Today I’m going to tell you how to make dark circles under your eyes vanish instantly, for as long as a year! And stay tuned until the end of this episode for the question of the day; if you answer it correctly, you'll have a chance to win a free skincare product! Hello I'm Dr. Neal Schultz And welcome to DermTV. Dark under-eye circles make you look tired. They make you look older. And they’re very frustrating to treat. Most products that make any meaningful difference either, like makeup, cover the darkness, or, are products with reflector particles that make the dark circles look lighter by reflecting light. One of the reasons under-eye dark circles are so hard to treat is because they’re caused by any combination of seven different problems, across three categorie 39brown discoloration from melanin pigment, red and blue discoloration from enlarged blood vessels, and, most importantly, darkness from shadows. This last type, dark circles from shadows, is all too common as we get older, and can even start as early as in your mid to late 30’s. The good news is they’re so easy to fix with filler treatments; the same fillers we use for lines and wrinkles all over the face. These filler treatments cause instant improvement and last for many months, and even up to a year. Pretty cool, huh… Let’s understand how this works. The shadows that cause these dark circles usually come from the age related loss of fat below the lower lid which creates a trough called the tear trough. The shadow caused by this depressed trough is often accentuated by a bulge of fat just above it caused by fat bulging out from under the globe of the eye. That fat actually belongs, and used to be, below your eye, inside your eye socket in your skull. So we have bulging fat elevated above the level of normal skin, and the tear trough depression below the level of normal skin and this high point and this low point are right next to each other, which magnifies the contrast in height. Since natural day light and most indoor light come from above, when we’re sitting or standing, these shadows are maximized. So what does the filler do? It fills in the trough which corrects the skin contour, eliminating the cause of the shadow, and thereby the dark circle. Oh, and I forgot one last thing… Filler treatments are done with tiny injections of filler into the tear trough, which most patients agree are not painful. And my patients who get this treatment couldn’t be happier.