This video provides a rare, evidence-based look at under-eye aesthetics by focusing on anatomical causes rather than marketing hype. It is a sophisticated guide for those who value scientific logic over superficial skincare advice.
Deep Dive
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Deep Dive
How To Fix Your UndereyesAdded:
If you have dark circles, hollowess, or eye bags, then this video is going to be for you. It's very possible you've tried things like caffeine serums, or sleeping more, drinking more water, etc., but it really hasn't worked its magic. The correct philosophy behind proper looks maxing is always going to be number one to make the proper diagnosis for what is causing your problem, and number two is to actually figure out the appropriate solution to solve that problem. See, it's not just your genetics, and it's not just cuz you went to bed late a few times. There's quite a bit more to unpack here. The under eye region is a notorious region where a lot of companies will like to scam you by selling you these fake undereye creams or ridiculous solutions to essentially cover up and put a bandage on a very severe wound. So within this video, I'm going to show you how to identify which exact issue you have that is contributing to your undereye issues.
reference. I've gone pretty in-depth on this because I've had a lot of people have a problem relating to their under eyes and a lot of questions regarding how I lightened mine significantly. Like I said earlier, there are a multitude of factors that can contribute to dark under eyes, hollow under eyes, etc. And so, you have to make the proper diagnosis and figure out what to do from there. You have to understand that the underey region is one of the thinnest regions on your face with only about.5 mm of actual skin. And the skin is sitting over a network of vasculature, fat pads, ligaments, and bone. Contrary to what you might hear, each one of these layers can actually contribute to an undereye problem. Now, the first case I'm going to cover is going to be regarding vascular dark circles. So, typically these are going to appear pretty blue or purplish. They will actually blanch, you know, and lighten when you press them, and they should return back to their original color when released. So, that is kind of how you can tell if that's what's specifically going on here. uh often times can worsen with poor sleep when you are overly inflamed, dehydrated, basic habitual things like this. Um but there's actually an interesting mechanism here and the skin of this region is typically extremely thin. And if you have vascular dark circles that points that you may even have even thinner skin uh than normal. And so what is essentially happening is the skin is too thin and that means you can actually see the blood vessels underneath.
So given that information, it's actually not an hard fix. Uh generally speaking, any sort of retinols will be pretty good for this since retinols do indeed increase dermal thickening. They will increase your skin's thickness over time. However, it's going to take some time. You're going to have to be using retinoids for quite a bit time.
Typically 6 to 12 months for meaningful increases. Uh but you do want to start off at very low percentages uh at 0.0 uh 0025%. Uh and then there are a couple other options as well though uh in case these aren't enough because yeah the the retinoids they can be irritating and yes you will undergo a phase a shedding phase essentially where you will have a bit more uh of inflammation in that area and redness etc. But over time you will be able to overcome that but there are other options. So there are things like polyucleotides/pdrn um and this is a procedural option you could get to thicken the dermis again without adding any sort of filler like volume. However, it's usually going to take around two to three sessions.
There's also something really good I think um like PRP or PRF and these are good because um you don't need a ton of sessions. um usually you're going to need around three sessions, three four sessions um month apart. Um but essentially you can improve the growth patches of your skin and increase your dermal thickness and skin quality at the same time. So it's a pretty good option. Now any sort of creams for this really aren't going to be too amazing.
But essentially if you do have a cream that you apply to this for this issue, it could be useful if it is vasoc constrictive such as a caffeine serum.
However, the results you're going to get are going to be pretty mild. So, I'd really stick uh to the other methods I mentioned. If you want, you know, better long-term results. And if you want uh more advanced protocols on how to fix these even further, uh there are a couple other options, um which I've have in my community. Now, the next one I want to cover are going to be pigmentry dark circles. And these typically you are going to distinguish between the two. Uh, these are usually going to be pretty dark, like brownish or maybe gray brownish.
Now, these should not lighten when pressed. If they do, it's probably the other one. It's probably, you know, an actual vascular issue. Um, but yeah, these should not lighten when pressed.
And these are typically more linked to things like allergies or maybe some sort of just hyperpigmentation um that you have. Um, and that can happen from inflammatory factors. Even just rubbing your eyes over time can actually um contribute to this slowly over time. So this is actually you know pigmentry in the skin which is also quite an easy fix actually. Um if is anything related to allergies of course you're going to have to address that individually. Um but when it comes to the actual coloring of the skin we can use things like tyrosnace inhibitors or melanin inhibitors inhibitors you know to accomplish this.
And these are essentially going to help reduce the amount of pigment, you know, being displaced under your eyes. So, couple options here. Well, my personal favorite option is going to be cyamine cream. Cyamine cream is probably one of the best options in my opinion, just because of how powerful it is, especially from my personal experience.
It's way better than aic acid. You can also use trrenzemic acid. Um, if you do get tremic acid, you may just want to use a topical formulation though. Um, and if you want to act on even more pathways, you could even get um, nyanomide at around 4 to 10%. Um, and this will reduce the amount of melanin transfer. So, you'll essentially contain the transfer of pigment into any surrounding skin cells even more um, by stacking this. But yeah, if these topicals aren't enough, probably the best option is going to be fractional laser. Um but yeah, if you are going to just use these options, it is going to take a bit. It's going to take a bit to really show, you know, the true colors, usually around at least a couple months, you know, uh and like for significant results, 3 to 6 months. So, you will be able to fade this over time. It just takes some consistency and using the proper products. Now, when it comes to the next one, this is a bit more structural. And hollow under eyes are typically a bit easier to much easier to distinguish. You're going to actually see a shadow here. Uh, not just discoloration. It's going to look much worse in overhead lighting. It should look kind of sunken, kind of hollow, as you can kind of see in this image here.
You can really just see the difference in the tissues positioning as well. Um and yeah, when you press down on it, uh it should not remove the darkness because obviously this is a more structural issue, not so much pigmentation. Um but yeah, essentially what's happening is a deep depression is forming around the tear trough ligament.
And so the midface can descend over time, you know, especially with aging, especially the malor area as well. And over time when this happens the uh ligament right the actual ligament for your under eyes is going to descend along with that. So when this happens and your tear trough ligament descends the rest of the structure kind of follows to an extent and you will get this shadowing this loss of volumization essentially shifting downwards. Um, and so if it is caused by more midface descent, then you're typically going to need some sort of midface volumization.
Um, and that could be a multitude of things. Uh, but basically what would have to happen is you need some sort of lifting or support in the under eye or cheek positioning and that will help with that. However, if what you have is a bit different, if you have something called orbital volume loss and it's not just the descent, then you are going to need hyaluronic acid fillers. It's specifically deep orbicular hyaluronic acid filler. Uh this is going to have to be done by expert hands though. It has to be deep.
There cannot be any superficial placement whatsoever. There's a lot of displacement risks. Um, and something that can actually happen when you do this and it doesn't go too well is you'll actually get these blue lines or blue discoloration. It's called the tindle effect. So, when if you are going to go about solving this with filler, be very careful and very precise on who your injector is. Uh, there's also fat grafting as an option. I think fat grafting is probably one of the best options um, just because of the ROI. I think it's one of the best looks maxes that pretty much anyone can get. Um, very low risk as well. But essentially, you can use this for just adding volume, you know, directly using your own fat.
And it actually also improves your skin quality due to the uh growth factors uh involved. After you uh insert that fast, you'll actually upregulate all the growth factors for your skin as well.
Now, uh there's usually going to be a bit more downtime and there is going to be some resorption. There's a bit of upkeep when it comes to FA grafting as well, but uh it's going to be up to you, but I do think it is one of the best options depending on the case. Uh and just a very good ROI in general. Next, what I wanted to cover next is essentially just pre-orbital puffiness.
Um so just fluid retention essentially.
This is pretty easy to identify. I mean, if you wake up in the mornings and it is significantly worse, um, and maybe improves and throughout the day, maybe only slightly though, it's very likely to be a fluid retention problem. Um, so typically, yeah, you'll see this change with your sleep, your sodium intake, uh, your hydration factors, if you take diuretics, you know, um, inflammation, stress, allergies, all kinds of things like that. But yeah, essentially what's happening is the fluid is just pooling here. And so your lymphatics are also slowed down. Especially at night time, your lymphatics are going to slow down significantly. Obviously, you're laying down so the gravity isn't assisting that fluid pull as much. So yeah, it can build up overnight and that's where a lot of people will wake up which with much more puffier under eyes. As for fixes, it really just depends on what's causing it. Uh if it is sleepreated, maybe it's sleep position related, you can simply just elevate your head slightly. You can add a couple extra pillows. Uh personally what I've done um not specifically for this but yes for facial puffiness in general is I've just elevated the point of my mattress where my head is just put I just put some extra pillows underneath it and then I just sleep a bit more upright and I think it does help. Um but yeah pretty much doing something related to that could help. Also not compressing uh your face too much when you're sleeping can help slightly. Uh sleep rhythm is very important here, especially your like what time you go to bed, how long you're sleeping, and what time you wake up as well. Trying to keep that as consistent as possible because what can happen is if these factors aren't consistent, your eldoststerone can increase, which will store more sodium.
You'll hold on to more sodium. Uh your vasopressin can increase. So, you're going to have even more water retention.
And you can't really regulate vasopressin too much. You can use certain diuretics or uh medications for eldoststerone, you know, controlling aldoststerone, but really for vasopressin, you can't. Um, so things like a plan, you know, or spinolactone could help with that eldoststerone related bloat. But yeah, like it goes to vasopressin, there's not there's nothing that could be really safely taken. So, ideally, I'd say for most people if they have an issue like this to simply go to bed at the same time every night or try to as much as you can uh to avoid this and just wake up at the same time. Um, other than that though, uh there's not a ton you can really do other than maybe some lymphatic drainage exercises and massages, uh use some allergy controls.
I do have some protocols for uh some advanced debloating techniques using microcurrent um and other devices. This last main cause is going to be infraorbital bone deficiency. Um, and essentially what is happening is you have these infraorbital bones, infraorbital malard bones here. And these are actually what are going to help rupture, you know, your under eyes.
And so when you're lacking these, when they're not well projected, you can kind of tell, you can see how everything sinks back. And you can see how her lower eyelid hangs downwards a bit more as well. Now, after this implant from your favorite Dr. or to ban. Uh you see the eyelid edilation, you see the darkness looks a bit less um pronounced.
So yeah, like it's a very dramatic effect here. You can really tell, especially look at the the scalera and how the scalera aren't showing as much.
But these this problem um is pretty common in a lot of people, I would say.
Um and the way you can tell is to generally look at your side profile. And if your eye projects forward beyond your lower orbital rim, that's going to suggest something called a negative orbital vector. And so this vector is going to indicate that we have some sort of recessed infraorbital effect going on here. Um so yeah, typically this is really just a lack of interior orbital rim support. Um but it's really going to depend what like how severe this case is to find a proper fix. So if you have a mild deficiency, say you could simply get uh something like perostal filler, this would be placed on your orbital rim bone. And uh like I said, like I mentioned before, you never want these to be superficial. Um but yeah, this is not stand tear trough filler. This is actual augmentation uh of the orbital rim. Now, another option if your case is pretty mild is something called radase. I don't know if I'm now another option if your case is quite mild is going to be something called radiase or radase. Um it's essentially a bioim filler. So it's made of a um these little microspheres. They're called calcium hydroxilopite.
Um and it's suspended in like this gel.
It's very different from hyaluronic acid filler. Uh but the difference is that this is not just adding volume, you know, this is actually just stimulating collagen and elastin production over time and so it really just firms the region up a bit. I will say though, uh it's not worth your time. You know, if you do have a severe deficiency here, um now another note too with this is that it is not dissolvable. So you have to be very careful with this placement and the it has to be deep essentially on the bone to really restore any skeletal um support.
But yeah, if you have a moderate deficiency, however, what you what I would like to recommend to a lot of people is again fat grafting to the orbital rim. Uh the reason being once more is that very low risk, just extremely high RII. You get all of these skin benefits as well. Um, yeah, like I said, the the main thing with fat grafting is going to be the partial resorption because you can get you could even get 30, you know, 50% resor ab resorption early on from fat grafting. And yeah, there is a bit of upkeep when it comes to it. Um, so the final result is going to take a bit to stabilize and everything. Uh, but yeah, there's there is a bit of upkeep, but I'd say it's 100% worth it for a lot of people, especially if you're, you know, trying to weigh your risk-to-reward ratio. Other than that, I wouldn't say there's any amazing options if it's moderate. If it is severe, however, you're going to need well, you're generally going to need some sort of custom infraorbital implant. So, kind of like what's going on here from Tibon.
Um, now this is going to have to be specifically designed to your face, CT designed, and it's going to be placed directly on your orbital rim. If you do have a severe deficiency, however, um and so like in this case here, um you are going to need custom infraorbital implants. So these are going to have to be specifically designed with your face in mind using a CT scan. You'll have to get uh and this will be placed on the orbital rim. I'd say this is probably the most definitive correction you could get if this is the case. But you know instead of kind of frauding it you are actually correcting the foundation itself instead of just compensating with any soft tissue you know or filler. So it really is you know probably the best option.
Now you could get you know orthagnathic maxillary advancement. You could technically but you really only want to do that if it's part of a much larger maxillary protrusion.
um you know if you have an infraorbital deficiency plus a very recessed maxilla all over then it'd be like okay maybe that'd be more reasonable but it's really not something you'd want to get if you're just trying to solve one issue like your infras but yeah if you did get this you'd you'd improve you know the infraorbital rim the malor support um nasol labial architecture uh all kinds of stuff but it's much more invasive much larger recovery so if it is severe I highly recommend looking into custom infraorbital implants. But yeah, that's pretty much it for this video. Um, when it comes to fixing your eye bags, yeah, I mean, there is a bit of nuance, but you really just want to find, you know, your specific issue, make a specific diagnosis, and then actually, you know, act out based upon that. So, yeah, I hope hopefully this was helpful. If you do want to learn more protocols on this and actually identify specifically what you have going on um and how to plan for that um and what you can actually do at home for a lot of these then I do have a school community if you're interested.
It'll be in my bio as well as in the description of this video and you can send me pictures as well and message me.
I can help you with any of these issues.
So yeah, hopefully this was helpful you guys and I will see you next
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