Best Treatment for Dark Circles?

I am 22 years old female, and I've been suffering from black circles ever since I was 16. It has gotten worse in the past couple of years. I can't go out without wearing a concealer, and darkness is there even if I've had sleep. The color varies from light brown to yellowish blue, just like the effect in post-surgeries. I have thin skin in that area as well. Are ther any recommended procedures or topical creams for this problem? Thank you so much.

Doctor Answers 6

Dark circles under the eyes- treatments

First of all one has to determine the CAUSE of dark circle. In most cases this is racial (I have them as well), in some cases, it is due to deep tear troughs, in others a combination of PIH or skin hyper pigmentation due to eczema, and in many cases a combination of factors.

In the US, we use Restylane in this area to correct volume loss due to deep troughs, however in Australia, Restylane and JUVEDERM VOLBELLA can be used. I do place the filler deep- namely on bone, this reduces the chances of a Tyndall effect (blue tinge).

Other ways to treat dark circles under the eyes include -

1. Treat any skin irritation - namely simplify your skin care regime- use a good eye cream- this can reduce inflammatory changes on the skin
2. Low dose Q switch lasers
3, Microneedling and PRP
4. Low strength HQ creams – this is used to decrease melanin activity
5. Multiple sessions of either Clear + Brilliant or Low Level Fraxel 1550 ( I do however believe that Picosure Focus is better than Fraxel in my hands for dark circles- 3-4 sessions needed)
6. Very low strength peels including 6-8% TCA – five to six peels in combination with fading agents.

Even with multiple treatment methods, dark circles can only be reduced, and not totally eliminated. Realistic expectations are crucial in treatment of this problem, and combination tailored to EACH patient.

All the best
Dr Davin Lim
Laser and aesthetic dermatologist
Brisbane, Australia.

Brisbane Dermatologist
4.7 out of 5 stars 75 reviews

Lower Lid Dark Circles

Dark circles beneath the eye are caused by many factors including hereditary pigmentation, edema, allergies, etc.
The depressions that cast shadows of your lower lids can be improved with fillers. In this area it is very important to have an experienced injector so as not to place the filler too close to the skin. I would recommend trying Jeuvederm or Restylane first as they are not permanent and can be reversed if you do not like the result. If you do like the result, then fat is a good option for a more permanent correction

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 154 reviews

Laser, IPL and Surgery all can help dark circles under the eyes

Dark circles

under the eyes are a very common problem which bothers many young people.

The causes of dark circles unde the eyes are varied, and the treatment depoends on the cause.

Thin lower eyelid skin allows the purple color of the underlying muscle to show through and darken eyelid color. pigment from sun exposure also darkens lower eyelid skin.

Pigment can be removed with IPL treatments. Fractional non ablative Erbium laser treatments can help pigment and may also thicken the deeper layers of the skin.

The depressed shadow beneath the lower eyelid, near the nose creates a shadow which appears as a dark circle. A surgical procedure called an arcus release and composite fat grafting can plump this depression and eliminate the dark shadow.

You need to see an expert on these techniques, as many doctors do not understand how to treat dark circles under the eyes.

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Dark circles under eyes

There are no good treatments for dark circles under the eyes, especially in a young patient. As patients get older, the dark cicrles may be due to loss of volume and thin skin which may benefit from a filler such as Juvederm or a fat transfer. Topical creams have little to no permanent success at treating this condition. Occasionally patients will have bags under their eyes, which can mimic dark circles, and in certain cases will benefit from a lower eyelid surgical procedure to tighten the tissues of the inner eye, with very minimal fat removal.

Please consult with a board certified plastic surgeon prior to any lower eyelid surgery.

Best wishes,

Dr. Bruno

William Bruno, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 377 reviews

Dark Circles Under Eyes, What is the Best Treatment?

Hi Linzo,

You are a beautiful girl. Part of your beauty is found in your dark ethnic eyes.

Dark circles such as yours are genetic, occaisionally due to allergies. Best to continue using concealer, and not focus on the dark lower eyelids.

There are no good skin products for dark circles around the eyes. As you get older, if the lower lid hollows deepen, you may benefit from Restylane filler in the area. In some selected patients, laser treatments may help.

Good luck and be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

Concealers are helpful for dark circles

Dear Linzo

The best treatment is to fill the hollow with Restylane filler. This changes how the lower eyelid hollow shadows. The darkness is due to dark muscle that is just below the surface of the skin. The dark appearance is optical from the fact that light that passes through the skin is absorbed by the dark red muscle and is unavailable to be reflected off this layer and back into the skin. This makes the eyelid look dark. Cover up decrease the amount of light penetrating the skin and the dark circles are improved.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.