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SYMPTOM & DARK CIRCLE SURGERY

Dark circles can appear in many different forms,

such as under-eye hollowness,

under-eye wrinkles,

protrusion,

dark discoloration,

and blue blood vessels.

Check which symptoms match yours

and find the correct surgical method for them.

DUHAN DARK CIRCLE CLINIC

What are your dark circle symptoms?

The symptoms of dark circles vary.

Please select the one that matches your condition in the illustration below to check detailed information.

And see what surgical options are available for each symptom.

1. When the entire under-eye area is hollow​

If the under-eye area is sunken or hollow, micro fat grafting should be considered first.

The priority is to restore the height of the sunken area so that it matches the surrounding tissue.

Simply correcting the shadowing by matching the height will make the under-eye area somewhat brighter.

2. When there is a pronounced diagonal hollow wrinkle line under the eyes​​

If there is a deep hollow wrinkle line under the eyes, it is important to first remove the wrinkle line.

Because the wrinkle line itself creates shadow and makes you look older, if the area is sunken or shadowed by wrinkles, the priority is to correct the hollow and smooth the wrinkle line with micro fat grafting.

Without resolving these issues, dark circles cannot be corrected.

3. When there is protrusion under the eyes along with a hollow wrinkle line below it​

When under-eye protrusion and a hollow wrinkle line occur together, you need to focus on which area is more severe.

If the protrusion feels more pronounced, the protruding area should be corrected first. If the wrinkle line is more strongly emphasized, the correction should focus on the wrinkle line.

In some cases, one procedure may be selected, while in others both areas must be treated at the same time.

The protruding area is corrected by removing fat, and the hollow wrinkle line is corrected with micro fat grafting.

In other words, the procedure should focus on the area with the more severe symptoms, but if the result after treatment is insufficient, the remaining procedure may also need to be combined.

4. When the under-eye area is reddish​​​

The reason the under-eye area appears red is that the skin below the eyes is thin, allowing the underlying orbicularis muscle layer to show through.

The orbicularis muscle layer is reddish in color, and fine red vascular networks are distributed within or above the muscle layer, making it the main cause of red under-eyes.

To remove the red tone, the skin would need to be made thicker so that the reddish orbicularis layer is not visible, but in reality, thickening the skin is almost impossible.

Even if a pigment laser is applied to the muscle layer, the laser cannot change the color of the muscle layer at all.

Unless the muscle layer is burned black, it cannot be changed, and the muscle should not be burned.

It is better to dilute the red tone.

The best method is to place a thin layer of yellow fat over or within the muscle layer to cover the red tone and soften the color.

5. When the under-eye area is reddish and protruding​

The protruding area is usually caused by orbital fat pushing forward.

It appears red because the reddish orbicularis muscle layer just beneath the skin is visible.

In such cases, it is best to remove the protruding orbital fat first.

Removing the fat alone can make the red tone lighter.

Depending on the case, micro fat grafting can also be performed on the wrinkle line below the orbital fat to further lighten the color.

6. When the under-eye area is dark brown

If the under-eye area is dark, the cause is the skin.

The skin density is high, there are many fine wrinkles, and methods that reduce melanin pigment or decrease skin density should be considered.

In other words, to reduce the number of melanin pigments per unit area, the skin must be expanded broadly.

The skin should be pulled and smoothed, and one simple method is to graft fat under the skin to expand it.

In addition, during this process, the yellow fat projects through the skin and dilutes the black melanin color, making the tone lighter.

Sometimes, if fine wrinkles are too severe, there are limits to expanding the skin with fat grafting, so lower blepharoplasty to remove and smooth the skin should also be considered.

7. When fine wrinkles under the eyes are severe and dark​​

This is a case where the skin density is so high that the skin is excessively finely folded to the point of forming wrinkle lines.

If you grab and stretch this skin by hand, it stretches quite a lot—almost like pulling and stretching tight leggings.

Even if fat grafting is used to expand the skin, there are limits and the effect becomes less pronounced, so surgery to remove the skin altogether may be necessary.

An incision is made below the eyelashes using lower blepharoplasty.

The skin is lifted, and the excess skin is removed so that the wrinkle lines can be sufficiently smoothed.

The skin should be removed until the skin tone lightens; as the dark, dull skin color returns to its natural tone, the wrinkles can also improve.

8. When there is melanin pigmentation and fine wrinkles right below the eyelashes​​

If desired, correction is possible by creating aegyo-sal with micro fat grafting.

Of course, if you do not want to create aegyo-sal, lower blepharoplasty can be performed to remove the skin, but if the wrinkles are not very severe, lower blepharoplasty can be a burdensome surgery at a young age.

When aegyo-sal is created, fat fills the area under the skin and expands it, making the skin tone lighter and allowing the yellow fat to show through, which further lightens the color.

If the under-eye area is already generally hollow and aegyo-sal is created, a shadow may form below the aegyo-sal, making it look darker; therefore, the indication must be carefully considered before treatment.

9. When blue blood vessels are visible under the eyes​​

If blue veins are visible under the eyes, a sclerosing agent can be injected into the blood vessels to harden and eliminate the thick vessels.

However, because this procedure targets only specific blood vessels, sclerosis alone cannot improve an overall dark under-eye appearance.

Vascular sclerotherapy should be limited to removing about one or two blood vessels.

Very fine red blood vessels are difficult to treat with sclerotherapy.

If thick blue vessels are visible under the eyes and look unpleasant, vascular sclerotherapy can simply make the vessels disappear and brighten the under-eye area.

It can be used to remove only the blood vessels by itself, or as an adjunct to other procedures.

Vascular sclerotherapy is simple, causes little pain, bruising, or swelling, and allows immediate return to daily life. However, because it is performed on very fine blood vessels, highly precise technique is required.

It also requires professional knowledge and experience with sclerosing agents, so it is not a procedure just anyone can perform.

The procedure must be done with the correct concentration and injection volume of the sclerosing agent to achieve good results in one treatment.

Once the treated vessels disappear, they do not return, and there are no special side effects.

The injected solution is a very safe agent that has received import approval from the KFDA and FDA approval.

10. When dark circle surgery is difficult​​

① Red dark circles with a flat under-eye area and skin that is too thin

② Brownish under-eyes due to excessive melanin distribution

③ When melasma is widely distributed under the eyes

③ Brown under-eyes caused by pigmentation from trauma or inflammation

※ Depending on the shape, some dark circles cannot be easily corrected, and the appropriate method for each person should be determined after a thorough examination.

Some dark circles are not easy to correct depending on their shape, and the appropriate method should be determined after a thorough examination.
As a clinic operated by a board-certified plastic surgeon, it has more than 20 years of extensive clinical surgical experience with dark circles, continuous research, and an after-care management system.
The 5-step solution of Duhan Plastic Surgery Dark Circle Clinic focuses on accurate diagnosis and surgery for various dark circle symptoms. It is not simply about removing dark circles; for young and beautiful eyes, the clinic operates a dark circle combination program and a thorough after-care system for complete management.

​http://www.darkcare.com