Dark circles under the eyes tend to age your appearance more than wrinkles or gray hair - which may cause people to think you are much older than you are. This is why dark circles under the eyes is the second most common dermatological complaint after acne.

Common thinking is that dark circles under the eyes are caused by stress or a lack of sleep, but they are actually caused by aging, lifestyle choices, genetics, and other medical causes and environmental conditions.

Facial aging:

  • Volume loss or fat descent in the cheeks
  • Under-eye volume loss
  • Lower eyelid laxity
  • Thinning under-eye skin

Lifestyle choices:

  • Smoking
  • Hyperpigmentation caused by sun damage
  • Caffeine or alcohol consumption
  • Dehydration and dietary deficiencies

Other causes:

  • Hyperpigmentation caused by melasma
  • Medical conditions (allergies, eczema, thyroid problems, etc.)
  • Venous congestion in under-eye blood vessels
  • Sun exposure

As you age, your skin loses collagen and thins. Blood passes through the veins close to the surface of the skin and results in a bluish tint. The thinner the skin - the darker the circles appear. Sun exposure speeds up this process by further breaking down collagen.

On top of this, the layer of fatty tissue under the eye becomes thinner as we age - creating a hollow shadowing, further emphasizing the dark-circle effect.

Treatments that can help reduce dark circles under the eye

Laser resurfacing and chemical peels may be used to help reduce dark circles by increasing collagen production, decreasing pigmentation problems, and improving overall skin quality.

Dermal fillers are often used to correct dark circles created by thinning under-eye skin or fat and tissue loss in the under-eyes or upper cheeks.

Redensity II, a dermal filler developed by the Swiss pharmaceutical company Teosyal, combines hyaluronic acid and a dermo-restructuring complex of vitamins and amino acids to rejuvenate tired-looking eyes. Redensity II is the first dermal filler of its kind to be developed specifically for the tear trough area to address fine lines, dark circles and deep hollows under the eyes.

If the circles are caused by shadows cast by large bags beneath the eyes and/or hollowness in the tear trough area, fat repositioning during blepharoplasty or lower eyelid surgery can improve the appearance of dark circles.

Related Procedures To Think About

Dermal Fillers

Skin Resurfacing & Fractional Laser

Forever Young BBL

Medical Corrective Skin Care