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Medication and Home remedy for dark patches under the eyes - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Pigmentation Problems
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   I have several darker patches under my eyes, towards my nose. Also have a patch on my nose near bridge on side near eye. Comes and goes but is staying more and more. It is dry, dark and looks like I have been punched in the face. I am caucasian and age 46. Also have bags due to extreme exhaustion. I have very sensitive skin and use absolutley no soap or cleansers on the face. I have dry skin but nice skin. I have dry eyes and for the past several years use lubricant eye drops at night. I use a nice eye cream that has no scent and I love - nothing else helps my eyes and it works.
Doctor :   Hi
Doctor :   let me read ur query
Doctor :   ok
User :   Hello. I am more concerned about the dry dark spots than the bags which I feel are due to exhaustion. The darker dry patches bother me.
Doctor :   may i know your age?
User :   46 - I am blond, and am sensitive to sun but used to spend a lot of time in it and loved it. Skin tans well - I am not pale like redhead. Now I am always inside - working all the time.
Doctor :   how large are the dark spots ?
Doctor :   do they appear like warts or just pigmented and elevated lesions ?
Doctor :   can u mention the largest diameter of the lesions ?
Doctor :   dark spots under the eys could be just due to stress or smaller pathes could be due to sun exposure induced damage called solar keratoses
User :   Largest diameter is about 1/3 inch. Length is about 1/2 inch to 3/4 inch but narrow as well.
Doctor :   do they appear as dark circles all around the eye ?
User :   Not warts at all. Barely elevated. Definitley dry and darker than regular skin. A patch.
User :   Not all around eyes, just below and near nose - angled up towards eye. But also have on bridge of nose. May be consdiered scaley. From a distance - even 2 feet away I look terribly tired and like I got hit. Not black mind you just dark.Specifically, brown. Brown spots
Doctor :   the dark spots could be due to pigment collection called lipofusin
Doctor :   Lipofuscin is what remains post the breakdown and absorption of damaged blood cells in the skin.
Doctor :   in addition disorders of sebaceous glands can aslo cause such issues
User :   it appears to be some sort of darkend pigment section. How to I deal wtih this? What could have damaged it? One day in the sun every few weeks? Rubbing my eyes (which I do)/ My eyedrops? Poor nutrition?
Doctor :   A good temporary solution to black spots under the eye is by using a little bit of under-eye concealer
User :   And - why on my nose?
Doctor :   the skin on the nose and under the eyes are filled with sebaceous glands
User :   I don;t wear makeup. I prefer to heal my skin...what is they underlying issue?
Doctor :   also those are the areas that are most exposed to sunlight
User :   Yes.... I do not have greasy skin though.. very very dry...
Doctor :   Black- brown facial spots, otherwise called solar lentigenes, age-spots, and hyper-pigmentation, can be easily got rid of through laser treatments.
Doctor :   you can also use a good moisturisor cream to make the skin healthy
User :   will laser treatments irriate my skin (super sensitive to everything? - but again relatively nice.
Doctor :   lack of moisture and sunlight can increase the skin damage
User :   I have a good eye cream but the dark areas/dry areas continue.
Doctor :   no laser therapy, initially may cause redness
Doctor :   but once it passes off within a day or two , it will become normal
User :   Lipofusin? COuld my eye drops cause this - some type of dermatitis?
Doctor :   Lipofuscin is a pigment, what remains post the breakdown and absorption of damaged blood cells in the skin.
Doctor :   this is not caused by the eye drops
Doctor :   nor it is a form of dermatitis
Doctor :   are u interested to use some home remedies to improve your skin ?
Doctor :   or you prefer medications ?
User :   One more question...Apparently I am entering menopause much to my chagrin. I have noticed in the last few months that my eyes water a lot - almost suddenly. They are very tired. What causes this after never having it previously?
User :   I prefer home and vitamins but also will consider medications.
Doctor :   hormonal changes and reduced body fluid is the main reason here
Doctor :   lack of estrogen can cause fatigue, and also decrease the vitality of skin
User :   I don't drink enought (water or liquor!)
Doctor :   for home remedies, try the following
Doctor :   1. lemon juice + glycerin mix, apply this on the brown spots
User :   Help me Doc.
Doctor :   sure, ..
User :   Lemon juice won;t irritate? I knwo about topical green tea/polyphenols and the research on it and skin (ie cancer)
Doctor :   no it wont irritate when u mix it with glycerin
User :   Will do. I have glycerin. I won;'t type for a bit so tell me more.
Doctor :   also, having good rest, and taking vitamin E will help
Doctor :   taking omega fatty acids can increase the skin vitality
Doctor :   Try a cold compress, two chilled teaspoons or a bag of frozen peas wrapped in a soft cloth to temporarily reduce dilated and discolored under-eye blood vessels. Or try a cooled, used teabag.
User :   O.K....
Doctor :   hi are you back
User :   O.K. What about E topically? When I use natural oils like jojoba or sweet almond on my face they actually irritate it more.
Doctor :   when you use natural incredients they may irritate your skin as it is very sensitive
Doctor :   using a good preparation after trying it out in a outlet will be beneficial
Doctor :   topical vitamin E is always good
User :   I have noticed when I do go out in the sun, my facial skin breaks out into dry senstitive patches. Not dark though.
Doctor :   in addition nutrition matters a lot
Doctor :   you need to avoid sun exposure to the maximum
Doctor :   avoid going out in the daytiime between 10 am to 4 pm
Doctor :   this is the time when the sunlight is maximum
User :   that seems so unnormal though....I love the sun...used to actually.
Doctor :   and can damage the skin more
Doctor :   that is what could be the cause of your skin damage
User :   So what can I use to protect my skin - my face - if I am out in the sun that won't irriate it even more? So the sun could have cause this under eye issue even if I am only out in it once a month?
Doctor :   i understand that going out to the sun, to avoid the cold climate feels great
Doctor :   once a month may not matter much
Doctor :   but, using suncreens with SPFs will help much
User :   I love being outside. But now I rarely get out. But when I do, my skin does react.
User :   I have been afrain of sunscreens on my face.
Doctor :   use it topically in adequate amounts
Doctor :   this will prevent any further skin damage
User :   I guess I could use zinc oxide when just in my backyard under my eyes....?
Doctor :   in addition, Drink tomato juice with some mint leaves, lemon juice and salt.
Doctor :   no , do not use them,
Doctor :   they may damage your skin
Doctor :   Eat food with rich vitamins and iron.
Doctor :   Include fresh fruits and vegetables in your diet.
User :   I can drink that. Yes, My concern is topical sunscreens on my face may cause more damage...
Doctor :   no
Doctor :   they do not cause skin damage
Doctor :   but the prevent it
Doctor :   but they actually prevent it
User :   No? So when you so no do not use them, what are you referring to - zinc oxide or something else?
Doctor :   i was referring to zinc oxide
Doctor :In cosmetics, there is a light-reflecting concealer that contains titanium powder
Doctor :   this reflects light across the dark area and is quite effective.
User :   Ah... I thought that would be more healing and less irritating. So you think I should use something else on my face - under my eyes - with sunscreen in it. Like what specifically? I have used #50 sports sunscreen on my body but never on my face for fear of irritation.
User :   Titanium powder - I will look for for daytime use...
Doctor :   you can use that on the rest of the body
Doctor :   i mean the sports sunscreen
User :   I understand. And on the face under the eyes?
Doctor :   the other products that can be used include alba botanica , which has SPF 30
Doctor :   ALL TERRAIN , also contains SPF 30
Doctor :   BADGER , sunscreen for face is also a good sunscreen
User :   Before our time is up there a relatively safe OTC or prescription that would get rid of the brown irritation? Anti-inflammatorY maybe?
Doctor :   you can use hydrocortisone creams , for that
Doctor :   but they may require a script from your doctor
User :   So you don;t think this is permanent - that it can be dealt with if I make some major changes?
Doctor :   yes definitely
Doctor :   avoid sunlight, use sunscreens , etc and maintain good nutrition , vitamin E creams
User :   . Of course change is easier said than done. But I am already taking the E and omegas, this week, and I really need to make major changes in my life.
Doctor :   all these measures will be helpful
Doctor :   good
User :   Well. Doc.
User :   Here's looking at you kid. or are you supposed to say that?
Doctor :   Is there anything else i can help you with ?
Doctor :   no nothing as such
Doctor :   a person can be a kid until he lives on this earth
User :   That's me.
Doctor :   a youthful mind helps to live better
Doctor :   a healthy mind lives in a healthy body
User :   I am just starting menopause so I have been told. And I am dog tired all the time. It's horrible. Any suggestions? Can't I change it all? I worry waytoo much. Habit.
Doctor :   it will pass off soon
Doctor :   once you get used to it, you will find it not that bothering
Doctor :   the more u are anxious, and the more u resist it, the more distressing it will be
User :   I keep hoping that I can reverse it. I look young and have good energy when not exhausted.......which ain't much now. I keep hoping it is just a glitch brought on by stress.
Doctor :   accept the change and follow a good diet , take calcium supplements
Doctor :   yes, the more u get stressed, the more it causes issues
User :   I am back. One more go at this.
Doctor :   ok
User :   Well, I do appreciate your guidance. When we get cut off again, that will be it so I want to thank you now.
Doctor :   you are most welcome
User :   Can you explain why my tears - whether from eye watering or crying - seem more 'wet' or 'vicsou"? This is just in the last few months. Is it hormone related?
Doctor :   that could be due to dehydration
Doctor :   or due to severe eye strain
Doctor :   using a lubricant or eye refreshner like cleareyes
Doctor :   will help to relieve your eye stress due to dry eyes
Doctor :   when the tears have less fluid in them, they tend to become thicker
Doctor :   and YES, it is related to hormones
User :   Yes to both. In the last year I have had eye trouble and I never have had previously. Difficult reading ...went to eye doctor and they prescribed very low intenstity glass for reading. I have always had perfect eyesight. But I think it is computer work for too long.... When I use my lubricant drops they help but then I find that I need them more and more...I do not like that...
Doctor :   the thing with computer use, is this that , u tend to concentrate on the monitor for long periods
Doctor :   without blinking
Doctor :   normally a person blinks at least 6-10 times in each minute
Doctor :   while working with computers, this rate decreases
Doctor :   and also the lubrication of the cornea is reduced
User :   Interesting
Doctor :   this causes dry eyes and discomfort
Doctor :   voluntary blinking as needed will help to avoid such issues
Doctor :   you are right to say that dependance on eye refreshners develops and u tend to miss them once u stop them
Doctor :   this is coz, u feel so good with them and once u stop them, u miss their action
User :   I try to minimize theuse at night. If I get up and use hot water on my eyes, it helps a lot - so I do htat when I want to minimize use.
Doctor :   yes that will help
Doctor :   washing your face regularly without soaps is also useful
Doctor :   water is soothening on the eyes and will increase the hydration
Doctor :   drink enough fluids, fruit juices (natural) , citrous fruits
Doctor :   this will improve your hydration
User :   yes.... I will... Why did you receommend tomato juice?
Doctor :   it is a good soothening agent due to its succulent properties
Doctor :   using cucumber which has cooling action on the eyes, has been used over the years even in spas
User :   O.K. WIll Do
User :   Thank you again. I will be signing off now... Lots to think about and
Doctor :   you are welcome
Doctor :   take care and have a good day
User :   You too!
Doctor :   bye for now , it was a pleasure talking to you
Doctor :   bye
User :   Yes and with you as well.
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