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    Home Anti-Aging

    Under Eye Dark Circles: Causes, Treatment, Remedies

    Debraj Shome by Debraj Shome
    20 August, 2025
    in Anti-Aging, Beauty, Botox Injections & Fillers, Oculoplasty
    4
    Under Eye Dark Circles: Causes, Treatment, Remedies
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    You may possibly have seen this today’s popular picture of a top model with apparent under-eye bags. No matter exactly how great the lady eye makeup artist is, it’s almost impossible to conceal the underneath eye bag and the resultant aged appearance it brings upon even a really stunning face. Undoubtedly, no quantity of under-eye concealer can counteract the shadowing that happens when under-eye issues (eyelid bags, eye bags, dark circles, black colored circles, tear trough deformity) happen.

    Dark circles under the eyes (under the reduced eyelids) are extremely problematic, detract from the look, and give an aged and tired appearance to men and women.  In reality, dark sectors under the reduced eyelids may be the absolute most typical concern that clients current with to an eyelid professional (oculoplastic doctor). Therefore at this point, you have to know the major reasons for dark circles under the eyes:

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    1) Dark circles below the eyes are a combination of cultural pigmentation, epidermis depth, vascularity (bloodstream vessels), and other factors such as allergies. The thin skin of the eyelid (the thinnest epidermis in the human body) enables the darker muscle mass as well as the bloodstream vessels underneath the epidermis to show clearly.

    2) The most typical cause of dark circles under the lower eyelids is the displacement of fat over the orbital rim. This hollowness causes shadowing leading to the look of dark circles. The hollowness around the eyes can produce a shadow impact that exacerbates darkness.

    Tear trough Deformity
    Under Eye Anatomy of Bags & Tear Trough Deformity

    Think of it as hills & valleys. When you are young, the lower eyelid is concave, merging seamlessly into the convex cheek location. As we age, the fat around the eyes (think of the eyes as being soft products kept in a hard box – the orbital or eye socket – The fat around the eyes protects the eye from harm) gets displaced in front side of the eye. This produces a valley, the tear trough deformity, and a hill, the eyelid bag.

    Eye Bags
    Eye Bags (Mountain) & Under Eye Trough (Valley)

    Prominent, puffy eyelid bags above cause a shadow to be created which imparts a dark appearance below.

    3. Skin pigmentation [sometimes from blood products from bruising], if it’s blood product pigmentation, it could take months to improve.

    4. Pigment cells in the skin (melanocytes) can be extremely active causing darkening. Therefore, if you’re out in the sunlight for prolonged hours and get tanned, this can accentuate your dark circles.

    • Heredity and bruising are the two main factors responsible for causing dark circles.
    • Nevertheless, individual lifestyle and nutritional choices can additionally boost the chance of eye bags and under-eye darkness.
    • Proper nourishment, balanced sleep, and good skin care are the best means to avoid dark circles from taking place, also if you’re genetically predisposed to get them.

    Regrettably, understanding just what causes dark blemishes and just how to avoid them doesn’t really explain why they take place in the first place. Therefore let’s take a minute to talk about the science that’s your eyes, and the biological reasons of dark blemishes.

    What are Under Eye Black / Dark Blemishes?

    The periorbital (under eye) skin tissue is just half a millimeter dense, making it the thinnest epidermis on your whole body. The thin epidermis is one of the two primary reasons why dark circles form under your eyes. The second is the number of blood vessels moving directly beneath this extremely thin, semi-transparent epidermis.

    These veins and capillaries are the reason dark under-eye circles generally have actually a bluish or purplish tint to them. Now imagine you’ve got a remarkably thin epidermis and leaking, damaged capillaries under your skin. This, my buddies, is the perfect recipe for your worst nightmare – eyes that allow you to be looking twice your age!

    Just How to Get Rid of Dark Circles

    We’ve talked before about dark circles under the eyes. One of the absolute most typical reasons is a deep tear trough deformity.  The tear trough is that depression extending from the inner edge of your eye diagonally toward your cheek.  This depression happens when the facial fat has thinned away and dropped down into the cheeks.

    Dark Circle
    Black Star Shows hypertrophic under eye eyelid muscle (Mountain) & White arrow shows deep tear trough deformity

    The bone tissue of the eye socket is now right below the epidermis and the two are fairly well connected to each other.  As the epidermis above and below the age and modify, this region becomes even more obvious. It can be dark and develop an apparent shadow, which makes one appear tired and much more aged.  There are numerous choices (Dark circles Treatment) to treat this and the techniques are changing as we better comprehend facial aging.

    See Dark Circle Removal Treatment Before After Photos-

    Under Eye Dark Circle Removal Laser Treatment before after photos in mumbai india (2)

    1. Make-up:

    You can use concealer in the area under the eye to lighten the epidermis and diminish the shadow.  When the issue is subtle / not very severe, make-up is great, non-invasive, and affordable therapy.  As the issue worsens, nevertheless, make-up cannot completely hide the changes and may in reality start to accentuate it.

    2. Skin-lightening creams:

    In some individuals and ethnic groups, the epidermis in the underneath eye region darkens. This can be because of real pigment modifications in the epidermis or from really superficial blood vessels simply below the thin skin. Whenever it’s pigment-associated, epidermis-lightening creams, such as hydroquinone & kojic acid, can be effective.  Seldom will these kinds of creams entirely fix the issue, but they can make an apparent enhancement. Never ever self-medicate these creams as they by themselves can cause pigmentation if wrongly utilized.

    3. Phototherapy:

    Intense pulsed light, and some laser therapies (Medlite, a Q switched Nd: YAG laser) are extremely effective to lighten epidermis pigmentation and tighten up the epidermis in the underneath eye region. Usually, this might be preceded by the usage of a topical epidermis lightening cream regimen and perhaps a brief course of oral retinoic acid tablets to optimize impact.  Once more, this should be done by somebody with a great deal of experience in administering the entire treatment. Various skin kinds respond in different ways, therefore be certain your specialist describes exactly how they’re tailoring your therapy to you in person.

    4. Facial Filler:

    Hyaluronic acid dermal fillers (injections) such as Juvederm, Restylane, & Esthelis are well matched to deal with the tear trough region when the issue is loss of facial fat volume.  Filling the underneath eye area with hyaluronic acid (a substance that’s comparable to the building blocks of normal collagen) can offer a brand new youthful look to the mid-face. It’s reasonably affordable, costing around $500 for therapy. In numerous situations, it lasts for about 18-24 months.

    Under Eye Fillers
    Under Eye Filler Injections

    A filler (Juvederm, Restylane) is inserted with a little needle into the space straight above the bone tissue and then massage around until it seems smooth.  Filler Injections are an incredibly safe treatment. See Dr. Debraj Shome to explain much more about facial filler injections.

    Botox Injections can be utilized to flatten the hypertrophic orbicularis oculi eyelid muscle (mountain) while filler injections ‘fill’ the tear trough deformity (valley). Look at the outcomes this combination therapy can attain:

    Dark Circle
    Under Eye Mountain (Black Star) & Valley (White Arrow)

     

    Reduce Dark Circles
    Combination Under Eye Dark Circle Treatment post Botox & Filler Injections

    5. Lower eyelid fat repositioning and Blepharoplasty:

    Whenever fat in the reduced eye socket starts to come forward, it produces a bag in the lower eyelid (Under Eye anatomy photo at the beginning of article). A crease type at the base of the bag over the bone tissue of the eye socket. Lower eyelid surgery (blepharoplasty) is done to move fat from this bag into the upper cheek and tear through, which fills in the depression and returns the fat to a regular area, where it had been before it descended into the cheek.  In some individuals, a portion of the fat is additionally eliminated. In other people, we additionally eliminate a small quantity of skin below the eyelashes. All of these methods serve to smoothen out the transition (curve) from the eyelid to the cheek, which is a hallmark of a youthful, rested appearance.

    Blepharoplasty Surgery India
    Under Eye Bags Post Blepharoplasty Surgery

     

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      Dr. Debraj Shome, Co-Founder & Director, The Esthetic Clinics, is a super speciality trained in facial plastic surgery & facial cosmetic surgery. Dr. Shome is currently a Consultant at the Mumbai hospitals like Saifee Hospital, Breach Candy Hospital, Apollo Spectra hospital and S L Raheja Fortis hospital in Mumbai, India. He has 50+ research papers in international journals, numerous presentations at conferences & many awards. A celebrity surgeon, Dr. Shome believes plastic, reconstructive & cosmetic face surgery can allow you to lead a more fulfilled life
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