All About Under Eyes

Introduction

Under eye concerns are a common topic of conversations here at EMA. Whether the concern is dark circles, puffiness, hollowing, or a blue-ish discoloration, this blog will guide you towards an aesthetic treatment(s) that are appropriate for each concern. 

For a quick 3 min explanation of the most common concerns, watch this video below:

Table of Contents

Under Eye Hollowing:

What is under eye hollowing?

Under eye hollowing, often referred to as tear troughs, is simply the loss of volume/fat underneath the eye socket that may cause someone to look really tired, older than they are, or even sickly.

What causes under eye hollowing?

There can be several factors the lead to or cause under eye hollowing, but some of the main causes include the following:

  • Genetics 
  • Natural aging process
  • Extreme weight loss
  • Dehydration
  • Lack of sleep/exhaustion 
  • Lack of proper nutrients

What treatments can I have done for under eye hollowing?

The best aesthetic treatment for under eye hollowing consists of dermal filler and cheek filler to give the under eye area support if there is a volume deficit. The type of dermal filler will be chosen by the provider/injector after a consultation and anatomy assessment, but some of the more popular filler products for this concern include: Belotero, Restylane, or  RHA.

This area is very tricky when it comes to injecting, and oftentimes the area is not treated properly, or is over-filled, leaving the under eyes looking puffy. Ensure you see a licensed, experienced injector before going through with this treatment if you are a good candidate. 

Below is a before and after image of under eye filler for a candidate that had hollowing, courtesy of Ali Wagstaff, NP.

To learn more about under eye filler, specifically, click the button below.

How long does under eye filler last?

On average, under eye filler lasts about 12 months. This time frame can also be dependent on the type of filler used and the individual’s lifestyle, age, and severity of hollowing. We recommend talking with your provider to understand realistic expectations with your treatment.

Under Eye Bags:

What are under eye bags?

Under eye bags are usually associated with raised pockets underneath the eye area that are puffy and may be slightly swollen or tender to the touch.

What causes under eye bags?

The cause of under eye bags differ for each individual, but some common causes of under eye bags are listed below:

  • Natural aging process 
  • Weakening of muscle/tissue under the eye
  • Genetics
  • Fluid retention
  • Lifestyle and diet 

What are the best treatments for under eye bags?

The best aesthetic treatments for under eye bag concerns include: RF Microneedling, referral for Agnes RF, and surgical referral to a plastic surgeon. At Elite, we have successfully treated under eye bags using our RF Microneedling device. It works by reducing the fat pad and also creating collagen in the treated area which in turns thickens and strengthens the skin to lessen the appearance of the raised under eye bags. This treatment can take time and multiple sessions to see improvement.

  • Below is a before and after image of a client wanting to improve under eye bags. Treatment results courtesy of Ali Wagstaff, NP

To learn more about RF microneedling, specifically, click the button below.

Can I permanently get rid of under eye bags?

The best way to permanently get rid of under eye bags is surgical referral to a plastic surgeon. In most cases, they will suggest removing the excess skin and fat pad via a procedure called a blepharoplasty. We recommend seeing a licensed, well experienced plastic surgeon for this concern if you are not a good candidate for minimally invasive aesthetic treatments.

Under Eye Darkening:

What are dark under eye circles?

Dark under eye circles are usually associated with darkening color underneath the eye area that can look tan or gray-ish. Learn more about the causes of this below:

What causes dark under eye circles?

Dark circles usually appear from the following causes:

  • Genetics/a family history of dark under eye circles
  • Lifestyle- dehydration, lack of nutrients, allergies
  • Exhaustion or excessive stress

What are the best treatments for dark under eye circles?

The best aesthetic treatments for dark under eye circles include topical products like hyrdoquinone, laser treatments such as IPL or ResurFX, and sometimes a lightening chemical peel. 

  • Lightening topical products work well to even the skin tone and reduce the visibility of the darkness under the eyes, however this treatment can take time and consistency to see improvement.
  • Laser treatments like IPL and ResurFX work to lighten the area too, via light technology and resurfacing attributes. A series of laser treatments are usually needed to see improvement, but we recommend to consult with a provider to see which laser would be best for your concerns. 
  • Lastly, some chemical peels may be beneficial, as certain lightening acids can even out the skin tone (must proceed with caution around the eye area).

To learn more about IPL/lasers, specifically, click the button below.

Blue Discoloration:

What is blue discoloration under the eyes?

Blue discoloration is a type of dark under eye circle that can be classified as “A blue or purple hue to the under eye skin”.

What causes blue discoloration under the eyes?

Having a blue discoloration under the eye are can be a result of the following causes:

  • Fair skin that shows the blood vessels underneath 
  • Thin skin tissue in the area 
  • Poorly placed filler
  • Genetics
  • Exhaustion

What are the best treatments for blue discoloration under the eyes?

The best aesthetic treatments for this under eye concern is to dissolve old dermal filler if it is present. Then try treatments that thicken the under eye skin such as: PRP/PRF injectionsRF Microneedling and regular microneedling. Other than the above there is not a lot to be done about this since the blue color is coming from the (presumed healthy) blood vessels around the eyes. 

Can under eye circles be removed naturally?

The short answer on whether dark circles can be removed naturally depends on the underlying cause. If they are from lack of sleep or poor nutrition then some improvement may be seen with better sleep and nutrition.

If there is genetic hyperpigmentation (darkening) then usually medical grade products and procedures are needed for lasting effects. However, a small modest change may be seen with at home topicals like retinoids and vitamin C and of course using a concealer. 

Remember that whatever you buy over the counter is usually 1/2 the strength and only 70% pure whereas medical grade can be prescription strength and must be 99% pure

Overall, it is best to consult with a trusted provider to discuss your under eye concerns, and the best treatments that can help you achieve results. If you are located in the Lone Tree, CO area be sure to schedule a consultation below.

What to expect after an IPL

Introduction

Oftentimes, when people hear about facial  treatments, they worry about the aftermath of what their skin may look like and fear the “healing” or “downtime”. At Elite, we love IPL (Intense Pulsed Light), or a photofacial, for many reasons: there is minimal downtime with no open skin, the treatment is effective, and you can apply your make-up right after, and carry on business as usual. 

This is a client favorite for many reasons, so keep reading for information about what to expect after an IPL. 👇 

Table of Contents

What does your skin look like immediately after an IPL?

Right after your IPL photofacial treatment, your skin may look blotchy, red, a little swollen, and you will start to notice sun spots or pigmentation darkening. It is also common for the skin to feel tight or like you have a mild sunburn. However, you can apply makeup/tinted SPF after this treatment, because there is no open skin! 

Below is an image of Ali, NP immediately after her IPL treatment.

Do's and Dont's after an IPL

It is best to always follow your provider’s post care instructions, but in general below are some do’s and dont’s after an IPL:

Do’s:

  • Wear SPF 30+ daily and reapply 
  • Hydrate and moisturize the skin often
  • Wash your face 2x daily with a gentle cleanser 
  • Be gentle with your skin, overall

Don’ts:

  • Apply hot water to the skin
  • Skip out on SPF
  • Use harsh ingredients on the skin like retinols and exfoliants
  • Pick or scratch at your skin
  • Have sun exposure on your face

Does an IPL cause the skin to be open or wounded?

No! An IPL treatment does not open the skin or cause any wounds. In fact, you can apply SPF and makeup to the skin immediately after the treatment. IPL works to diminish age/sun spots, freckles, pigmentation, red spots, and capillaries through targeted light therapy. The light energy is converted to heat energy into targeted cells, which causes destruction of the damaged cells and regeneration of new cells. 

To learn more about IPL and how this treatment works, click on the button below.

Does your skin hurt after an IPL?

Like mentioned earlier, your skin may feel tight and have a sunburn feeling for up to a few hours after the treatment. In terms of “hurting”, usually the answer is no. However, everyone has different pain tolerances. In general, your skin may feel more sensitive and tight, but it should not feel painful.

Can you wear makeup after an IPL?

Yes, you can apply any type of makeup or tinted SPF right after the treatment. In fact, your provider should be putting on a mineral SPF 30+ before you leave the appointment to protect your skin from the sun. As far as applying makeup after treatment, that is a personal choice! Makeup can be applied all throughout the healing stages, too, for coverage if desired.

How does the skin texture feel after an IPL?

Your skin texture will feel tight and dry after an IPL. Also, around day 2-7 you may notice a slight bumpy or rough texture as the skin is sloughing off the darkened pigmentation. Most people experience dry skin and darkening pigmentation, also known as “coffee grounds”. Once a full 7-10 days of healing is completed, your skin texture should feel smooth and healthy. Read more about IPL by clicking the button below.

What should I avoid after an IPL?

Since an IPL does not open the skin, there are very few things that are needed to avoid after treatment. It is important to follow your provider’s post-care instructions, but in general it is best to avoid the following:

  • Sun exposure
  • Active skincare ingredients such as retinol, AHA/BHA, and exfoliants
  • Intense exercise/sweating for 24 hours post treatment
  • Scratching or picking at the “coffee ground” areas which will halt the healing process

Other than that, it is business as usual after an IPL treatment, which makes this treatment a “go-to” for many people! 😊 

What products should I use after an IPL?

For best results, we recommend using a gentle cleanser, moisturizer, and a mineral SPF 30+ until the skin has fully healed, then you can return to your normal skincare regime. Also, wash the skin with cool water and avoid all active ingredients such as retinol, AHA/BHA, and gritty exfoliants until the skin has fully healed around 7-10 days. At Elite, we send our clients home with an after-care cream or nectar that helps to speed up the healing process and soothe any irritated/dry skin.

How long does it take for brown spots to fade after an IPL?

The darkened pigmentation or spots that often look like “coffee grounds” take about 7-10 days to fade or sough off. Every individual is different, though, so some may take longer to fade than others. It is best to talk with your provider to get a realistic time frame based on your treatment and to follow their post-treatment guidelines.

How long after an IPL do you see results?

Results from an IPL are gradual. You typically won’t see improvement right away, the soonest you will start seeing positive change in the skin is 7-10 days post treatment (after the skin has fully healed and the darkening spots have sloughed off). Final results are usually revealed around 4 weeks after treatment, though.

How many days does it take for your skin to fully heal after an IPL?

Generally, it takes the skin 7-10 days to fully heal from an IPL. This varies for each individual and their aesthetic concerns (why they are receiving the IPL in the first place). Blow is a general day-by-day time line of an IPL for pigmentation, that may help as a guideline or reference: 

  1. Day 1- skin may be red, blotchy, has a sunburn feeling and darkening of spots/pigmentation starts
  2. Day 2-3- skin may be feeling tight and dry, and the dark spots are looking like “coffee grounds”
  3. Day 4-6- skin is especially dry due to the dark spots starting to slough off and starting to gradually fade
  4. Day 7-10- continual sloughing and fading of dark spots, but skin is returning back to normal and is looking more even-toned, radiant, and healthy. YES!

Below are 2 images of Ali after her IPL treatment. 1st picture is showing day 4 of her healing and picture 2 is showing day 7 of her healing (with tinted SPF on). You can see how the skin quickly changes and heals from this treatment, yet still provides outstanding results!

How long do IPL results last?

IPL results are essentially permanent! That is, if we were to never go outside nor age. So, you will continue to get sun/age spots and pigmentation as you naturally age and live life (no matter how much SPF you apply). It is best to get a series of 3-6 IPL’s and then complete maintenance treatments in between. If you are struggling with pigmentation or sun spots, learn more about this condition below by clicking on the button.

How often should I get an IPL?

This is dependent on your aesthetic concerns (baseline) and your goals. Usually it is best to get a series of 3-6 4 weeks apart and then get maintenance IPL treatments to maintain your skin’s results. However, talk to a provider to see what your individualized treatment plan would be!

FYI: Did you know IPL can also tighten the skin?

IPL treatments are also known for their skin-tightening effects to the skin. How? The light that is not absorbed by the pigment scatters throughout the skin, and actually heats up the water in the tissue that creates a collagen-stimulating effect. This collagen-stimulating effect can help with diminishing fine lines and wrinkles over time, and tighten the tissue overall. IPL can be done on any part of the body (i.e. neck, chest, arms, legs), too! 

Read more about how IPL can tighten the skin by clicking the button below.

What are other skin benefits of an IPL?

There are several skin benefits from an IPL treatment. Listed below are many more benefits of an IPL, other than just for skin discoloration or pigmentation like discussed in the blog:

Click the link below to learn more about what to expect from an IPL treatment

If you are located in the Lone, Tree CO area and are interested to see if IPL would be a good treatment for you, schedule a consult below and talk with one of our providers today!

IPL in Lone Tree, CO