We’ve figured out exactly what type of under-eye problem you are experiencing, now it’s time to discuss how to treat it. Whichever treatment works for you, staying consistent with it—rather than making it a “whenever I remember” routine—will guarantee the best results.
If you’re unsure which type of under-eye issue you have, consult Dr. Lily to help guide you through your treatment options.
Hyper-Pigmentation
Hyper-pigmentation under the eyes can make you look much older than you are. To treat this:
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Avoid rubbing your eyes, as chronic rubbing can lead to thicker, darker skin.
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Retinoic acid creams help exfoliate dark pigmented skin. However, use it sparingly, as overuse can lead to severe skin irritation. Always consult your dermatologist near McLean before adding any irritating ingredients to your skincare regimen.
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Skin lightening creams with ingredients like azelaic acid, kojic acid, or glycolic acid can help lighten the skin. Hydroquinone is also effective, available in 1-2% over-the-counter, and stronger formulations can be prescribed by your dermatologist.
Veins
For visible veins under the eyes:
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Caffeine-infused eye creams can temporarily constrict blood vessels and diminish small visible veins.
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For large blue veins, laser treatments may be an option. However, caution is needed for darker skin tones, as lasers can cause hyperpigmented scars if not used with proper cooling techniques. Always consult your dermatologist nearby if you have medium to dark skin.
Puffiness
To reduce under-eye puffiness:
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Treat seasonal allergies with over-the-counter medications or consult your physician for prescription options if you have resistant allergies.
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Sleeping on your side or stomach can encourage fluids to collect under your eyes. Side sleepers may notice more pronounced puffiness on the side they sleep on. Try sleeping on your back with an extra pillow under your head.
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Avoid rubbing your eyes and never go to bed with makeup on, as irritation can lead to fluid retention and swelling.
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Chilled items, like cucumber slices, tea bags, or even a bag of frozen peas, can constrict blood vessels and reduce swelling.
Hollowness
Hollowness under the eyes is often caused by dramatic weight loss or genetics. The best treatment is hyaluronic acid filler injected under the delicate skin of the tear trough. This can restore volume and create a more youthful appearance. Speak to your dermatologist to see if this treatment is right for you.
Sagging Under-Eye Skin
To treat sagging under-eye skin:
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Fractional Laser treatment (FRAXEL) resurfaces the top layer of skin, increasing collagen formation and tightening the skin.
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Alternatively, you can use an eye cream with “firming” or “tightening” properties. Be prepared for this to take months of consistent use to see results.
Bags Under Your Eyes
Currently, blepharoplasty (a surgical procedure) is the only solution for under-eye bags. During this procedure, a dermatologic surgeon or plastic surgeon will remove fat pads that protrude under the eyes, reducing the appearance of bags.
