choosing the right Vegas plastic surgeon

Nobody wants to look like a raccoon. But dark, aging circles underneath your eyes can make you resemble that furry bandit. Worst of all, they’re difficult to treat. You may have tried, by rubbing in over-the-counter vitamin creams or by attempting to camouflage them with the latest cosmetic cover-up. But — if you’re like most women or men — your success was limited, at best.

Fatigue or Family?

Dark under-eye circles have a variety of causes. In many cases, they’re hereditary; you may have even first noticed your dark circles during childhood or early adulthood.

Other common causes of dark under-eye circles include:

  • Eczema
  • Uneven pigmentation (usually in darker skin)
  • Sun damage
  • Thinning skin due to age
  • Hormonal changes

If your dark circles are transient or recent, they may arise from:

  • Fatigue
  • Allergies
  • Contact dermatitis
  • Rubbing your eyes frequently
  • Medications
  • Eyelash growth serum

Choosing the right Vegas plastic surgeon helps you determine the underlying cause of your under-eye circles. Dr. Julio Garcia asks you about your family history, medical history, and any medications or cosmetics you’re currently taking. He also examines your skin for sun damage or thinning due to aging or hormonal changes. Once he’s found the cause, he recommends the best solution based on your individual and unique needs.

Be Easy on Your Eyes

If Dr. Garcia determines that your under-eye circles are due to fatigue or allergies, he recommends lifestyle changes and do-it-yourself remedies to help improve your appearance and comfort. Steps you can take include:

  • Getting more and better sleep (Dr. Garcia can refer you to a sleep specialist, if necessary
  • Finding allergy relief (try over-the-counter remedies or Dr. Garcia can refer you to an allergist)
  • Alleviating irritation and puffiness with cold compresses
  • Discontinuing eye lash serums, mascaras, and other irritants
  • Sleeping with your head elevated to reduce eye puffiness

Strengthen Your Skin With Lasers

When the skin under your eyes has thinned due to sun damage, pigment problems, or aging, one way to rejuvenate your entire look is by improving the quality of your skin with lasers. Dr. Garcia uses the Medlite Q-switched Nd:YAG nonablative laser to boost the tone, and thickness of your under-eye skin.

During your treatment, Garcia protects your eyes with special shields. He can spot treat your under-eye skin and hyperpigmented areas or revitalize your entire face. Improving your skin quality overall helps keep your under-eye area taut, elastic and uplifted.

The heat from your laser-toning treatment reaches down into the deep layers of your skin to stimulate the production of rejuvenating collagen and elastin. These essential proteins make your skin stronger and turn back the clock, allowing your skin to function as it did when you were younger.

After your laser toning, your skin will have more resilience and tone. Thickening your under-eye skin also hides the underlying blood vessels, so that their pigmentation is no longer visible and your “raccoon” circles disappear.

Laser-toning treatments only take about 15 minutes and have no downtime. They can be combined with other aesthetic procedures, such as dermal fillers and plastic surgery on your lower lids (lower blepharoplasty), to further enhance your overall appearance.

Lift Your Eyes With Fillers

Whether you choose laser toning or not, dermal fillers are an easy, nonsurgical way to revitalize your under-eye area and remove dark circles. Dr. Garcia prefers hyaluronic-acid (HA) based dermal fillers such as Juvederm, Restylane, and Belotero to fill out tear troughs. Lifting the skin away from dark blood vessels gives you a brighter, more youthful appearance.

You’ll see an improvement directly after your dermal filler procedure. You may have some swelling for a few days, but basically you’ll have no real downtime. Within days, you can wear eye makeup again. The HA fillers last anywhere from 6 months to more than a year, depending on which thickness and type that is best for your needs.

A novel way to improve tear troughs and under-eye circles is to build up lost volume in your midface and cheekbones. Dr. Garcia may use the HA filler Voluma or a collagen stimulator, such as Sculptra. Adding more volume to your face or creating a cheek augmentation with fillers helps lift skin away your under-eye area so that it looks smooth and youthful.

Remove Your Bags and Circles for Good

Depending on how pronounced your under-eye circles are and whether or not you also have eye bags, Dr. Garcia may recommend a permanent solution with surgical lower blepharoplasty. Lower blepharoplasty remedies:

  • Under-eye circles
  • Eye bags
  • Drooping lower lids
  • Sagging, loose skin

If you’re a smoker, you’ll need to quit at least two weeks before and for two weeks after your surgery. You also need to stop taking herbs and medications that thin your blood, such as ginger, garlic, and aspirin.

During your procedure, Dr. Garcia may create incisions below your lower-lid lashes. If you’re young enough, he can actually place the incisions inside your lower lid so they won’t leave any kind of visible scar. 

He separates the skin from the fat layer and, if necessary, and removes any excess. His artist’s eye helps him take away just enough fat, but not too much. Removing more fat than necessary can look unnatural and be aging, which is why choosing the right Vegas plastic surgeon is essential

Dr. Garcia then re-drapes your skin, tightening it, suturing it into place and trimming away the excess. If your incisions are on the outer lid, he creates tiny sutures so that your scars are barely visible after they heal.

The entire procedure usually takes no more than two hours. Many patients opt to have upper blepharoplasty at the same time, to remedy upper-lid sagging. Adding in upper blepharoplasty increases your treatment time. Dr. Garcia usually recommends treating your eyelid skin with chemical peels or lasers at the same time, to improve the quality of your skin as it heals.

After your lower blepharoplasty, you’ll have a few days of swelling. Dr. Garcia removes your stitches within one week. Although you have to limit your activities for the first two weeks, after a month you can return to your normal routine.

If you’re ready to throw away ineffectual cosmetics to mask your under-eye circles and get solutions that really work, contact Dr. Garcia by phone or online form. He treats men and women from all around the world.

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