One of the most common questions I have been asked by my clients – doctors or aesthetic clinics, “What do you recommend for dark circles?”
I feel it is important for me to give here our view and treatments we recommend to our clients.
As we all know, Periorbital hyperpigmentation or periorbital melanosis (POM) is a very common condition, especially in South Africa, whereby hyperpigmentation developers around the periocular region. Many different causes are ranging from genetic or hereditary, post-inflammatory hyperpigmentation, excessive vascularity, atopic or allergic contact dermatitis as well as general aging.
POM is classified, Huang classification: Pigmented, typical brown marks.
Vascular, typically pink, blue and purple colors
Structural, facial anatomic contours, and mixed type, typically consists of 2 other types.
It is also well documented, that POM can be due to an abnormality whereby melanocytes are located at the dermal level, this can be due to congenital or acquired causes. This becomes extremely difficult to treat as topically applied creams rarely deliver to the dermis. Due to this, Essel encourages the use of the Mesoskin, whereby electroporation can safely and painlessly deliver Actives to the dermis without a possible trauma (which can cause post-inflammatory hyperpigmentation). Please see the attached information on the Mesoskin machine.
Most treatment plans will include topical depigmentation agents, like hydroquinone, kojic acid, and retinol. However many of these ingredients are very harsh especially for the fragile eye area and as such cause many reactions which in turn can worsen the pigmentation. DERMAPLEX ANTI DARK has been designed as a nonbleaching serum which is safe for the eye area. (Please see the attached information on DERMAPLEX ANTI DARK)
Other treatments often done in practice include chemical peels and laser. Unfortunately, most of these methods are very harsh and not safe for the eye area, or patients are not ideal candidates for laser.
We advise looking for safer methods in your practice, enzymatic gentle peel AESTHET KERATOPEEL would be one of the good choices here. (Please see the attached information) and meso treatments that leave no trauma, like the Mesoskin method.
Here are few home care treatment plans we offer for the different types of POM:
*Pigmented (Brown color) DERMAPLEX ANTI DARK
*Vascular (blue/purple color) DNA EPINEW EYE THERAPY
*Structural (natural contours) DNA EPINEW SKIN TONE CORRECTOR
*Mixed (combined types which will be most common ) DERMAPLEX ANTI DARK, DNA SKIN TONE CORRECTOR AND DNA EPINEW EYE THERAPY.
Remember to assess the “shadowing” caused by aging around and on the eyelid. With these clients add DNA EPINEW FORTE WRINKLE ANTIDOTE (repairs the extracellular matrix) along with DNA EPINEW EYE THERAPY (Which is also used directly on the eyelid for effective skin tightening).