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Wysłany: Czw 7:03, 27 Sty 2011 Temat postu: Tods Shoes Blepharoplasty For Dark Circles Under T |
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Blepharoplasty For Dark Circles Under The Eyes Must Include Arcus Marginalis Release And Fat Grafting Or Tear Trough Implants
There is much confusion regarding what people mean when they say they have dark circles under the eyes, often referred to as the tired look. There are 4 differ conditions which can cause dark skin under the eyelid which people call dark circles under the eyes:
1. Dark lavender skin color on the lower eyelid skin
2. Brown pigment on the lower eyelid skin
3. A hollow eyed outward in which the lower eyelid is sunken in.
4. A depression or deep line forward the lower edge of the eyelid just above the cheek called the naso-jugal fold,[link widoczny dla zalogowanych], the true dark circle under the eyelid and most common manner of dark circle under the eyes
1. Dark Purple Color of the Lower Eyelid Skin
When the skin of the lower eyelid is a dark purple or bluish color people often mention they have dark circles under the eyes. If you look closely EVERYONE has darker skin color on the lower eyelid than on the skin of the rest of the face. This is because the lower eyelid skin is the thinnest skin on the face, so skinny that you can look through the skin and watch the purple color of the eyelid brawn showing through the skin. In human with thicker skin the color looks more bluish,[link widoczny dla zalogowanych], but everyone's lower eyelid skin is darker because of the color of the brawn below the svelte skin. There are familial and racial inconsistencies in skin thickness and muscle color so there is great variation in the darkness of lower eyelid skin. I do not call this normal phenomena dark circles under the eyelid,[link widoczny dla zalogowanych], prefer I call this regular phenomena dark purple lower eyelid. The merely solution for this problem is to use a cover up make up favor Covermark? or Dermablend?.
2. Brown Pigment on the Lower Eyelid Skin
Sun mar to the skin, birth control pills and other medications, and the "mask of Pregnancy" and other metabolic conditions can occasion the deposition of brown dye in the lower eyelid skin. This is not called dark circles under the eyes but is called hyperpigmentation. The handling is the removal or correction of the underlying cause-stop the pill, sun protection etc. Once the reason is corrected there are several remedies. Skin bleaching agencies such as hydroquinone and Kojic Acid can aid as can microdermabrasion?. Laser resurfacing or Microlaserpeel?, deep exfoliation techniques can also be obliging. IPL also called Photo Facial can also aid. Very goods results can be accomplished with these modalities.
3. A Hollowed Eye Appeance
Some people have a very sunken in or hollowed eye appearance. This is caused by a deficiency of the normal fat which surrounds the eyeball and normally plumps the lower eyelid skin. This deficiency of fat can be caused by heredity, racial factors,[link widoczny dla zalogowanych], malnutrition, common disease, dehydration or trauma to the orbital bone which assists the eyeball.
The correction involves the correction of the underlying ailment or therapeutic problem when there is a medical cause.
For people who have this appearance because of heredity or racial ingredients,[link widoczny dla zalogowanych], the fat must be grafted into the lower eyelid to replace the deficiency. I do this at acting a blepharoplasty through one incision on the inside pink portion of the lower eyelid called the transconjunctival approximate. This avoids a scar on the outside of the lower eyelid. I then harvest or take fat from one zone of the body where the fat will not be missed (hip or abdomen) and transplant the fat to the lower eyelid to plump the lower eyelid.
4. The Naso-jugal Fold alternatively Tear Trough Deformity-the True Dark Circle Under the Eye.
The true dark circle below the eye is a ripple or depression beginning at the snout and scampering towards the outside of the lower eyelid running at the bottom of the eyelid just upon the insolence. This black surround or depression looks dark for it is spliced to the underlying bone of the rim of the orbit or eye socket, and the single skin of the lower eyelid above the depression is free apt move and swell and creates a eclipse which gives the crease a dark color. The audacity skin below the dark surround is likewise free apt move and bulge and bulges on the dark circle, which contributes to the shadow.
The dark circle or naso-jugal fold or tear trough deformity gets worse or deepens as we old because the eyelid above and cheek below begin to droop with aging but the dark circle is attached to bone and cannot droop with the recess of the skin, so the lower eyelid skin hangs over more from sagging and bulging of fat,[link widoczny dla zalogowanych], the depression deepens,[link widoczny dla zalogowanych], the shadow gets worse and the dark circle becomes more noticeable.
The dark circle or naso-jugal fold or tear trough is roped or held tight to the bony rim of the eye socket bone by a ligament called the arcus marginalis.
To correct the dartk circle I perform a transconjunctival blepharoplasty. During the program I release the arcus marginalis ligament which frees up the dark circle or naso-jugal fold. Once the dark circle is released the dark circle skin is free to move with the lower eyelid skin and the cheek skin and the dark circle or shadow is lessened. To discourage re-attachment of the arcus marginalis and to plump up the dark circle I location a fat bribe underneath the dark circle. Some physicians location an implant called a tear trough implant under the dark circle but I ordinarily use fat.
Correction of dark circles under the eyes, also cried the naso-jugal fold or tear trough deformity requires appropriate diagnosis. This condition absences to be distinguished from dark purple eyelid color,[link widoczny dla zalogowanych], hyperpigmentation and hollow eyes. The amendment of true dark circles requires a blepharoplasty operation with arcus marginalis release and fat grafting or tear trough implants.
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