[Duhan Plastic Surgery Dark Circles] - [How to Remove Dark Circles]

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Dark circle surgery can be performed at any clinic,

but there are not many clinics that accurately analyze a patient's type

and choose the appropriate surgical method accordingly.

It may seem easy, but dark circle surgery is by no means an easy procedure.

We have experience with a variety of surgical types and the answers to them.

COL-FAT under-eye fat grafting

COL-FAT fat grafting is a trademark created through the know-how of Director Shin Duhan of Duhan Plastic Surgery, built on 20 years of fat grafting surgery experience and leading a new paradigm in dark circle care.

There are several principles behind why micro fat grafting can be effective.

It raises sunken skin to eliminate the shadow effect, lightens the skin tone through skin expansion caused by fat grafting, improves fine wrinkles, and can lighten the dark reddish tone by laying down yellow fat to dilute it.

It can also improve fine wrinkles through skin expansion.

At our clinic, we perform the procedure using our in-house developed micro needle.

The core of the micro needle is that the tip of the probe is precisely processed and designed to induce collagen production during subcutaneous tunneling.

We have also achieved ultra-precise fat grafting with the COL-FAT technique.

Even very fine wrinkles or difficult areas such as under and above the eyes can be treated without issue.

For correcting dark circles under the eyes, a procedure using a micro probe makes it possible to achieve effective correction with almost no unevenness.

With tunneling using a micro probe and micro fat grafting using a micro needle, even the most difficult under-eye procedures can be performed effectively.

Under-eye fat removal

Fat under the eyes protrudes and at the same time creates shadowed wrinkles beneath it.

When fat protrudes under thin skin, the skin color under the eyes usually appears reddish, because the red orbicularis muscle layer beneath the skin is visible through it.

The more the fat pushes outward, the puffier the under-eye area becomes, the thinner the skin appears, and the more visible the red muscle layer under the skin becomes.

Therefore, protruding fat creates red dark circles and also shadowing from sunken wrinkle lines beneath it.

Effects of under-eye fat removal
1. It can correct puffy-looking eyelids.
2. In the case of under-eye fat removal, under-eye wrinkles are corrected along with a smoother eye appearance.
3. No scars are left, and the result looks natural.
4. There is almost no bruising or swelling, so you can return to daily life right away.

Under-eye fat repositioning

Instead of removing the orbital fat under the eyes, this method moves the protruding fat to the lower area and lays it in place.

It is a method intended to correct both protruding and sunken areas at the same time.

It was developed to address the drawback of fat removal, which can resolve protrusion but cannot also resolve sunken areas.

Advantages of under-eye fat repositioning
It can improve dark circles.
It corrects puffy-looking eyelids.
It helps prevent the hollowed appearance that can occur with under-eye fat removal.
It restores a smoother eye appearance and corrects under-eye wrinkles.
There is almost no scarring, and the result looks natural.
There is almost no bruising or swelling, so you can return to daily life right away.

Lower blepharoplasty

This surgery is performed to make the lower eyelid, which has sagged downward with age, or dark circles caused by fine wrinkles from high skin density, look smoother and more youthful, improving the overall impression.

Lower blepharoplasty is used when sagging or fine wrinkles under the eyes are so severe that the skin under the eyes looks dark, making it necessary to remove the under-eye skin.

The operation is performed by making an incision 1 mm below the lower lash line, lifting and pulling up the skin, removing the excess skin, and then suturing it again.

However, the frequency with which dark circles need to be corrected through lower blepharoplasty is not high.

Under-eye areas with many fine wrinkles due to excessive skin density inevitably look darker.

For dark circles caused by high density, the skin density needs to be reduced. In mild cases, correction is possible with fat grafting, but when the skin has too many wrinkles, there is a limit to how much fat grafting alone can expand the skin.

In such cases, the excess skin must inevitably be removed and the skin tightened; that method is lower blepharoplasty.

By removing skin and tightening it, density can be reduced, wrinkles can be improved, and the skin tone can be lightened.

Vascular sclerotherapy

Many blood vessels gather beneath the eyes, and because the skin under the eyes is very thin and translucent, blue blood vessels can show through.

As subcutaneous fat becomes thinner due to skin aging, this can appear more severe.

Possible causes include lack of sleep, stress, and poor circulation around the menstrual period; in such cases, blood circulation under the eyes can stagnate, making blue dark circles appear more prominent.

When blue veins are visible under the eyes, a sclerosing agent can be injected into the blood vessels to sclerose the thicker vessels and improve the symptoms.

However, because this procedure targets only partial blood vessels, simply sclerosing the vessels does not improve the overall dark appearance of the eye area.

You should only expect to eliminate about one or two blood vessels.

In addition, very fine red blood vessels are difficult to treat with sclerotherapy.

Red blood vessels can be treated with a pigment laser, but in the case of dark circles under the eyes, the laser effect is usually very minimal or nonexistent.

Other treatment methods for dark circles

Whitening treatment​There are treatments that use vitamin C to brighten the skin, but in reality it is impossible to make the skin white. The effect is very limited, so it is almost impossible to expect a satisfying treatment result. Since most of the causes of dark skin itself are cases where skin density is too high, like wrinkled skin, or where the red orbicularis muscle layer beneath the skin is visible, whitening treatment is quite far from eliminating these causes.
Filler-based methods​Cases where fillers such as Restylane or Aquamid are used to fill hollow areas do exist, but they can create a lumpy appearance under the eyes and may cause the skin to become pale rather than returning to its natural skin tone. They can also easily lead to uneven contours, so this is not a recommended treatment. The under-eye area requires precision, so introducing foreign material is not desirable.
Vascular laser treatment​It may be used for localized vascular dilation, but it cannot reduce dark circles. The cause of red dark circles is that the orbicularis muscle under the eyes is generally visible through the skin, so no matter how much laser is used, the muscle itself does not change, and a meaningful treatment effect cannot be expected.

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