Dark Circles - Are a worry to many people of ALL ages!


Dark circles are a worry to many people of all ages, as it makes them look tired and also is aging It is very good to be wary of fillers as this way you will want to know more and understand what can help and what cannot help.

The dark circles occur where there is an area of very thin skin and muscle directly over the bone of the infero-medial orbital rim and extends just below it. This is often referred to as the tear troughs and hence when it looks a little darker and sunken in, is called tear trough hollowing. It can occur in young people who are healthy and on good diets and is simply a result of the persons particular peri-orbital anatomy. It can be more noticeable in slim people and with certain bone shape around the eyes. As you get older it becomes more noticeable as the mid face or cheek area descends, making the lower eyelid longer vertically and the tear troughs look deeper and longer.

Dermal fillers such as hyaluronic acid gel (HAG) with lignocaine will very gently help improve the area. New techniques using ultra thin cannulas via one entry port on the upper outer cheek can relatively atraumatically and painlessly reach the tear troughs and gently drizzle in a small amount of light filler. If there is also some cheek flattening or depression, then gently building up the upper cheek to eyelid junction will help support the tear trough HAG and look very natural.

Anyone considering tear trough filler should seriously consider who is qualified to do this since it is close to the eye and in a very visible area. Often an Oculoplastic Surgeon who regularly does tear trough filler using cannula is good choice as they know so well the exquisitely delicate anatomy around the eyes.

Before any filler you should have an assessment for suitability, be given a good information sheet to read and sign a consent form.

There are risks of course with peri-orbital filler, including bruising, swelling, visible dips and bumps, blue coloration, and even a risk to vision. However, the well informed patient will research their oculoplastic surgeon and choose someone with a proven track record in order to minimise risks.

Article by
London Oculoplastic Surgeon