hey guys dr. Devlin board-certified
lasered rheumatologists thanks very much
for watching this channel till they stop
it will be on I creams and I'll be
debunking a few myths and giving you a
few hints in regards to eye cream and
how they use there are many companies
out there hundreds of companies in their
market eye creams like anything all the
companies including things like me
Australia for example even lo Roche
Posay the bhaji and even high-end stuff
like T in this repair in Lamia all of
these companies have their own specific
branding as to the eye cream and you're
paying extra for something which is a
lot smaller compared to an active
ingredient for face cream what's the
difference between an eye cream in the
face normal face moisturizer or face
cream what is the active ingredient in
that that makes it so special
first of all the answer is not much the
difference it lies is the fact that your
eyes are much more sensitive why's it
more sensitive because of the anatomy of
the skin the skin under an eye area is
about the quarter as thick compared to
the skin on your cheek so if we're
looking at microns is usually about
between 20 to 30 microns and thickness
compared to 100 microns over here on
your cheeks heads just there around the
eyes is much more sensitive so they've
got to formulate ingredients which i
diluted down to actually make sure that
you can tolerate all of these active
ingredients so the same active
ingredients apply so in my previous
videos we talked about violin a B C and
we talked about vitamin E as well we
took the hollow egg acids but mainly the
ABCs has skin still apply when it comes
to eye cream so if you look at the
ingredients of all the eye creams very
very similar a couple of the differences
two differences number one often they
add dimethicone in it so if you look at
a really really good one something like
teen this I repair which usually goes
for around 100 bucks or so the higher
end ones contain a inkling inflammatory
called them
okay and what happens is that they treat
puffiness so if you're looking at how to
improve the eyes what's the objective in
the eye cream we're trying to look at
decreasing puffing this right we're
trying to look at decreasing wrinkles
loose skin and of course dark circles
yeah so basically only four things that
the night cream is trying to actually
achieve so don't meth again reduces
puffiness in all the other Parliament's
there it didn't help can help reduce
wrinkles by remember we talked about the
ABCs free radical scavenging and also
collagen stimulation now the difference
is because the skin is so sensitive they
don't loot it down so you're not looking
at the same concentration so what do I
do
do I believe in the eye cream yes if you
like using an eye cream if it has
benefits for you certainly use it but
I'll teach you a little trick this is
what I use I'm not saying it's right I'm
saying this is what I use and it goes to
show with the logic so what you do is
you using your ordinary type or your
ordinary face cream sorry whatever that
may be
and that may contain the vitamin A B or
C or a mixture of all three in what you
do is you use a tiny bit of that right
and then you make sure you're using the
same formulation so if you're talking
about serums you mix the rooms with
serums gels with gels and in this kind
this case creams with creams so a tiny
bit of your active ingredient from your
face cream and then you use a bland
moisturizer which you can buy really
cheaply and you've got a loop that back
to that embeds your eye cream
and you can put that around your eyes
knowing that you're getting the same
ingredient as what you're having with
your face cream but you should not get
any hot irritation if you get any eye
irritation it's really easy use more of
the blend most erisa unless of the
active ingredient and find that perfect
mix for you so instead of actually
paying a couple hundred dollars for a
night cream
which you get less off you actually use
the same product is what you use on your
face
so that simplifies the skincare regime a
lot and you can also titrate which means
if you're that kind of person who can
tolerate a higher dose certainly use
more of the active ingredients and
listed them in Moline or Blair
moisturizer so that's a little hint
which I give to all my patients and
regards to I creams and do I believe in
it certainly if you have your favorite
eye creams and it does stuff for you
certainly if it helps reduce your dark
circles or your puffiness or
what-have-you certainly use those but
like I said those chemicals are there
for a reason and they're very very
similar compared to what we're using
with our face regimes which have been
proven in time and tested so guys look
thanks very much for watching that
segment do I believe in eye rejuvenation
apart from using creams absolutely
because that's what I do
so in the next couple of seconds you can
see what I do as the later dermatologist
and regards to eye rejuvenation so hope
you enjoyed the next part of the clip
eye rejuvenation can also be achieved
using fillers in this case I'm using
hyaluronic acid or AJ fillers so I like
product like Juvederm Restylane Bowl
Atarot all of these can actually hydrate
the skin I also combine laser to
actually help stimulate collagen and you
can see the before and afters with
marked rejuvenation around the eye area
using a combination of both fillers and
lasers so what luster will use I also
use H a fillers by themselves so you can
see this is filler only without laser so
there's no downtime fractional energy
devices such as Fraxel fractionated co2
lasers and non ablative lasers can also
help
so fractional laser comes in different
wavelengths we can use to 1550
wavelength there's a non ablative
wavelength or in 1927 these have certain
advantages because they have very little
downtime compared to something like this
which is a fractional co2 laser but was
the Fraxel co2 laser I
get a lot more collagen stimulation so
with a co2 laser whether it be Fraxel
aluminous or core we basically can get
the maximum amount of collagen
stimulation with a co2 core using
freehand I can fractionate in certain
percentages which means I can control
the downtime so most patients in this
situation may mean two to four
treatments for optimal skin tightening
and we can use that to treat the up I
earlier this wall to get a marked
stimulation in both collagen and elastin
so I use lasers in this setting to
actually stimulate collagen and open up
the eyes so our rejuvenation not only
consists of replacing harmonic acid but
also stimulation of collagen and
tightening of the skin taut whether
before and after this is basically after
one session in one session only of laser
resurfacing so this is a combination of
co2 laser with a recovery time and high
densities 19:27 this is what we get a
marked reduction in wrinkling if I were
to use fully ablative laser resurfacing
this is reserved for patients who have
marked areas of wrinkling as well as
loss of collagen in H a hyaluronic acid
so the downside about this resurfacing
procedures the downtime it takes
approximately ten days to recover and
that's after fully ablative co2
sometimes I'll use low-level emission
devices to actually help recovery and
the results from this however are
unmarked so instead of having a mild
improvement I'll use co2 lasers and
would have a marked improvement so you
can see a marked tightening of the
eyelid and eyelid skin using co2 laser
resurfacing it still stands as the
treatment of choice for marked wrinkling
but remember guys the downtime for this
procedure is significant so before and
afters using fully ablative lasers you
can see marked wrinkling and laxity and
after one
and one treatment only you can see the
before and you can see the afters very
shortly if it really is guys a
remarkable improvement but once again
the downtime is significant with all the
all of these procedures so I reserve
co2 fully ablative laser resurfacing for
cases like this but once again it's
basically almost two decades with the
sun damage is taken off once again
before with wrinkling in after so really
realistically it's a wrinkle remover but
once again it's a ten day recovery time
I also use surgical methods so if
someone has loose skin on the upper
eyelid I use what's known as a surgical
a blepharoplasty in other words excision
of the loose eyelid skin and that can
really open up the eyes so what we do is
we do a pinch test to see how much loose
skin there is and once again
I often combine surgery together with
laser in this case we're doing the
straight forward surgical blepharoplasty
removing the the upper layers of the
eyelid the procedure itself takes about
an hour
the healing up time is about 10 days but
we get a good improvement combining both
laser and surgery in this case to
achieve this result and once again with
patient with mark laxity even with the
lower lids or the use of lower lid
blepharoplasty the before and the after
so a marked improvement another thing I
do is PRP do I use this alone that no I
don't I often use this in combination
with energy based micro needling so not
micro needling by itself but energy
based micro needling it does work it's
not as predictable as AJ fillers but for
patients who really are against H I feel
is yes I do use PRP but once again only
in combination with energy based micro
needling guys thanks very much for
watching that video
look I tend to do one video once every
week and we touched on topics
from leave their mythology drive up to
scar revision which is basically my mish
but today is a basic video just an eye
cream in my take on topicals it's been
very busy for next next couple of weeks
in the last few weeks as well so they'll
be short videos over the next few weeks
I'll try to keep it up with one new
video every Saturday morning
Brisbane time so please subscribe if you
like this video I'll give you a little
hints here and there and love with it
like I said I tell it like it is I try
to cut through all the mark BS out there
all the marketing all the advertising
through all the companies because in the
aesthetic in cosmetic dermatology office
a lot of this game along with everything
from lasers to peels to energy devices
through everything so guys please
subscribe to like this channel and I'll
see you again next Saturday bye