Open 11-7 weekdays and 10-4 Saturdays, we're able, available, affable and affordable at Peach
330 Oxford Street Paddington
Sydney, Australia
(02) 9368 0100
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Dark circles under eyes
Dark circles under your eyes can make you look tired and old. We can usually help, and you'll look better same day.
Testimonial: Blepharoplasty 1 from Dr Prochazka Blepharoplasty 1 from Dr Prochazka
Heavy eyelids on this Northern European face requiring blepharoplasty
Case study
Testimonial: Blepharoplasty 2 from Dr Prochazka Blepharoplasty 2 from Dr Prochazka
Very heavy upper eyelids: getting hard to see
Case study
Testimonial: Blepharoplasty 3 from Dr Prochazka Blepharoplasty 3 from Dr Prochazka
Young Asian lass, looking for a more open eye
Case study
Testimonial: Blepharoplasty 4 from Dr Prochazka Blepharoplasty 4 from Dr Prochazka
Mature Asian eyes: wanting to be more open
Case study
Testimonial: Blepharoplasty 5 from Dr Prochazka Blepharoplasty 5 from Dr Prochazka
Subtle work needed this time, to upper and lower eyelids
Case study
Testimonial: Blepharoplasty 6 from Dr Prochazka Blepharoplasty 6 from Dr Prochazka
Mature Caucasian lady with lots of excess upper eyelid skin
Case study
Testimonial: Blepharoplasty 7 from Dr Prochazka Blepharoplasty 7 from Dr Prochazka
Lower eyelids needed work here
Case study
Testimonial: Blepharoplasty 8 from Dr Prochazka Blepharoplasty 8 from Dr Prochazka
Mature Asian eyes
Case study
Testimonial: Blepharoplasty 9 from Dr Prochazka Blepharoplasty 9 from Dr Prochazka
Too much upper eyelid skin: present lifelong, but worsening with age and sun damage.
Case study

Dark circles under the eyes arise for essentially three (3) reasons. 

1) Some are due to extra pigment on the skin under the eye. Many people, particularly those from the warmer parts of Europe and Asia, are naturally predisposed to getting dark pigment around the eyes, and this pigment can be interpreted as "dark circles", especially with ageing. 
We can advise on a range of pigment-reducing strategies to decrease this effect, using either OTC or prescription-only formulations.

2) Some arise because the skin under the eye is very thin, and so the fine blood vessels behind this thin skin show through and give the dark circle a bluish hue. This is commoner in northern Europeans and those with thinner skin. Again, the passage of time doesn't help the situation. 
The approach here has to be to help thicken the skin, and we can help this process along with collagen-promoting eye skin care and certain microdermabrasion and laser techniques.

Many patients manifest a combination of these two mechanisms, and so a combination of treatments is employed.

And many patients have these two mechanisms working simultaneously with the third mechanism...

3) For as we get older, most of us get dark circles as cheek fat sinks with gravity and time.

In youth we have full high cheeks plump with fat, creating a single smooth round curve running from just below the eyelid down to the corner of the mouth. There is no gap between the eyelid and the cheek, and light falling on the lower eyelid and upper cheek casts no shadow.

All this fat sinks with time. We all recognise the cheek folds and jowls that develop where the fat falls, but can forget that this sinking fat can leave an absence, a depression and thus a shadow in the space left empty at the top of the cheek. 
This is how these dark circles arise. Absence of fat at the top of the cheeks, leaving a little "speed dip" below the lower eyelid. Light falling here casts a shadow; seen as a dark circle.

Try this. Grab a mirror and watch as you place your fingers around 3cm below your lower eyelid, and press up. You should be then pushing fat back up to form a continuous curve with your lower eyelid, as it once did naturally.
If this manouvre improves your "dark circles", chances are we can help you.

Carefully placing a temporary filler into this dark circle will fill the void left behind by the sinking cheek fat. A new continuous curve is created, shadows occur no longer, and your dark circles look a lot better.  

Dark circles under eyes treatments
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Dark circles under eyes - Doctors, clinicians and therapists
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Dark circles under eyes - Affected body parts
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