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Do people say you’re looking tired all the time? Dark circles or bags under your eyes? Are you bothered by dark circles under your eyes or becoming self-conscious about your increasingly noticeable crow’s feet? Do you think you may need a brow lift?

Then maybe a dermal filler or Botox treatment is all you need to instantly make you look well and refreshed again!?



This month I will be talking about all the procedures I can perform in order to improve the eye area. From dark circles to saggy tear troughs and crow’s feet, there are so many ways for me to make your eyes pop and look more beautiful than ever. Surgery is not always the only option. You must know that I offer rejuvenation treatments at my practice using dermal fillers and Botox.

If you would like to inquire about these treatments or any of the procedures I offer at my practice. Please do call my rooms on 011 954 0070/3.

You can of course visit my website


What causes dark circles under the eyes?
Dark circles under eyes are usually caused by hollowing in the “tear trough” zone due to volume loss caused by loss of fat in this area. This is usually due to age but can be present in much younger people who are genetically predisposed.

Here is an article that speaks extensively about the use of dermal fillers for facial rejuvenation and in particular to deal with tear troughs.


Why is a dark circle under the eye so dark?
The dark colour occurs because the loss of tissue allows the deeper dark purple muscle layer to show through.

Often a “bag” will appear, as this loss of structure, plus loss of upper cheek volume in more severe cases, causes a loss of support to the under eye tissues which will then begin to bulge unsupported.

The darkness is further compounded by the shadowing caused by this troughing and bagging.

By adding volume back into the troughs and upper cheeks, these negative contours can be smoothed out, effectively eliminating the dark colour and shadowing, and erasing the perceived tired look.

Do bags under my eyes have anything to do with age?
In many cases, and particularly over the age of 40 years, volume loss in the tear trough can become more widespread in the upper/mid face, extending further down and out along the cheeks.

This more generalised volume loss in the mid face is also very typical of the natural ageing process in all people, and is why in some cases, people can look “sad”, “tired”, “burnt out”, or “unwell”.

What products do you use to treat tear troughs?
The dermal filler I use isJuvederm; it is a forgiving natural gel, which has fantastic longevity in this area. Typically results can last up to 12-18 months, and in many cases the results have lasted well beyond 2 years.

The treatment tends to be a little bit more tedious than when treating other zones, simply due to the potential fragility in this area.



Botox is an injection primarily composed of botulinum toxin, a naturally occurring purified neurotoxin which is used to erase unwanted lines of aging around the eyes, infamously known as crow’s feet.

How does Botox work?
Botox blocks the neuron and neuron transmitter site. This will not stop your facial muscles from moving, but instead stop unnecessary muscle contractions that are caused from everyday activities such as squinting, smiling, frowning and focusing.

Is Botox safe to treat wrinkles?
Repetitive expressions in the skin results in fine lines and wrinkles, which overtime begin to sag and turn into deeper and harder to treat wrinkles.

Botox usually lasts three to five months. Because Botulinum toxin is a naturally occurring neurotoxin, it is eventually digested by the body, allowing the neurotransmitters to work in connecting micro muscular movement signals to travel once again.

Take a look at my newsletter on skin rejuvenation 

So how do I treat crow’s feet with Botox?
When treating crow’s feet, I will inject the neurotoxin around the outside of the eye where the crow’s feet appear. It is also effective to place Botox injections beneath the eye where additional sagging and wrinkling may occur.

Finish the eye rejuvenation with a non-surgical brow lift?

By injecting Botox into the muscles that pull the eyebrows down, the muscles are temporarily weakened, and the eyebrows are lifted. The goal is to retrain the muscles to reshape the brow over time.

Fillers like Juvéderm can help lift the tail of the brow. It all depends on how much correction is needed. These are non-invasive procedures and can be refined over time as the patient ages.

→Did you know?
Botox injections are great for stopping crow’s feet, the vertical frown lines between the brows. Botox can also be used to slightly elevate the brow and eliminate horizontal lines across the forehead to help the upper face look younger and more relaxed.

The treatment takes mere minutes and results last three to four months on average. Many plastic surgeons consider Botox to be an integral part of a surgical brow lift, since its use before surgery can help relax the muscles and facilitate healing.

Strategically placed Botox injections can give your brows a subtle yet temporary lift—with none of the recovery or downtime associated with surgery.

Botox is not only a treatment to fix eyebrow and brow line signs of aging, but can also possibly delay the need for brow lift surgery!


Non-surgical vs. Surgical facelift
In the past, surgeons have solved the ongoing problem of sagging skin and wrinkles with traditional face lifts that are invasive and may result in a pulled look. Today we have learned that the appearance of sagging skin, wrinkles, and folds is the result of loss of structure and volume as well as collagen in the skin.

These signs of aging can be treated successfully with a combination of injectable products such as neuromodulators (BOTOX) and facial fillers.



My next topic, the liquid eyelift is a similar procedure that can be an alternative to cosmetic eyelid surgery (blepharoplasty) for some patients.

The result is an upper lid that is lifted, a brow with a softer contour and a more open look to the eye. In the lower eyelid, the bags are smoothed and the cheek contour improved.

Did you know that non-surgical eyelid correction was an option?!
To ensure a comfortable treatment, topical anaesthetic is applied to the area to be injected, and the material is mixed with anaesthetic solution. All injectables are administered with a very fine needle. The most common side effects include mild bruising and swelling at the injection site.

Ultimately, my goal is to restore balance, volume, and an overall more youthful and natural result to the entire eye area.

These procedures can last 3 years, depending on which products are used and how the body absorbs the filler material. Commonly a skincare regimen is also recommended to help maintain youthful looking skin in both the eye area and face in order to optimize the results.

Did you enjoy this newsletter? There is extra information on my website about skin rejuvenation but remember to keep an eye on my Facebook page as well! This is where I post very useful info on a daily basis!