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Understanding Under-Eye Circles: Types and Characteristics
Under-eye circles are a common aesthetic concern that can make the face look tired or aged. However, not all under-eye circles are the same; their origin and appearance vary, which in turn determines the most appropriate treatment. Correctly identifying the type of under-eye circle is crucial for addressing it effectively.
At Santé Clínica Estética, our specialist doctors perform a thorough assessment to determine if your under-eye circles are pigmented, vascular, or hollow, and thus design a personalized treatment protocol.
Pigmented Under-Eye Circles: The Dark Tone
Pigmented under-eye circles are characterized by a brownish or grayish discoloration in the area beneath the eyes. This type of under-eye circle is the result of increased melanin production in the thin skin of the lower eyelid.
Genetic factors, unprotected sun exposure, and certain inflammatory processes can contribute to their appearance. They are more common in people with darker skin phototypes or with a family history of hyperpigmentation. Treatment focuses on reducing melanin production and lightening the area.
Vascular Under-Eye Circles: The Bluish or Purplish Hue
Vascular under-eye circles appear with a bluish, reddish, or purplish tone. This coloration is visible due to the thinness of the skin in the periorbital area, which allows the underlying blood vessels to show through.
Vascular congestion, lack of sleep, stress, allergies, and dehydration can accentuate this type of under-eye circle. The thin skin makes the capillary network more evident, manifesting with these shades. Addressing this type of under-eye circle often involves improving circulation and strengthening the skin.
Hollow or Structural Under-Eye Circles: The Marked Shadow
Hollow under-eye circles, also known as tear trough or structural under-eye circles, manifest as a depression or concavity under the eye. This lack of volume creates a shadow that gives the appearance of darkness.
Their main cause is volume loss in the tear trough area, which can be genetic, related to aging, or a consequence of weight loss. Facial bone structure also plays an important role. The goal of treatment is to restore lost volume and smooth the transition between the lower eyelid and the cheek.
Key Points for Identifying the Type of Under-Eye Circle
- Coloration: Brownish/grayish (pigmented), bluish/purplish (vascular), no intrinsic coloration but with shadow (hollow).
- Texture: Skin may be thinner in vascular and hollow under-eye circles.
- Stretch test: If the color does not change when stretching the skin, it is likely pigmented. If it fades, it may be vascular.
- Pressure test: If the color briefly lightens when pressed, it suggests a vascular component.
- Shadow: If the darkness is accentuated by overhead light, it is an indication of hollow under-eye circles.
How Santé Clínica Estética Addresses It
At Santé Clínica Estética, we understand that each patient is unique. Therefore, the initial evaluation is fundamental. Our board-certified doctors perform a detailed medical assessment to accurately diagnose the type of under-eye circle and its underlying causes.
This personalized approach allows us to design a treatment protocol that fits your specific needs, always seeking natural and harmonious results. We offer a free aesthetic consultation so you can explore your options without obligation.
"Aesthetic medicine does not seek to transform, but to restore freshness and vitality to the face. In the case of under-eye circles, an accurate diagnosis is the key to a satisfactory and safe result." – Dr. Sol Monsalve, Medical Director of Santé Clínica Estética.
Treatment Protocols at Santé Clinics
Below, we detail some of the treatments that our doctors may recommend, adapted to each type of under-eye circle:
| Type of Under-Eye Circle | Recommended Medical Treatments | Mechanism of Action | Price (approx.) |
|---|---|---|---|
| Pigmented |
|
Reduce melanin, unify skin tone. | From 150€ (Peeling) |
| Vascular |
|
Improve circulation, strengthen capillary walls, thicken skin. | From 150€ (Mesotherapy) |
| Hollow |
|
Restore lost volume, reduce shadow, biostimulate collagen. | From 400€ (Hyaluronic acid) |
It is important to remember that treatment results may vary depending on the individual and the severity of the under-eye circles. Our doctors will inform you about realistic expectations and the timeline for each procedure. Your safety and well-being are our priority.
Our multilingual team is available to assist you in Spanish, English, Portuguese, and Russian, ensuring clear and effective communication throughout your process.
Frequently Asked Questions About Under-Eye Circles
Is under-eye filler treatment with hyaluronic acid painful?
Under-eye treatment with hyaluronic acid is performed with topical anesthetic cream, and often the product itself contains lidocaine to minimize any discomfort. Our doctors have refined techniques to make the procedure as comfortable as possible. You may feel a slight pressure or initial prick, but significant pain is infrequent.
How long do the results of hyaluronic acid in under-eye circles last?
The duration of hyaluronic acid in the under-eye area varies between 9 and 18 months, depending on the type of product used, the patient's individual metabolism, and their lifestyle. To maintain results, periodic touch-up sessions are usually recommended. Our doctors will provide a more precise estimate during your consultation.
Can I prevent the appearance of under-eye circles?
Although genetics play an important role, steps can be taken to minimize the appearance and worsening of under-eye circles. This includes sun protection with glasses and sunscreen, maintaining good hydration, getting enough sleep, managing stress, and eating a balanced diet. For pigmented under-eye circles, avoiding sun exposure is key.
What should I do before an under-eye circles treatment?
Before any under-eye circles treatment at Santé Clínica Estética, our doctors will provide you with detailed instructions. Generally, it is recommended to avoid alcohol consumption and medications that may increase bleeding (such as aspirin or ibuprofen) a few days before the procedure. It is essential to inform your doctor about any pre-existing medications or health conditions.
