I have had these dark circles since the age of 9 years old. I am 22 now. They seem a bit reddish/brown, almost like the blood is stuck there. In the past my iron levels were low and I do have a dust mite allergy, can this be the cause? Are these circles allergic shiners? I want to start using tretinoin cream to thicken the skin there, will this help? The pictures are taken in different lighting so you can really see how they look. Thankyou in advance
March 18, 2020
Answer: Dark circles under the eyes Dear LA,This is a really interesting question. You have clearly done your research about the matter, but have yet to have found the solution.It is quite possible that there are a combination of environmental and genetic factors going on.Allergies could do it, with secondary rubbing of the delicate skin and secondary redness and pronounced vascularity.Work on good balanced nutrition, good sleep hygiene, avoid areas with poor air quality, wear spf 30 daily, and sun glasses when outside or driving.Fillers may be of benefit to smooth out the under eye hollowing.Retin a used sparingly for fine lines lateral to the eyes. Avoid strong retin a cream under the eyes, for now, as that may cause more skin redness and irritation.You may need eye drops, as well.See your provider for more help.Best. Dr Brecht
Helpful
March 18, 2020
Answer: Dark circles under the eyes Dear LA,This is a really interesting question. You have clearly done your research about the matter, but have yet to have found the solution.It is quite possible that there are a combination of environmental and genetic factors going on.Allergies could do it, with secondary rubbing of the delicate skin and secondary redness and pronounced vascularity.Work on good balanced nutrition, good sleep hygiene, avoid areas with poor air quality, wear spf 30 daily, and sun glasses when outside or driving.Fillers may be of benefit to smooth out the under eye hollowing.Retin a used sparingly for fine lines lateral to the eyes. Avoid strong retin a cream under the eyes, for now, as that may cause more skin redness and irritation.You may need eye drops, as well.See your provider for more help.Best. Dr Brecht
Helpful
