Under a closer look: the area around the eyes

Girl with smooth skin around the eyes after applying rejuvenation methods

When it comes to determining whether a face is attractive or tired, it is the eyes that are of utmost importance. An experienced eye can instantly determine all the secrets of our life and heritage, looking only at our eyes. In medical terms, as we age, our body goes through a long series of changes and it is the delicate areas around the eyes that are the first to show signs of these changes.

For some, these signs appear earlier, for others - later, but many of us are asking: what factors are responsible for the appearance of wrinkles and drooping eyelids and what can be done to join the league of owners offorever young eyes.

Unraveling the mystery of aging eyes

Blepharochalasia is not only a strange, hard-to-pronounce word, but also a medical term for the appearance of excess skin around the eyes or the effect of heavy eyelids. This is a fairly common problem caused by the normal aging process, fatigue, allergies, slow lymphatic drainage, or a variety of other medical conditions.

What is special about the skin around the eyes and why is it so delicate?

1. Aging

The skin around the eyes is seven to ten times thinner and more delicate than the skin of the rest of the face and body in general. As we age, the skin becomes even thinner due to the loss of collagen, elastin and hyaluronic acid (which keeps the skin hydrated). The delicate skin stretches under the action of the fat body, which leads to the visible sagging of the bags under the eyes. The extension of infraorbital fat is considered a common manifestation of the aging process. In addition, aging and a number of other factors affect the weakening of the muscles, which only worsens the condition of bags under the eyes.

2. Genetic causes

Researchers have recently conducted a study to identify risk factors that lead to drooping eyelids, with particular attention to genetic factors. They studied two groups of people. The first group consisted of 5578 unrelated people. 17. 8% of the participants in the group had moderate to severe droopy eyelids. In the second group there were 2186 people who were twins and 61% of the participants in this group had inherited droopy eyelids. These findings support the fact that the most common cause of droopy eyelids is heredity.

3. Sebaceous glands

The periorbital area is drier because there are fewer sebaceous glands compared to the skin on the rest of the face. Therefore, her lipid barrier is worse, and she is more prone to the formation of mimic wrinkles.

4. Skull

Prominent cheekbones and deep set eyes. This is the cause of hollows under the eyes, the shade of which creates the illusion that the skin under the eyes is darker, even if it is not. With age, the facial bones of the skull change and this situation only worsens.

5. Translucent capillaries

Dark circles under the eyes are actually the result of hemoglobin oxidation. Hemoglobin is the main component of red blood cells, it contains a heme group whose iron atoms bind oxygen molecules.

In this way, red blood cells carry oxygen throughout the body and remove all waste products for destruction. When oxygen molecules attach to the heme group, red blood cells turn red. When the oxygen molecules are separated and the hemoglobin is oxidized, the red blood cells turn blue. This is why dark circles appear under the eyes. If the red blood cells appear through the capillaries around the eyes, then enzymes in the body interfere with the movement of the red blood cells and oxidize them, turning them blue. When this happens, the waste is released into the bloodstream and carried throughout the body. Clogged capillaries can also cause swelling or fluid retention in the body, making the face look puffy.

6. Toxins in the body

Dark circles under the eyes can indicate problems with sleep or the presence of toxins in the kidneys or liver. According to traditional Chinese medicine, the upper part of the eye and the area just below the eyes is the kidney area. Swelling and fluid retention in this area is a sign that the body has too much fluid (watery and swollen circles, with a blue tint) or is overloaded with mucus (greasy and swollen, with a yellow tint). White or blue circles under the eyes indicate fatigue or exhaustion. A yellow tint indicates poor functioning of the liver and gall bladder. If the gallbladder is unable to process and break down fats in the body, this can contribute to the appearance of milia (small white-yellow bumps) around the eyes in some people.

7. Frequent eye movements

The skin suffers from the fact that you often ignore and facial expressions (for example, smiling), also called expression wrinkles.

8. Iron

Iron may be another contributing factor. Red blood cells need iron atoms in order to bind oxygen molecules to themselves. When the iron content in your body is low, the red blood cells cannot combine oxygen with themselves, and therefore appear bluish circles under the eyes.

9. Lifestyle

Puffy eyes are another problem that can appear regardless of age or gender. It is caused by a diet high in salt, smoking or alcohol. Due to an unhealthy lifestyle, dark circles under the eyes and early wrinkles also appear.

If you want to know how your eyes will change as you age, look at your parents. This will give you a clear idea if you will have a large fat pad under your eyes. But you can try to change the genetic blueprint with the help of aesthetic medicine.

Other causes of deterioration of the skin in the periorbital area can be: stress, malnutrition or malnutrition, excessive sleep or lack of sleep, excessive use of cosmetics (do not forget to wash it every evening), too frequent washing with products thatdry skin (avoid alcohol in cosmetics) and sun damage - photoaging.

Currently available treatments

Wrinkles, bags, dark circles, droopy eyelids are not only unsightly, but can also cause vision problems and headaches (from the constant strain to keep the eyes open). There are many surgical and non-surgical treatments available for tired, sagging or aging eyelid skin.

The choice of method of rejuvenation of the eye area depends on the type of disorder we are dealing with. For example, aging upper eyelid skin may need to be tightened due to excess skin and muscle weakness. The lower eyelids may require swelling and thinning of the skin to treat, as well as the removal of fat bags. Dark circles under the eyes require special treatments.

Before and after the use of injectable fillers - reduction of under-eye circles

Volume and moisture: Fillers

The easiest and most effective way to make the skin around the eyes smooth is with injectable fillers. They give the skin a natural look and help fight sunken eyes. Fillers also improve the condition of under-eye circles by 15-20%, but are practically useless in the fight against body fat. There are several types of specially formulated hyaluronic acid gel that reduce wrinkles around the eyes, giving the skin volume and moisture.

Before and after laser surgery - rejuvenation of the skin around the eyes

Laser skin rejuvenation

Laser surgery is a non-invasive way to tighten the skin around the eyes. CO2 or Fraxel laser resurfacing is a very gentle way to gradually restore the youthfulness of the eyelid skin, which can be used in parallel with fillers or surgical techniques.

Lasers on a microscopic level cause thermal damage to the skin, to which the skin reacts with rapid healing and shedding of old damaged cells. Old cells are replaced by new, younger cells. The CO2 laser can also improve skin elasticity, texture and reduce fine or deep wrinkles, acne scars and blemishes.

Before and after blepharoplasty - removal of the fat body under the eyes and tightening of the skin

Surgical methods: blepharoplasty

If non-surgical methods do not give the desired result, blepharoplasty (or eyelid reduction surgery) is used. This procedure is a very effective way to achieve the desired look.

The surgeon makes small incisions in the eyelid and under the eyes, removes excess fat and tightens the skin, and then sutures the incisions. Removing the fat pad under the eyes significantly reduces puffiness. Surgery can also remove drooping (hanging) eyelids, but does nothing to combat dark circles or drooping eyebrows - these problems must be treated separately.

Blepharoplasty is the only way to remove a protruding fat body, especially in overweight people (excess fat accumulates under the eyes in such patients). But non-surgical methods do an excellent job of tightening skin, wrinkles and hollows under the eyes.