Dark Circles Under The Eyes

Causes, Treatments & Prevention

According to a study published in the NCBI, dark circles or Periorbital Hyperpigmentation (POH) affects women more than men. Dark circles are prominent in 47.50% of individuals between the ages of 16 and 25. One of the most common causes of dark circles is genetics. Untreated dark circles can be permanent. However, a thorough medical diagnosis followed by therapy can reduce dark circles visibly.

What Are Dark Circles Under the Eyes?

Dark circles under the eyes mean the skin in your eye-area looks darker than the surrounding skin. The under-eye area may appear bluish, purple, black or brownish, depending on the cause and the colour of your skin. These black circles around the eyes are usually a cosmetic concern and do not signify serious medical issues in most cases. People with dark skin, of older age, or those having a family history are more prone to dark circles.

Causes of Dark Circles

Dark circles most commonly appear due to blood vessels becoming visible due to thinning skin under the eyes because of ageing or other lifestyle factors. It can also occur due to melanin deposits, changes in skin texture, or volume loss, leading to tear trough formation.

  • Unhealthy Lifestyle

    The most common cause of dark circles is inadequate sleep. Stress, excess smoking or alcohol intake can also cause dark circles.

  • Sun Exposure

    Pigmentation under the eyes due to excessive sun exposure can result in black circles.

  • Allergies

    Adverse reactions, or dry eyes can lead to repeated rubbing of eyes, causing local skin texture change and pigmentation.

  • Side Effects Of Medications

    Certain eye drops for glaucoma, like bimatoprost and latanoprost, can also cause black circles around the eyes.

  • Genetics

    If your family members have dark circles under the eyes, there is a high chance you, too, may have them.

  • Ageing

    The appearance of fine lines, reduced fatty tissues, volume loss around the eyes, or thinning of skin are normal age-related issues that lead to dark circles under the eyes.

  • Anaemia

    Low blood haemoglobin levels are also a common cause of dark circles.

  • Dehydration

    Inadequate water intake may cause under-eye dryness and dullness.

What Causes Dark Circles Under Eyes

Symptoms

  • Discolouration under the eyes
  • Puffiness
  • Tear trough formation
  • Shadowing effect
  • Under-eye skin sag
  • Fine lines and wrinkles.

Types Of Dark Circles

Vascular Dark Circles

Bluish discolouration due to visible blood vessels, often caused by thinning skin due to ageing.

Pigmented Dark Circles

Dark brown pigmentation from friction, rubbing, or cosmetic allergies.

Structural Dark Circles

Hollowness or shadows from tear troughs, skin sag, or puffiness caused by ageing and volume loss.

Diagnosis

Your dermatologist will perform a physical examination and check for the following:

Family history

Medical conditions

Hormonal health

Nutritional status

Lifestyle habits

How To Prevent Dark Circles?

Get enough sleep
Get enough sleep
Get enough sleep at night for at least 6-8 hours.
Meditation
Meditation
Practice meditation to manage stress in daily life.
Quit smoking.
Quit smoking.
Quit or avoid drinking and smoking.
Hydrate
Hydrate
Hydrate adequately by drinking at least 2 litres of water daily.
Use sunscreen
Use sunscreen
Use sun protection like sunscreen and sunglasses.

How To Prevent Dark Circles

Can I Use Home Remedies for Dark Circles?

Here is a list of popular home remedies for dark circles. These self-care dark circle treatments remain unproven and the results unpredictable:

Adequate Sleep

Get 6-8 hours of good quality sleep every night to keep dark circles away. Poor sleep routine is the most common cause of dark circles.

Elevate Your Head While Sleeping

Putting your head on the same level or lower than the rest of your body can cause fluid accumulation in the loose tissues around the eyes and cause puffiness. Use a couple of pillows to elevate your head while sleeping to avoid this.

Cold Compress And Massage Around The Eyes

Applying a cloth soaked in chilled water can constrict the blood vessels around the eyes. Massage can help improve the blood circulation around the eyes.

Cucumber Slices

These contain a lot of water and antioxidants like Vitamin C, so putting them on tired and puffy eyes for 10-20 minutes while keeping eyelids closed can rejuvenate the eye area.

Antioxidant Under Eye Creams

Creams containing Vitamin C and E can rejuvenate the under-eye skin and prevent tan and fine lines.

Makeup Products

You can choose to use concealers to cover dark circles on a daily basis.

Dark Circle Removal Treatment Options

Here are some medical dark circle under-eyes treatments you may consider:

Chemical Peels

This procedure involves using natural acids like glycolic acid and lactic acid to exfoliate the upper damaged layers of skin and rejuvenate skin. These sessions take place under the supervision of a dermatologist once in a few weeks. Medical experts carefully choose under-eye peels as the skin in this area is thin and sensitive and can have adverse reactions easily. One must follow pre- and post-procedure instructions to avoid any potential side effects like hyperpigmentation. The procedure is safe and effective when performed by a qualified dermatologist but requires multiple sessions to deliver visible results. Your doctor may suggest maintenance sessions.

Laser Therapy

Laser procedure involves the use of specific wavelengths of light in the under-eye area. A dermatologist or a cosmetic surgeon will perform this after a careful evaluation of the cause and type of dark circles and the type of skin you have. The melanin pigment and the haemoglobin in the blood vessels absorb these light beams that go below the skin. They produce energy, which breaks down excess pigment and contracts blood vessels to reduce dark circles. The procedure is effective, though done in select centres. Multiple sessions yield effective results, depending on the cause of the dark circle and the type of skin. Consult a dermatologist to know whether you are a suitable candidate for laser therapy and what benefits and risks it has.

Fillers

Dermal fillers containing hyaluronic acid help reduce dark circles caused by volume loss and tear trough formation. These are injectable treatments. Hyaluronic acid is injected in strategic places on the cheeks and under the eyes to give strong support to the eyes so that the area appears lifted and toned and the tear trough appears filled. Lighter fillers can improve skin texture or hydration if the local skin is damaged or dehydrated. Trained dermatologists should perform these treatments, as it is a delicate procedure with possible risks. Discuss with your dermatologist if fillers are an appropriate option for you, what benefits you can expect and what risks there are. The procedure can provide excellent improvement in selected cases. Results last more than a year and look completely natural.

Platelet-Rich Plasma Injections

These are another injectable treatment option. It involves extracting platelet-rich plasma from the patient’s blood and injecting it into the targeted area. This plasma is rich in growth factors and can rejuvenate the skin well. Doctors recommend multiple sessions for sustained results.

Topical Creams With Lightening Agents

Dermatologists prescribe creams with hydroquinone, kojic acid, azelaic acid and Vitamin C for dark circles due to melanin buildup. These ingredients act by inhibiting melanin production and thereby lightening the pigmentation around the eyes. Doctors advise using it one to two times daily. They prescribe special under-eye formulations that do not irritate the thin and sensitive skin. Make sure you follow regular skincare and don’t have excessive dryness or irritation before starting these under-eye creams. You should use these creams for at least 2-3 months to see a significant difference. Make sure to use sunscreen during the day.

Surgical Treatments

For excess fat or skin around the eyes, especially due to ageing, surgical removal options like blepharoplasty are good options. These cases do not respond to home remedies or medicines. Your surgeon can excise the excess skin or fat, and stitch the remaining skin together to make the area toned and tightened. The results are long-lasting, though surgery may have a downtime.

Treatments Explained

Chemical Peels

Laser Therapy

Dark Circle Treatment

Prognosis

  • Improved appearance of dark circles
  • Long-lasting effects with proper maintenance
  • Personalised treatment plans for optimal results

Frequently Asked Questions On Dark Circle Under Eyes

Q1. What Medical Treatment Options Are Available To Treat Dark Circles Under The Eyes?

A1. Dark circles under the eyes have many treatment options depending on their causes. For pigmentation, topical creams with lightening agents like kojic acid are the first choice, and chemical peels and lasers are some in-clinic procedures. For volume loss, dermal fillers are a popular choice. Surgeries can remove excess fat or skin under the eyes.

Q2. Can Laser Treatment Remove Dark Circles Under The Eyes?

A2. Yes, laser treatment can help reduce dark circles under eyes. Non-invasive lasers like pulsed-dye and diode lasers can lighten the skin, while laser resurfacing can tighten the skin.

Q3. What Vitamin Deficiency Causes Dark Circles?

A3. Vitamin B12 deficiency can cause pigmentation of the skin, causing dark circles under the eyes. Iron deficiency and anaemia can also worsen dark circles due to reduced blood flow.

Q4. How To Remove Dark Circles Under Eyes Permanently?

A4. Dark circles are difficult to remove permanently as they occur due to some underlying cause. Prolonged use of creams or maintenance sessions of chemical peels and lasers or fillers can help sustain the results. Surgical treatment may remove excess skin permanently.

Q5. Which Under-Eye Cream For Dark Circles Do Dermatologists In India Recommend?

A5. Dermatologists recommend under-eye creams containing lightening agents like azelaic acid, kojic acid, and Vitamin C for pigmented dark circles. Vitamins E and K in creams can also reduce dark circles. Retinoids, a form of Vitamin A, are a key ingredient in under-eye creams and can reduce ageing changes in the eye area.

Reviewed by Dr. Debatri Datta
MBBS, MD in Dermatology, Venereology & Leprosy
Written by : Dr. Debatri Datta
Updated on: August 24, 2024