3 Zones of Eye Beauty
Eyes are the “Mirror of the soul” – clichéd but true! Most, if not all, of us would like our eyes – the main feature of our face to be beautiful and sparkle with brightness.
There are 3 zones of eye beauty when Dr Wong evaluates the eyes:
- The top zone includes the frown lines, the brows and the temple.
- The middle zone includes the eyes, the upper lids, the crow’s feet and the eyelashes.
- The bottom zone includes the lower eyelid, tear trough hollowing and the presence of eyebags and/or dark eye circles.
For the younger patient in their 30s to early 50s, aesthetic injection treatment like fillers, fractional CO2 laser treatment and Thermage CPT treatment are able to produce acceptable, and sometimes excellent results. But the more severe and advance cases will need surgical intervention to achieve satisfactory result.
Eyebrow shape and symmetry is an important aesthetic feature. However, brow arch is often lost with age as the forehead muscle and muscles around the eyes weaken. Aesthetic injections can affect the balance of some of these muscle pull to reshape the brow. The end result is to create more of an arch, to raise the whole brow evenly and to equalize the position of asymmetrical brows.
Brow can also become saggy and hanging over the eye. Aesthetic injection treatments can subtly reposition the brow and lift up the eyebrow but this is not permanent and needs to be repeated every few months to maintain the effect.
With aging, the skin loses its collagen and elasticity. The resulting effects are droopy eyelid, wrinkles on the lower eyelid or loose folds from excess skin. When one seeks treatment early, the eyelid skin can still be tightened/firmed using the Thermage CPT or Acupulse CO2 fractional laser treatment. Aesthetic injection treatments can also soften the lower eyelids wrinkles with excellent results. However if the skin laxity is severe, surgical intervention is preferred.
Eye bags vs aegyo sal
Bags under eyes are common as you age. With aging, the lower eyelid skin loses its elasticity and the muscles supporting your eyelid also weaken. Normal fat that helps support the eyes can then bulge forward into the lower eyelid, giving rise to the appearance of eyebags. Fluid also may accumulate in the space below your eyes, adding to a swollen appearance. Established and severe eyebags are best treated by plastic surgeon with surgery. When eyebags are mild and minor, filler injections with skillful placement of hyaluronic acid can help mask the eyebags, making it look less obvious.
While most of us would like to remove the eyebags / puffiness, women in Korea are doing everything they can to make their under-eye skin plumper. This new trend – considered by Korean to be more attractive and youthful-looking – is called ‘aegyo sal’ which refers to the roll of lower eyelid fullness and is often mistaken as eyebags by many people.
Different from eyebags, which can make one appear tired and aged, aegyo sal gives the appearance of youthful, friendlier eye especially when one smiles. Anatomically, Aegyo sal is a result of contraction of under-eye muscle that becomes more pronounced when one smiles. A popular method to create or accentuate aegyo sal is to inject dermal filler into the under eye area to create more volume and a roll of fullness.
Tear trough is the groove that runs from the inner corner of the lower eyelid to the cheek and it contributes to the appearance of mid-cheek aging. Visually, it also makes the eyes look tired and accentuates eye bag. For the mild to moderate cases, filler injections with skillful placement of hyaluronic acid can improve the appearance of tear trough as the contour deformity is plumbed and smoothened with the fillers. The result may last between 1 to 2 years.
Dark eye circles
Dark eye circles are due to a combination of factors. Genetic predisposition, skin pigmentation, thin skin exposing the tiny blood vessels or muscle that lie just below in the skin, hollowness due to tear trough and/ or aggravated by eyebags.
Skin pigmentation causing dark eye circles is common among Asians and makeup can help conceal the milder ones. Other options include skin lightening cream, skin peeling, a few sessions of pigment/fractional CO2 laser treatment or OPT light treatment may result in some improvement. However, these options are less successful when the dark circles are caused by thin skin and/ or tear trough.
For some selected cases, filler injections with skillful placement of hyaluronic acid can improve the appearance of dark eye circles as the tear trough deformity is smoothened and plumbed with the fillers.
Crows Feet wrinkles
Crows feet are skin creases /wrinkles just next to the eyes and it is often the first signs of aging noticed by the most women. They are caused by repeated muscle movement from smiling, laughing, and squinting and they include both the dynamic and the static wrinkles. The gold standard of treating the dynamic wrinkles is to soften the muscle contraction with aesthetic injection and this treatment is popular, safe, easy and nearly always effective.
For the established static fine lines, multiple sessions of laser-toning treatment with low energy Q-Switched ND YAG may help.
Acupulse CO2 fractional laser treatment is the alternative but it is associated with longer downtime.
Preventive skincare like careful sun avoidance, use of eye cream that contains retinol and antioxidants may also help to some extent.
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