Puffy Eyes
Some puffiness is genetic, and no eye cream will erase or reduce it. But if your bags come and go, fluid retention is probably the cause. Salty dinners, late nights, a cocktail or two — they can all make your body hold on to water. "Since lid skin is thinner than elsewhere on your face, you'll notice swelling more," explains Cynthia Gray, MD, a Board Certified Plastic & Reconstructive Surgeon practicing out of Vancouver, Washington.
To the Rescue: Thanks to the pull of gravity, morning facial puffiness is usually gone by lunchtime.Elastoderm by Obagi works like no other topical eye treatment can. If you want to bring the snap back into your skin, Elastoderm is clinically proven to help restore elasticity and to reduce fine lines and wrinkles in that delicate. "The pressure helps stimulate circulation and drain excess fluid." There are many great over the counter beauty products that can make a difference temporarily. You can get this miracle elixir for $95. Although there are many great over the counter temporary fixes, nothing can compare to Obagi products prescriptive strength.
Dark Circles
When blood vessels show through skin, they can give the eye area a bluish cast. "Since skin becomes more translucent with age, blood vessels appear more prominent," explains Cynthia Gray, M.D. A less common cause of darkness: post-inflammatory hyper-pigmentation, doctor-speak for clusters of brown pigment that collect underneath the eyes due to heredity or chronic rubbing (often because of allergies or bothersome contact lenses).
To the Rescue:Daily use of any basic eye cream will temporarily plump skin so blood vessels are less visible, says Dr. Gray. Eye creams are a better choice for this purpose than regular face creams, because they tend to have a higher concentration of emollient for plumping and a thicker texture, which makes them adhere to the ever-mobile eye area. "Circle Delete" $29 "Active Light" $25 (contains cucumber - long known for it's rejuvenation properties around the delicate eye area and white tea extracts. Vitamin C & K are also known to lessen dark circles. Rosemary Leaf extract is a powerful anti-oxidant, Avocado and sunflower oils aid in absorption and create the illusion of plumper more youthful looking tissue. The star ingredient of this product, Buckwheat Wax, in clinical studies has been shown to reduce puffiness, which can create shadows around the delicate eye area. "Disappear" $24 all by Jane Iredale. This fabulous line offers natural, good for the skin solutions that have been approved by Plastic Surgeons and Dermatologists.
Lines and Wrinkles
Every time you smile, frown, yawn, or squint, the skin around your eyes crinkles up. Eventually, as the collagen levels diminish, your skin literally stays scrunched, and deeper creases take the place of fine lines.
To the Rescue:A few ingredients are essential. The first is retinol, a vitamin A derivative that rebuilds collagen levels and helps smooth fine lines. (Tretinoin, the stronger, prescription-strength version, also known by brand names like Retin-A and Renova, yields faster, more dramatic results but can irritate the delicate eye area.) Antioxidants like green tea and vitamin C, which help skin retain collagen, are effective wrinkle reducers, too. If your skin is especially sensitive, swap vitamin A products for peptides — proteins that also stimulate collagen growth. "Peptides don't sting or cause redness the way retinols and their cousins can, but they are also less potent," says Dr. Gray. Elastoderm by Obagi and the following in-office procedures can improve the collagen and dramatically reduce the appearance of fine lines and wrinkles; Fraxel (3-5 days down-time) approx. cost on a case-by-case basis and Thermage (no down-time) approx. $1,700 for both eyes.
Sagging Lids
As collagen, elastin, and fat decrease with age, eyelids get droopier. "Genetics determine when your skin will sag and to what extent," says Dr. Gray, M.D.. "And like any skin aging, sun exposure hastens the effect."As a result, some women have sagging in their late 30s.
To the Rescue: No eye cream alone will reverse sagging once skin begins its downward slide. Only surgery gives you truly long-term improvement. But artfully applied eye makeup can make drooping lids less noticeable.The trick is to define the lashline and neutralize the lid. Apply a light, nude-colored shadow (like cream or mocha, depending on your skin tone) from your lashes to your brow. Next, dip a liner brush, such as Jane Iredale Eye Liner/Brow Brush ($12, janeiredaledirect.com), in a gray, brown, or black shadow, and apply color as close to the base of top lashes as possible. Shadow creates a softer, more natural look than a pencil liner. Finish with dark-brown or black mascara. Try Rimmel Colour Rush Eye Shadow Quad in Smokey Brun ($5.40, drugstores). Consider making an appointment with both Diane Warren, a phenomenal laser rejuvenation specialist and one of the few cosmetic tattoo artists working in tandem with a plastic surgeon in the Vancouver, Washington area, and Esther Williams, an amazing make-up artist. Both can be found at SpaBella | 360.892.0096 ext. 2 Make an up their sleeves!
When you want faster and more dramatic results, you can find plenty of longer-lasting options in a consultation with Dr. Gray. Some of these minimally invasive procedures include:
Best for Banishing Wrinkles
Botox injections. Tiny injections of botulinum toxin are injected into the muscles that cause wrinkles, forcing them to relax. The injections take effect in a week or so, and the area stays smooth for three to six months. Cost: about $500.
Chemical peels.A medium-depth peel (like trichloroacetic acid, a.k.a. TCA) stimulates collagen growth by removing the top layer of skin. The body senses an injury and cranks out new healthy skin as a way of healing itself. You'll look like you have a bad sunburn for five to seven days, but then facial skin will be smoother and less lined for six months to a year. Cost: about $1,000.
Lasers. Many kinds of lasers are used around the eyes, usually as part of an allover facial rejuvenation treatment. Lasers help reduce wrinkles by resurfacing skin and stimulating collagen production. As with a peel, you'll look badly sunburned for a few days to a week before the smoothing shows up; it'll last for a year or more, until new wrinkles form. Cost: about $2,000 for the face, including eyes.
My favorite is a combination of the two! After a thorough IPL treatment to treat age spots, wrinkling and various skin aging conditions, I like to give my patients a double whammy by applying a cocktail of light chemicals to their skin just before they walk out the door. The great thing about the double-whammy is that there is no down-time. Even with the extra dose of age rejuvenation this special cocktail provides you can go right back to work...looking, at the most, a little flushed and no one but you and your surgeon is the wiser!
Best for Hiding Dark Circles
Hyaluronic acid injections.This clear gel filler, known by brand names like Restylane and Juvéderm, is injected directly into the hollows beneath the eyes to even them so they no longer appear as dark shadows. Expect swelling, mild bruising, and tenderness for up to a week afterward (the bruising can be covered with concealer). Results will last three to six months — or more. Cost: about $600.
Best for Lifting Sagging Lids
Blepharoplasty. During this surgery, Dr. Gray makes tiny incisions around or inside the eyelids to remove loose skin and excess fat, which create a droopy, sleepy look. It takes about two weeks before the bruising goes down; you may not want to return to work until then. But the tightening effect lasts for years. "This procedure can make you look 10 to 15 years younger," says Cynthia Gray, M.D. Cost: Upper lids can be done in office for approx. $3,000. Both upper and lower lids however require a visit to the hospital and cost approximately $6,000.
Dr. Cynthia Gray, a Board Certified Plastic and Reconstructive Surgeon can be reached via SpaBella Med-Spa, as well as her medical practice in Vancouver Washington at| 360.892.0096. Call and schedule an appointment today!