Dark circles appear for more than one reason. The skin...

Jordana S. Gilman, M.D. answers: How can I treat the dark circles under my eyes?

I have dark circles under my eyes that make me look tired. What eye treatments are available to get rid of these dark circles?


Jordana S. Gilman, MD
21 months ago
By Jordana S. Gilman, MD - Manhattan Dermatologic surgeon

Dark circles appear for more than one reason.

  1. The skin of the eyelids is ofter darker than that of the rest of the face. As we age and our skin has less elasticity and sags, the difference between the eyelid skin and the upper cheek is more obvious.
  2. As we age and the skin gets thin, the network of blood vessels within the skin becomes more visible, making the area look dark or purplish.
  3. As the skin gets more thin, the "hollow" under the eyes appears or looks larger.

Therefore, I use a combination approach to treat the undereye area. Fillers, such as Restylane, plump up the skin and decrease the hollow appearance under the eye. Creams are used to firm the skin, increase collagen production, and lighten dark pigmentation.

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