Her World Doc Talk July: All about the Eyes
With mask-wearing becoming the new norm, your eyes aren’t just the windows to the soul – they’ve become the focal point of your looks and whether you’ve been taking care of your skin and overall health. Dr Karen Soh, medical director of Privé Clinic, tells you about the aesthetic treatments that can help you look bright-eyed and youthful.
Q I’m disciplined when it comes to getting a good night’s sleep, so why does it seem that lately, my dark eye circles look darker and seem more prominent in the morning? Is there a treatment that can help?
Dark eye circles refer to the purplish or bluish tint under the eyes. As the skin in that area is thin and translucent, the underlying blood vessels are easily seen. Contrary to popular beliefs, dark eye circles are mainly caused by genetics, age, facial anatomy and skin tone, and not necessarily because of a lack of sleep! Dark circles tend to be more apparent in people with fair skin and those with very little subcutaneous fat supporting the area under the lower lid. With age, people tend to lose volume in the under eyes area, also known as the tear through. This could cause dark shadows to be cast resulting in a tired, sunken look. Facial anatomy could also play a part as a prominent nasojugal groove can cause shadowing and make dark circles more apparent. A lack of sleep or a diet high in sodium could cause water retention in the area and further exacerbate this, therefore it may sometimes look worse in the morning.
Under eye fillers can help by volumising the area, and stretching the skin so that the area does not appear as hollow. The dark shadow around the eyes is thus reduced thanks to plumping of the skin. If the dark circles are due to skin discolouration, we can also combine this with lasers and retinoid creams to help enhance the treatment results.
Q Is there a difference between puffy eyes and eye bags, and can they be easily fixed with a good eye cream? Getting surgery is too extreme for me, and I’m also terrified of pain.
Yes, they are indeed different. Puffy eyes are usually temporary swelling due to crying for an extended period of time, and seasonal allergies. It may also occur due to excessive sodium or alcohol intake, which may lead to dehydration and subsequently water retention. On the other hand, eye bags are formed when the muscle issues around the eyes weakens with age and fat that helps support the eyes migrate into the lower eyelids.
A good eye cream containing caffeine, applying cold compress or simply massaging the eye area could help reduce water retention and puffy eyes quite significantly! However, the same cannot be said for eye bags. To help improve the appearance of eye bags, we can also opt for radiofrequency based treatments like Thermage Eyes or Exilis Elite to induce collagen production which lifts and tightens the area, making it less obvious. This can also be combined with Fillers to elevate the surrounding skin to the level of the fat to make the texture more uniform. There is minimal pain and downtime involved in these procedures, and at Privé, ensuring patients’ safety and comfort while delivering results is our priority.
Q I used to be able to hide my less-than-perfect eye area by drawing attention away from it with a bright lipstick. But now that wearing a mask is the norm, I want to do something about my crow’s feet – they just seem to get deeper every year.
Crow’s Feet are wrinkles marked around the eyes due to a loss in collagen and skin elasticity that usually happens with age. They can be categorised into dynamic (lines that form with certain expressions e.g smiling) or static (lines that are always there).
For dynamic wrinkles, a dose of Botulinum Toxin (aka botox) can easily resolve the issue. Botox works by temporarily paralysing the muscles near the eye area, to prevent the formation and appearance of dynamic wrinkles or expression lines. We can also combine this with energy based treatment like Thermage eyes to further enhance results. Thermage heats the collagen rich layers under the skin and induces collagen remodelling to tighten and lift the skin. This reduces the appearance of lines around the eye areas.
Static wrinkles are usually more severe. In such cases, we can add Skin Boosters or Rejuran I to pair with the treatments above. These injectables mainly help repair and hydrate the skin to reduce the appearance of wrinkles, and also comes with a mild plumping effect. For more severe cases of crow’s feet, we can use fillers to replace lost volume and fill in the deeper lines instead.
Original article from Her World July: HERE
Featuring: Dr Karen Soh
Dr Karen Soh is Prive’s founding medical director with over 10 years of experience in medical aesthetics. Highly passionate with a keen eye for detail, she has built rapport and trust with a growing pool of patients turned friends.