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Management of Infraorbital Dark Circles
A Significant Cosmetic Concern
Jeffrey S. Epstein, MD
Arch Facial Plast Surg. 1999;1:303-307.
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INTRODUCTION
Despite the frequency with which it occurs, little has been written in the scientific literature on the treatment of infraorbital dark circles. I have developed a technique that simultaneously treats the 2 contributing causes of these circles: hyperpigmentation of skin and pseudoherniation of orbital fat. The technique involves simultaneous transconjunctival blepharoplasty and deep-depth phenol chemical peel. Successful outcomes have been obtained in patients with Fitzpatrick classification skin types 1 to 5, with a low incidence of complications. Adequate preoperative counseling regarding prolonged erythema and careful postoperative monitoring with, if necessary, medical intervention are essential if both surgeon and patient are to be satisfied with the outcomes.
Despite the lack of attention received in the plastic surgery literature, infraorbital dark circles can be a significant cosmetic problem. While there are no statistics giving the frequency of its occurrence, judging from the amount of advertising of cosmetics marketed . . . [Full Text of this Article]
CAUSE OF INFRAORBITAL DARK CIRCLES
TREATING INFRAORBITAL DARK CIRCLES
METHODS
Preprocedure Care Procedure Postprocedure Care and Expected Course Results of Simultaneous TCB With Phenol Peel for Infraobital Dark Circles
CONCLUSIONS
From the Division of Facial Plastic Reconstructive Surgery, Department of Otolaryngology–Head & Neck Surgery, University of Miami College of Medicine, Miami, Fla. Dr Epstein has a private practice, Miami.
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