How Can Someone Treat the Dark Circles Under Their Eyes?

For someone with dark circles under their eyes that make one look tired. What eye treatments are available to get rid of these dark circles?

Doctor Answers 16

Restylane for dark circles

Hi: This answer will only address the issue of dark circles. Puffiness, hollowness, etc. can be discussed in another reply.

Dark circles under the eyes (raccoon eyes) are mostly due to melanin pigmentation. Your degree of pigment is obviously genetic. Hence, many people who have this problem are of Afro-American, Caribbean, Mediterranean or Hispanic descent.

A second cause is vascular congestion. This is an area containing many, small blood vessels. In some people, these are congested, causing a somewhat purple discoloration. Rubbing the area under the eyes certainly worsens the situation. Thus, people with atopic dermatitis (eczema) often are burdened with this discoloration.

Any dermatologist can tell you that a hallmark of eczema are these "allergic shiners." Rubbing can also be precipitated by an allergic contact dermatitis. Patch testing by your dermatologist might be able to elicit an allergy. Avoidance of that allergan would certainly help.

As we age, we lose collagen in general. This area, whose skin is thin to start off with, suffers the most noticeably. I am not talking about laxity here, although that is true too. The thinness of the skin makes the blue-brown pigmentation under the skin look even more apparent.

What to do about this problem? Fillers are probably the best solution as far as cost and convenience. Restylane is the better choice here since it is a little less mobile and remains where it is placed better. Also, it gives less of a blue tinge than its competitor Juvederm.

IPL may help. The vascular-pigment application at wavelengths between 530-600 would give you a good benefit as would a laser. As far as eye creams for this problem, there are as many of these as excuses for the Cubbies not going to the World Series.

Most of these products contain the following ingredients: Vitamin K, green tea, Vitamin C (make sure it has ferulic acid - Journal of the American Academy of Dermatology Sept 2008 - as this creates a much more stable product), licorice (yeah, that's licorice... the good tasting stuff), hydroquinone, and kojic acid. There are, of course, other helpful ingredients.

Brands I like, in no particular order:

  • RevaleSkin Eye Replenishing cream
  • SkinCeuticals Eye Gel
  • Neutrogena Radiance Boost Eye Cream
  • Olay's Definity
  • Hylexin (nervous about recommending the latter because they hype their product SO much.)

We did discuss this topic on our radio show. So feel free to call us on the show or email me.


Virginia Beach Dermatologist
4.7 out of 5 stars 14 reviews

Permanent effective removal of dark circles under eyes requires laser surgery

Blue and purple dark circles are usually caused by blood vessels and can be improved with IPL or Photofacial treatments.

Brown colored dark circles under eyes are usually pigment and can be treated with fractional ablative laser resurfacing.

The true deep depressed dark circle under the eye, which I call the arcus deformity is treated with a procedure called the laser arcus marginalis release with fat grafting.

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

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.

Jordana S. Gilman, MD
Washington Dermatologic Surgeon
5.0 out of 5 stars 2 reviews

There are few factors that create dark circle under the...

There are few factors that create dark circle under the eye. One must address all or some of these problems to fix the dark circles.

  • Darker skin color: There many genetic and environmental factors creating darker skin color (hyper pigmentation) under the eye. Most of this hyper pigmentation can be treated with skin bleach (hydroquinone). It would take few months for the cream to work. For quicker fix one can do laser or chemical skin resurfacing (peels).
  • Hollowness under the eyes: With age or genetic predisposition, some people get hollowness under the eye that creates a dark shadow. Fillers such as fat, radiesse , or restylane can fix the crease.
  • Fat under the eye: Sometimes fatty bulges under the eye create shadow under the bulge creating dark circle. Fillers or traditional eyelid surgery could help with this problem.
  • Allergy: Patients who suffer from allergy could get venous congestion under the eye creating dark circle. Seeing an allergist is the first step.

Payman Simoni, MD
Beverly Hills Facial Plastic Surgeon
3.2 out of 5 stars 13 reviews

Management of lower eyelid circles

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

Restylane

Restylane works wonders for dark circles. Restylane is made of natural hyaluronic acid and is used to fill in facial wrinkles and folds to restore a youthful appearance. Belotero is another filler that is often used for dark circles under the eyes. Belotero is softer and more flexible than other fillers, making it ideal for use around the delicate eye area. Talk to a board-certified dermatologist to help you choose the appropriate filler for your case. 

Karen Beasley, MD
Baltimore Dermatologic Surgeon
5.0 out of 5 stars 2 reviews

Options for under eye hollowness, dark circles

There are a variety of options for treating under eye dark circles caused by tear trough deformity (hollowness) including filler injection, fat injection, and tear trough implant. Filler injection is easiest, fastest, least invasive option. The result usually lasts 1+ year with subsequent injections lasting longer. It is important to be conservative with amount of filler injected besides precise technique. The type of filler also matters. See following link and video.

Mehryar (Ray) Taban, MD, FACS
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 62 reviews

Treating dark under eye circles

Dark circles under the eyes have many causes. Patients with fair skin and strong allergies will often show dark circles under the eyes because of increased vascularity during the allergic season. Hyperpigmentation is a common cause of dark circles under the eyes. Pigmentation is treated many ways with topical creams, strong sunscreens, and laser technology. Another cause of dark circles under the eyes is the shadowing caused by larger fat pads as a result of the aging process.

David A. F. Ellis, MD
Toronto Facial Plastic Surgeon
4.0 out of 5 stars 7 reviews

Dark circles under the eyes- solutions.

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 prefer Restylane in this area, 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
2. Low dose Q switch lasers
3, Microneedling and PRP
4. Low strength HQ creams.

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

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

Davin Lim, MBBS, FACD
Brisbane Dermatologist
4.7 out of 5 stars 62 reviews

Many patients of Mediterranean descent have dark circles...

Many patients of Mediterranean descent have dark circles under their eyes. There is nothing that can be done about this other than makeup.

Some patients have severe allergies which create puffiness, bags and shiners underneath the lower lid. Well managed allergy symptoms can improve the dark circles.

In addition, high salt intake in the diet can increase fat bags because of fluid retention in the bags in the lower lids. Makeup can reduce how dark the circles are; apply a yellow concealer to neutralize the dark color, then apply under-eye concealer.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 129 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.