Management of lower eyelid circles

Otto Joseph Placik, MD 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?


Otto Joseph Placik, MD
6 months ago
By Otto Joseph Placik, MD - Chicago Plastic Surgeon

Cricles may be due to a variety of causes:

  1. Descent of cheek fat causing the groove under the eye to be more prominent
  2. Laxity of the lower eyelid structures allowing fat to bulge forward and cause lower eyelid fullness
  3. Hyperpigmentation (chloasma or mask or preganancy) associated with oral contraceptive use
  4. Thin skin allowing the underlying muscle to be more visiblle and create a bluish-purplish appearance
  5. Repeated irritation or inflammation with hyperpigmentation or depositiion of pigment in the skin

Depending on the cause the treatments may vary according the the above:

  1. Filling of the cheek groove or a midface/cheek lift
  2. Lower eyelid blepharoplasty
  3. Skin bleaching
  4. Retinoids or cosmetic camouflage
  5. Chemical peels or laser treatments
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