm®.
An alternative to the Transconjunctival Blepharoplasty is the Standard Lower Lid Blepharoplasty which requires cutting of the lower eyelid skin to remove the fat pad, creating a visible scar. Potential complications of Standard Blepharoplasty are excessive scarring or excessive skin removal resulting in a rounded appearance of a patient’s eyes. Sometimes these patients also experience lower eyelid retraction, a slowly developing condition in which the patient can no longer close the eyes. Lower eyelid retraction can also lead to chronic dry eye or excessive tearing. Our ophthalmic plastic surgeons can expertly remedy these problems. In fact, over 30% of the eyelid surgery performed at The Morrow Institute repair eyelid surgeries performed elsewhere.
Treatment of Lower Lid Dark Circles
Dark circles under eyes are caused by thinning skin in combination with dilation of the tiny blood vessels under the skin. Treatment includes minimizing the dilation and appearance of the blood vessels as well as enhancing the health and thickness of the skin of the lower eyelid.
The Morrow Institute offers several physician performed and physician directed treatments for dark circles including skin peels, which promotes healthy, thicker and better looking lower eyelid skin and help minimize dilation of the underlying vessels. Skin peels of the lower lids may be performed contiguously with Transconjunctival Blepharoplasty, a combination technique first performed and described by Dr. Morrow in 1988 and now practiced around the world.
We also offer several products for home-use to help minimize dark circles. Tretinoin, the generic form of Retin A®, available only by prescription, helps reverse photo aging and rejuvenate lower eyelid skin. Teamine® crème, clinically proven to reduce the appearance of dark circles under the eyes, is available over the counter. MorrowMD™ and Skin ReSource® skin care products promote the overall health and beauty of your skin.
To further enhance physician directed treatments and your at-home regime, our patients enjoy Morrow Signature MicroDermabrasions and Facials performed by our licensed aestheticians.
Treatment of Eyelid Wrinkles
Many of the same options that treat lower eyelid dark circles also remove and reduce wrinkles of the lower eyelids: