Dark Circles (Infra-Orbital) Around the Eyes: a Combination Treatment
Combination of Micro Needling and Trichloracetic acid 10% Peels in the Management of Infraorbital dark circles
Markantoni V et al.
AAD 2015 Annual Meeting, San Francisco CA – United States
- The pigmented skin of dark circles appears gives and impression of tiredness
- Dark circles are very frequent and although proposed mechanisms are proposed (CLICK HERE to read more)
- Because of this, it might be a good idea to exclude other etiologies (CLICK HERE to read more)
- That being said, once the diagnosis is made treatment options are often multiple and unsatisfactory. They include whitening creams, topical retinoids, chemical peels, lasers, fat transplants, fillers and blepharoplasty (surgery)
- The following study from Greece suggests micro needling the skin followed by a five minute application of trichloracetic acid topical application:
- they performed the study in 13 female patients aged between 13 and 62, phototypes II to IV
- 4 session treatments spaced by 2 weeks
- the procedure was NOT painful
- all patients improved.
- Doctors evaluated the improvement as « fair », « good » or « excellent » in 94% of patients
- Patients rated the response as « fair », « good » or « excellent » in 95.2% of cases
- Adverse events included: mild discomfort, transient erythema and edema (described as common but no figures shown)
- No recurrence was observed 4 months after the last treatment
- The photos on the poster are not published here as the patients would be identifiable.
- However there are two patients and based on this the response according to us is « fair-to-moderate », but closer to « fair. »
- Conclusion: Although all patients appear to have improved it might have been useful to break down the results as visually not many patients would have more than a « fair » to « moderate » response.
Dr Christophe HSU – dermatologist. Geneva, Switzerland