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Carboxytherapy Services for Dark Under-Eye Circles

Carbon Dioxide Therapy [Carboxytherapy] refers to the administration of minute amounts of Carbon Dioxide gas just beneath the skin surface. It is a relatively painless, in office procedure that is completed in 5 minutes with no residual downtime. Dr. Zdinak uses carboxytherapy for the treatment of dark under-eye circles, cellulite, and stretch marks.


Carbon dioxide is a natural constituent of our very being.  We breathe in oxygen, and we exhale carbon dioxide. Plants take up the carbon dioxide, and in turn give us the oxygen that we need (hence, the common claim that plants like it when you talk to them).  Carbon Dioxide also happens to be the signal for poor blood circulation in the body. All cells in the body, regardless of their job (heart cells, brain cells, skin cells) release as their waste product carbon dioxide. Carbon dioxide is the “cost of doing business” of any cell in our bodies.  So, we breathe in oxygen to our lungs, the red blood cells pick up the oxygen in our lungs and carry it to our tissues until they encounter an area that has been working hard and has an excess of carbon dioxide. When the blood cells are exposed to high concentrations of carbon dioxide, they flip their conformation, release the oxygen molecules, and pick up the carbon dioxide so that we can exhale it from our lungs. In a sense, by injecting small amounts of carbon dioxide gas just below the surface of the skin, we are tricking it into increasing the blood circulation to that area.  Dark under-eye circles, cellulite, and stretch marks have all been shown to have some root cause in poor blood circulation. 

Carboxytherapy can dramatically improve the appearance of dark under-eye circles.  Although sometimes caused by darkened pigment, or a hollow depression below the lower eyelids [tear trough deformity], the majority of dark under-eye circles are caused by poor circulation beneath the lower eyelids [vascular pooling]. Dr. Zdinak designed and conducted the first study in the English literature using carboxytherapy for rejuvenating the under- eye region.  She found that by injecting a small amount of carbon dioxide gas just beneath the skin of the lower eyelid, circulation was increased and dark under-eye circles were markedly improved.   The treatment takes only five minutes, and is virtually painless and risk-free. A series of 2-6 treatments spaced one week apart is all that is required to achieve a great result.

Dark under eye circles are difficult to conceal with makeup, and often make you appear tired, even when you’re fully rested. This problem is relatively common but it’s important to understand the origin of dark circles in order to develop a treatment plan. Dark circles are typically caused by one of three factors, either alone or in combination. The first possibility is that there is actual deposition of pigment into the skin of the lower eyelid. This pigment deposition is commonly due to post-traumatic hyperpigmentation, where the skin of the lower eyelids has been perpetually irritated, usually from chronic tearing due to allergies or dry eye. Skin pigmentation is the easiest cause of dark under eye circles to treat because it responds well to a combination of carboxytherapy and home bleaching regimens. I do not use hydroquinones, the over-the counter bleaching agent, on delicate eyelid skin because in some individuals this can worsen the dark circles. Instead, I prescribe a combination of kojic acid and arbutin to help reduce the hyperpigmentation. This gives my patients a safe and gentle treatment product that they can use at home while the carboxytherapy sessions are performed in my office.

The second cause of dark under eye circles is vascular pooling. The capillary network of the lower eyelids can become congested for a variety of reasons. Normally, the tears drain from the eyelids into the nose, but if there is some obstruction due to chronic nasal congestion from seasonal allergies or a nasal fracture, the drainage doesn’t function well, and the blood flow to the lower eyelids becomes sluggish, giving rise to the boggy blue tinge known casually as “allergic shiners.” The lack of appropriate oxygenation to the lower eyelid skin allows the bluish cast to show through the thin skin of the eyelids. Carboxytherapy works to improve the capillary network of the lower eyelids, as well as to increase the dermal collagen layer in the lower eyelid skin. By injecting a small amount of carbon dioxide gas into the affected areas, blood flow is increased and improved capillary networks are formed for longer lasting circulatory benefit. The bluish cast is replaced with a healthy pink tone. Once a series of four to six sessions is completed, the skin has a more luminous appearance that lasts approximately six months.

The third major cause of dark under eye circles is a depression beneath the lower eyelids called a tear trough deformity. Tear trough deformity is a commonly inherited trait in the African American and Indian communities, but it can also develop in Caucasians over time due to the normal loss of bony architecture in the inferior orbital rim, which is the top of the cheekbone area. In the event that a tear trough deformity exists, a temporary filling agent such as Restylane or Juvederm can be placed in the valley to plump up the depression, which improves the appearance of the dark circles. The treatment is not painful, and it is a one-time procedure performed after a small amount of numbing cream has been applied to the skin. Since my specialty is oculoplastic surgery, I perform this procedure in my office at least twice a day with optimal results that last approximately eight months to one year.



The following services are offered by
Dr. Zdinak and offer visible results when used in combination as prescribed during your consultation. Offering both surgical solutions & nonsurgical solutions.

Ophthalmic Plastic Surgery [surgical correction of the eyelids and eyebrows]
Non Surgical Body Shaping
Non Surgical Face Lift  
Scarless Mole Removal
BOTOX® and Natural Fillers
[Restylane®, Perlane®, Juvéderm™, Sculptra®, Radiesse™, Artefill]
Lip Augmentation
Treatment of Dark Undereye Circles [Carboxytherapy]
Treatment of Stretch Marks & Cellulite [Carboxytherapy]
Acoustic Wave Therapy for Cellulite
Exilis NonSurgical Fat Reduction
EuroGlowFacial Mesotherapy
Laser Hair Removal Services
Cryolift Cryotherapy Facial
Black Tie Facial Treatment
Australian Ultrasonic Facial Treatment
Lumixyl Skin-Brightening
Total Hand Rejuvenation
Torn Earlobe Repair
Intense Pulsed Light (IPL) Phototherapy
Pixel Laser Non-Ablative Skin Resurfacing
Removal of Superficial Facial Veins and Cherry Red Spots
Superficial Chemical Peels
SilkPeel™ Diamond Microdermabrasion
PRP Dermal Blood Fillers

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