Dark Circles Under Eyes What to Do?

Doctor Answers 8

Dark Circles Under Eyes What to Do?

             True pigmentation issues will not be improved with eyelid surgery.  Bags under the eyes can be improved with surgery.  The tear troughs can be improved with fillers or fat grafting or fat transposition techniques.  Pictures or an exam would be helpful in the evaluation of this case.


Kenneth Hughes, MD Los Angeles, CA

Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Dark Circles in the Under Eye Area

Thank you for writing. As others have mentioned, there are a variety of reasons that the area under the eyes looks dark.  In most cases, this is due to a combination of the descent of the cheek fat and pushing forward of the lower eyelid fat bags.  The combined effect is a trough or depression that causes a shadow.  In other patients, the thin lower eyelid skin allows the blood vessels and muscle underneath to show through.  Finally, in rare cases, there can be hyperpigmentation in this area (sometimes related to hormone issues).

Evan Ransom, MD
Bay Area Facial Plastic Surgeon
4.9 out of 5 stars 113 reviews

Dark circles under the eyes can have several sources.

If makeup cannot remove the dark circles it's probably caused by shadowing is corrected with eyelid surgery. Color variegation skin can be corrected with topical agents or resurfacing.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.8 out of 5 stars 36 reviews

Lower blepharoplasty for dark circles

 Dark circles can be caused by a variety of issues such as herniated fat,  allergies,excess skin, pigmented skin, and festoons. Each one of these issues are treated differently, depending upon what the patient needs are. Please see the link below for examples of what a lower blepharoplasty can accomplish

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 145 reviews

Dark Circles Under Eyes can be effectively treated

Hello Shauntay.

Thanks for your question whether Dark Circles under your eyes can be treated. The answer is YES. The most important thing is to work out what is causing the dark circles under the eyes.

Sometimes the skin can be the problem but more commonly, dark circles are caused by the changes in the bone, skin, fat and soft tissues under the eye. Depending on how bad the changes are your 2 options are Fillers or Surgery. Fillers such as Juvederm, Restylane or Esthelis.are effective and offer you a solution with minimal downtime and instant improvement. Once you have seen the improvement you can chose to have fillers once every 12 months or proceed to have Lower Eyelid Surgery with redistribution of the to smooth out the dark circles.


Naveen Somia, MBBS, PhD, FRACS
Sydney Plastic Surgeon
5.0 out of 5 stars 74 reviews

Lower lid darkness

This problem can have different etiologies and, therefore, a variety of potential treatment options ranging from laser to fillers (Restylane) to neurotoxins (Botox) to lower lid blepharoplasty.  For a more definitive answer on Real Self, you could post photos or you could see a plastic surgeon for a consultation.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 42 reviews

Dark Circles Under the Eyes Respond Well To Combined Belotero Balance & Radiesse

Combining Juvederm UltraXC With A Little Radiesse Works Well For Tear Troughs, Hollows and Dark Circles Under the Eyes

Tear troughs, hollows, and dark circles are common problems of the lower lids. It has become standard practice to treat this region with lighter weight fillers, like Juvederm or Restylane, to lift, straighten, and contour this region. Occasionally, if fillers are inadvertently placed too superficially, a bluish discoloration related to light scattering (a phenomenon known as the Tyndall effect) can occur, which can actually make the dark circles more prominent. Belotero Balance, a relatively new hyaluronic acid product, has been manufactured to avoid this. However, I have found that the addition of a tiny amount of Radiesse, a whitish-colored filler, to Beletero, to be an excellent way of treating tear troughs and hollows and lightening existing dark circles. However, only an experienced, board certified aesthetic dermatology or plastic surgeon injector should attempt to treat this area in this fashion.

Nelson Lee Novick, MD
New York Dermatologic Surgeon
4.9 out of 5 stars 30 reviews

Dark circles under the eyes.

Thank you for the question. Dark circles can be treated by different methods depending in the underlying problem. I have treated them with fillers. 

Some other treatment modalities can be creams or a blepharoplasty (eyelid surgery)

hope that helps 

best of luck

Dana Khuthaila, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 68 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.